{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:33:05Z","timestamp":1780378385595,"version":"3.54.1"},"reference-count":100,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Archives of Gerontology and Geriatrics"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.archger.2026.106231","type":"journal-article","created":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T15:47:00Z","timestamp":1774194420000},"page":"106231","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Antimicrobial stewardship in long-term care facilities: A scoping review of prevalence, key concepts, and gaps in the management of suspected urinary tract infections"],"prefix":"10.1016","volume":"146","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7578-5586","authenticated-orcid":false,"given":"Sauravi","family":"Chand","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra R","family":"Davidson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pam","family":"Megaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsa","family":"Dent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.archger.2026.106231_bib0003","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.jiph.2014.04.003","article-title":"Healthcare associated infections (HAI) perspectives","volume":"7","author":"Al-Tawfiq","year":"2014","journal-title":"Journal of Infection and Public Health"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0086","first-page":"1","article-title":"Educational interventions to prevent urinary infections in institutionalized elderly people. Quasi-experimental study","volume":"42","author":"Almeida da Silva","year":"2024","journal-title":"Investigacion & Educacion En Enfermeria"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0009","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1186\/s12877-021-02378-5","article-title":"Poor clinical outcomes associated with suboptimal antibiotic treatment among older long-term care facility residents with urinary tract infection: A retrospective cohort study","volume":"21","author":"Appaneal","year":"2021","journal-title":"BMC Geriatrics"},{"issue":"6","key":"10.1016\/j.archger.2026.106231_bib0047","article-title":"Development of a tailored, complex intervention for clinical reflection and communication about suspected urinary tract infections in nursing home residents","volume":"9","author":"Arnold","year":"2020","journal-title":"Antibiotics (Basel, Switzerland)"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0019","doi-asserted-by":"crossref","first-page":"129","DOI":"10.7257\/1053-816X.2018.38.3.129","article-title":"Asymptomatic bacteriuria vs. Symptomatic urinary tract infection: Identification and treatment challenges in geriatric care","volume":"38","author":"Avelluto","year":"2018","journal-title":"Urologic Nursing"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0020","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.jamda.2020.06.053","article-title":"Nurse decision-making for suspected urinary tract infections in nursing homes: Potential targets to reduce antibiotic overuse","volume":"22","author":"Beeber","year":"2021","journal-title":"Journal of the American Medical Directors Association"},{"issue":"5","key":"10.1016\/j.archger.2026.106231_bib0005","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1017\/ice.2016.7","article-title":"Infections in Australian aged-care facilities: Evaluating the impact of revised McGeer criteria for surveillance of urinary tract infections","volume":"37","author":"Bennett","year":"2016","journal-title":"Infection Control and Hospital Epidemiology"},{"issue":"10","key":"10.1016\/j.archger.2026.106231_bib0067","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1016\/j.ajic.2018.03.027","article-title":"Prevalence of infections and antimicrobial prescribing in Australian aged care facilities: Evaluation of modifiable and nonmodifiable determinants. Article","volume":"46","author":"Bennett","year":"2018","journal-title":"American Journal of Infection Control"},{"issue":"4","key":"10.1016\/j.archger.2026.106231_bib0094","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/s40801-022-00323-5","article-title":"Prophylactic antimicrobial prescribing in australian residential aged-care facilities: Improvement is required","volume":"9","author":"Bennett","year":"2022","journal-title":"Drugs - Real World Outcomes"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0048","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1186\/s12877-019-1181-4","article-title":"Asymptomatic bacteriuria in older adults: The most fragile women are prone to long-term colonization","volume":"19","author":"Biggel","year":"2019","journal-title":"BMC Geriatrics"},{"issue":"12","key":"10.1016\/j.archger.2026.106231_bib0021","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1097\/JXX.0000000000000204","article-title":"Does treatment of urinary tract infections reflect the antibiotic stewardship program guidelines?","volume":"31","author":"Bista","year":"2019","journal-title":"Journal of the American Association of Nurse Practitioners"},{"key":"10.1016\/j.archger.2026.106231_bib0049","doi-asserted-by":"crossref","DOI":"10.1007\/s41999-024-00976-1","article-title":"Use of antibiotics