Prescribing in a Long Term Care Facility / Nursing Homes

Successive HALT- Halting infections in long-term care studies have shown that Irish Nursing home residents are prescribed far more antibiotics than their European counterparts . Antibiotics are most commonly prescribed for UTI , RTI and skin and soft tissue infections . 39% of antibiotics are prescribed for prophylaxis mainly recurrent UTI which is rarely justified .

http://www.hpsc.ie/a-z/microbiologyantimicrobialresistance/infectioncontrolandhai/surveillance/hcaiinlongtermcarefacilities/

  • Superbugs including CPE
    • In October 2017, the Minister for Health declared a public health emergency in relation to CPE This GP CPE toolkit contains a number of documents including guidelines for general practice, guidance for healthcare staff visiting patients at home, a set of facts sheets on CPE and patient information. We are developing more specific target guidance on nursing homes including dipstick and MSU polices for local adaptation but in the interim there is lots of useful relevant guidance already on our website

RTI

Reviewed Nov 2020