for urinary tract infections up to and after care home admission in Denmark: A nationwide study","author":"Bj\u00f8rk","year":"2024","journal-title":"European Geriatric Medicine"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0018","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.1007\/s11135-021-01182-y","article-title":"A worked example of Braun and Clarke\u2019s approach to reflexive thematic analysis","volume":"56","author":"Byrne","year":"2022","journal-title":"Quality & Quantity"},{"issue":"6","key":"10.1016\/j.archger.2026.106231_bib0050","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1007\/s41999-022-00715-4","article-title":"Pharmacist-driven antimicrobial stewardship program in a long-term care facility by assessment of appropriateness","volume":"13","author":"Cantudo-Cuenca","year":"2022","journal-title":"European Geriatric Medicine"},{"issue":"5","key":"10.1016\/j.archger.2026.106231_bib0022","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1111\/jgs.14766","article-title":"Mixed-methods pilot study to assess perceptions of antimicrobial stewardship in nursing homes","volume":"65","author":"Carter","year":"2017","journal-title":"Journal of the American Geriatrics Society"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0084","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1017\/ice.2018.281","article-title":"A recipe for antimicrobial stewardship success: Using intervention mapping to develop a program to reduce antibiotic overuse in long-term care","volume":"40","author":"Chambers","year":"2019","journal-title":"Infection Control and Hospital Epidemiology"},{"issue":"2","key":"10.1016\/j.archger.2026.106231_bib0077","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1177\/1715163521989756","article-title":"Barriers and facilitators of implementing an antimicrobial stewardship intervention for urinary tract infection in a long-term care facility","volume":"154","author":"Chan","year":"2021","journal-title":"Canadian Pharmacists Journal \/Revue Des Pharmaciens Du Canada"},{"issue":"2","key":"10.1016\/j.archger.2026.106231_bib0097","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1177\/1715163521989756","article-title":"Barriers and facilitators of implementing an antimicrobial stewardship intervention for urinary tract infection in a long-term care facility","volume":"154","author":"Chan","year":"2021","journal-title":"Canadian Pharmacists Journal"},{"issue":"2","key":"10.1016\/j.archger.2026.106231_bib0098","first-page":"99","volume":"102","author":"Colgan","year":"2020","journal-title":"American Family Physician"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0001","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.ajic.2019.08.034","article-title":"Urinary tract infections in Australian aged care homes: Antibiotic prescribing practices and concordance to national guidelines","volume":"48","author":"Dowson","year":"2020","journal-title":"American Journal of Infection Control"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0023","first-page":"129","article-title":"Implementation of a urinary tract infection treatment protocol to improve prescribing practices in the long-term care facility of a veteran's healthcare system","volume":"8","author":"Durham","year":"2020","journal-title":"Pharmacy (Basel)"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0051","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.jhin.2018.08.011","article-title":"Prevalence of healthcare-associated infections in Dutch nursing homes: Follow-up 2010-2017","volume":"101","author":"Eikelenboom-Boskamp","year":"2019","journal-title":"Journal of Hospital Infection"},{"issue":"10","key":"10.1016\/j.archger.2026.106231_bib0024","doi-asserted-by":"crossref","first-page":"1975","DOI":"10.1111\/jgs.14286","article-title":"Constitutional symptoms trigger diagnostic testing before antibiotic prescribing in high-risk nursing home residents","volume":"64","author":"Eke-Usim","year":"2016","journal-title":"Journal of the American Geriatrics Society"},{"issue":"8","key":"10.1016\/j.archger.2026.106231_bib0087","doi-asserted-by":"crossref","first-page":"2265","DOI":"10.1093\/jac\/dku115","article-title":"Impact of implementation of a novel antimicrobial stewardship tool on antibiotic use in nursing homes: A prospective cluster randomized control pilot study","volume":"69","author":"Fleet","year":"2014","journal-title":"Journal of Antimicrobial Chemotherapy"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0025","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1186\/s43058-023-00535-y","article-title":"Moving behavioral interventions in nursing homes from planning to action: A work system evaluation of a urinary tract infection toolkit implementation","volume":"4","author":"Ford","year":"2023","journal-title":"Implementation Science Communications"},{"key":"10.1016\/j.archger.2026.106231_bib0027","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.gerinurse.2021.06.012","article-title":"Antibiotic stewardship for urinary tract infection: A program evaluation","volume":"45","author":"Gilbert","year":"2022","journal-title":"Geriatric Nursing"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0052","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1186\/s12877-018-0909-x","article-title":"Urine cultures in a long-term care facility (LTCF): Time for improvement","volume":"18","author":"Haaijman","year":"2018","journal-title":"BMC Geriatrics"},{"key":"10.1016\/j.archger.2026.106231_bib0078","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2022.115094","article-title":"Dismantling antibiotic infrastructures in residential aged care: The invisible work of antimicrobial stewardship (AMS)","volume":"305","author":"Hall","year":"2022","journal-title":"Social Science & Medicine"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0068","first-page":"24","article-title":"Retrospective analysis of urinary tract infections in long-term care facilities in Japan: Insights from physical examination-based diagnosis","volume":"10","author":"Hasegawa","year":"2024","journal-title":"Fujita Medical Journal"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0028","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.jamda.2015.10.017","article-title":"Infection prevention and control programs in US nursing homes: Results of a national survey","volume":"17","author":"Herzig","year":"2016","journal-title":"Journal of the American Medical Directors Association"},{"key":"10.1016\/j.archger.2026.106231_bib0053","article-title":"Use of antibiotics in long-term care facilities for the elderly in Germany - point prevalence as a possible first step for data-based antibiotic stewardship","volume":"19","author":"Heudorf","year":"2024","journal-title":"GMS Hygiene and Infection Control"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0012","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1038\/s44259-024-00031-w","article-title":"Antimicrobial stewardship: A definition with a one Health perspective","volume":"2","author":"Hibbard","year":"2024","journal-title":"Npj Antimicrobials and Resistance"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0085","doi-asserted-by":"crossref","DOI":"10.1093\/jacamr\/dlae016","article-title":"Pilot study to evaluate the need and implementation of a multifaceted nurse-led antimicrobial stewardship intervention in residential aged care","volume":"6","author":"Jokanovic","year":"2024","journal-title":"JAC-Antimicrobial Resistance"},{"issue":"2","key":"10.1016\/j.archger.2026.106231_bib0030","doi-asserted-by":"crossref","first-page":"632","DOI":"10.4338\/ACI-2016-12-RA-0209","article-title":"Developing mobile clinical decision support for nursing home staff assessment of urinary tract infection using goal-directed design","volume":"8","author":"Jones","year":"2017","journal-title":"Applied Clinical Informatics"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0095","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3399\/bjgpopen20X101044","article-title":"Development of an information leaflet and diagnostic flow chart to improve the management of urinary tract infections in older adults: A qualitative study using the theoretical domains framework","volume":"4","author":"Jones","year":"2020","journal-title":"BJGP Open"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0029","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1017\/ice.2023.127","article-title":"Characterizing infection prevention programs and urinary tract infection prevention practices in nursing homes: A mixed-methods study","volume":"45","author":"Jones","year":"2024","journal-title":"Infection Control and Hospital Epidemiology"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0006","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/ajag.12862","article-title":"Assessment and management of urinary tract infections in aged care facilities","volume":"40","author":"Khatri","year":"2021","journal-title":"Australasian Journal on Ageing"},{"issue":"4","key":"10.1016\/j.archger.2026.106231_bib0031","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1111\/jgs.17638","article-title":"Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline","volume":"70","author":"Kistler","year":"2022","journal-title":"Journal of the American Geriatrics Society"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0056","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1186\/s12877-022-02977-w","article-title":"Implementing an intervention to reduce use of antibiotics for suspected urinary tract infection in nursing homes - a qualitative study of barriers and enablers based on normalization process theory","volume":"22","author":"Kousgaard","year":"2022","journal-title":"BMC Geriatrics"},{"issue":"5","key":"10.1016\/j.archger.2026.106231_bib0054","article-title":"Prospective surveillance of healthcare-associated infections in residents in four long-term care facilities in Graz, Austria","volume":"10","author":"K\u00f6nig","year":"2021","journal-title":"Antibiotics (Basel, Switzerland)"},{"key":"10.1016\/j.archger.2026.106231_bib0055","doi-asserted-by":"crossref","unstructured":"K\u00f6nig E., Kriegl L., Pux C., et\u00a0al. Implementation of an antimicrobial stewardship program for urinary tract infections in long-term care facilities: A cluster-controlled intervention study. Antimicrobial Resistance and Infection Control. 2024;13(1):43. doi:10.1186\/s13756-024-01397-2.","DOI":"10.1186\/s13756-024-01397-2"},{"issue":"4","key":"10.1016\/j.archger.2026.106231_bib0099","doi-asserted-by":"crossref","DOI":"10.1136\/bmjoq-2018-000483","article-title":"Educational intervention to reduce treatment of asymptomatic bacteriuria in long-term care","volume":"7","author":"Lee","year":"2018","journal-title":"BMJ Open Quality"},{"issue":"8","key":"10.1016\/j.archger.2026.106231_bib0004","doi-asserted-by":"crossref","first-page":"551","DOI":"10.31128\/AJGP-05-22-6413","article-title":"Improving management of urinary tract infections in residential aged care facilities","volume":"51","author":"Lim","year":"2022","journal-title":"Australian Journal of General Practice"},{"issue":"7","key":"10.1016\/j.archger.2026.106231_bib0008","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1093\/jac\/dku077","article-title":"Prevalence of multidrug-resistant organisms and risk factors for carriage in long-term care facilities: A nested case-control study","volume":"69","author":"Lim","year":"2014","journal-title":"Journal of Antimicrobial Chemotherapy"},{"issue":"2","key":"10.1016\/j.archger.2026.106231_bib0079","doi-asserted-by":"crossref","first-page":"98","DOI":"10.5694\/j.1326-5377.2014.tb04232.x","article-title":"Antibiotic prescribing practice in residential aged care facilities\u2013health care providers' perspectives","volume":"201","author":"Lim","year":"2014","journal-title":"Medical Journal of Australia"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0080","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-081980","article-title":"Implementation of an intervention to reduce urine dipstick testing in aged care homes: A qualitative study of enablers and barriers, and strategies to enhance delivery","volume":"14","author":"Lim","year":"2024","journal-title":"BMJ Open"},{"issue":"7518","key":"10.1016\/j.archger.2026.106231_bib0100","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1136\/bmj.38602.586343.55","article-title":"Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections in residents of nursing homes: Cluster randomised controlled trial","volume":"331","author":"Loeb","year":"2005","journal-title":"BMJ"},{"issue":"2","key":"10.1016\/j.archger.2026.106231_bib0057","article-title":"Antimicrobial agent use for urinary tract infection in long-term care facilities in spain: Results from a retrospective analytical cohort analysis","volume":"13","author":"Matovelle","year":"2024","journal-title":"Antibiotics (Basel, Switzerland)"},{"issue":"5","key":"10.1016\/j.archger.2026.106231_bib0032","doi-asserted-by":"crossref","first-page":"233","DOI":"10.7257\/2168-4626.2023.43.5.233","article-title":"Promoting antibiotic stewardship for urinary tract infection in skilled nursing facilities","volume":"43","author":"McDowell","year":"2023","journal-title":"Urologic Nursing"},{"key":"10.1016\/j.archger.2026.106231_bib0007","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1186\/s12877-016-0255-9","article-title":"Impact of a decision-making aid for suspected urinary tract infections on antibiotic overuse in nursing homes","volume":"16","author":"McMaughan","year":"2016","journal-title":"BMC Geriatrics"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0069","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.idh.2016.03.001","article-title":"A point prevalence study of healthcare associated urinary tract infections in Australian acute and aged care facilities","volume":"21","author":"Mitchell","year":"2016","journal-title":"Infectious Disease and Health"},{"issue":"9","key":"10.1016\/j.archger.2026.106231_bib0033","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1001\/jamainternmed.2021.3098","article-title":"The trial to reduce antimicrobial use in nursing home residents with alzheimer disease and other dementias (TRAIN-AD): A cluster aandomized clinical trial","volume":"181","author":"Mitchell","year":"2021","journal-title":"JAMA Internal Medicine"},{"key":"10.1016\/j.archger.2026.106231_bib0046","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1001\/jamainternmed.2015.132","article-title":"A targeted infection prevention intervention in nursing home residents with indwelling devices: A randomized clinical trial","volume":"175","author":"Mody","year":"2015","journal-title":"JAMA Internal Medicine"},{"issue":"5","key":"10.1016\/j.archger.2026.106231_bib0088","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1001\/jamainternmed.2015.132","article-title":"A targeted infection prevention intervention in nursing home residents with indwelling devices a randomized clinical trial","volume":"175","author":"Mody","year":"2015","journal-title":"JAMA Internal Medicine"},{"issue":"10325","key":"10.1016\/j.archger.2026.106231_bib0010","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/S0140-6736(21)02724-0","article-title":"Global burden of bacterial antimicrobial resistance in 2019: A systematic analysis","volume":"399","author":"Murray","year":"2022","journal-title":"Lancet"},{"key":"10.1016\/j.archger.2026.106231_bib0071","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1186\/s12913-020-05723-3","article-title":"Trends, determinants and differences in antibiotic use in 68 residential aged care homes in Australia, 2014-2017: A longitudinal analysis of electronic health record data","volume":"20","author":"Mz","year":"2020","journal-title":"BMC Health Services Research"},{"issue":"7","key":"10.1016\/j.archger.2026.106231_bib0034","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1001\/jamainternmed.2020.1256","article-title":"A multifaceted antimicrobial stewardship program for the treatment of uncomplicated cystitis in nursing home residents","volume":"180","author":"Nace","year":"2020","journal-title":"JAMA Internal Medicine"},{"issue":"7","key":"10.1016\/j.archger.2026.106231_bib0089","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1001\/jamainternmed.2020.1256","article-title":"A multifaceted antimicrobial stewardship program for the treatment of uncomplicated cystitis in nursing home residents","volume":"180","author":"Nace","year":"2020","journal-title":"JAMA Internal Medicine"},{"issue":"10","key":"10.1016\/j.archger.2026.106231_bib0026","article-title":"Feasibility of algorithm-based clinical decision support for suspected urinary tract infections in nursing home residents","volume":"11","author":"New","year":"2022","journal-title":"Antibiotics (Basel)"},{"key":"10.1016\/j.archger.2026.106231_bib0011","unstructured":"O'Neill J. Antimicrobial resistance: Tackling a crisis for the health and wealth of nations. 2014. Available from: https:\/\/amr-review.org."},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0016","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan\u2014A web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Systematic Reviews"},{"issue":"10","key":"10.1016\/j.archger.2026.106231_bib0014","doi-asserted-by":"crossref","first-page":"2119","DOI":"10.11124\/JBIES-20-00167","article-title":"Updated methodological guidance for the conduct of scoping reviews","volume":"18","author":"Peters","year":"2020","journal-title":"JBI Evidence Synthesis"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0002","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/1471-2318-12-73","article-title":"Asymptomatic bacteriuria, antibiotic use, and suspected urinary tract infections in four nursing homes","volume":"12","author":"Phillips","year":"2012","journal-title":"BMC Geriatrics"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0017","doi-asserted-by":"crossref","first-page":"520","DOI":"10.11124\/JBIES-22-00123","article-title":"Recommendations for the extraction, analysis, and presentation of results in scoping reviews","volume":"21","author":"Pollock","year":"2023","journal-title":"JBI Evidence Synthesis"},{"issue":"5","key":"10.1016\/j.archger.2026.106231_bib0081","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1002\/jppr.1262","article-title":"Antibiotic prescribing practices in aged care facilities in regional NSW and the ACT","volume":"47","author":"Pringle","year":"2017","journal-title":"Journal of Pharmacy Practice and Research"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0058","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1093\/jac\/dky488","article-title":"Antibiotic resistance of Enterobacteriaceae causing urinary tract infections in elderly patients living in the community and in the nursing home: A retrospective observational study","volume":"74","author":"Pulcini","year":"2019","journal-title":"The Journal of Antimicrobial Chemotherapy"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0070","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1093\/jac\/dky488","article-title":"Antibiotic resistance of Enterobacteriaceae causing urinary tract infections in elderly patients living in the community and in the nursing home: A retrospective observational study","volume":"74","author":"Pulcini","year":"2019","journal-title":"Journal of Antimicrobial Chemotherapy"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0092","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1186\/s12913-020-05723-3","article-title":"Trends, determinants and differences in antibiotic use in 68 residential aged care homes in Australia, 2014-2017: A longitudinal analysis of electronic health record data","volume":"20","author":"Raban","year":"2020","journal-title":"BMC Health Services Research"},{"issue":"10","key":"10.1016\/j.archger.2026.106231_bib0035","doi-asserted-by":"crossref","first-page":"2222","DOI":"10.1111\/jgs.16632","article-title":"Workflow barriers and strategies to reduce antibiotic overuse in nursing homes","volume":"68","author":"Ramly","year":"2020","journal-title":"Journal of the American Geriatrics Society"},{"issue":"10","key":"10.1016\/j.archger.2026.106231_bib0082","doi-asserted-by":"crossref","first-page":"2222","DOI":"10.1111\/jgs.16632","article-title":"Workflow barriers and strategies to reduce antibiotic overuse in nursing homes","volume":"68","author":"Ramly","year":"2020","journal-title":"Journal of the American Geriatrics Society"},{"issue":"7","key":"10.1016\/j.archger.2026.106231_bib0036","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3928\/00989134-20190408-01","article-title":"Usability testing of a mobile clinical decision support app for urinary tract infection diagnosis in nursing homes","volume":"45","author":"Reeder","year":"2019","journal-title":"Journal of Gerontological Nursing"},{"issue":"46","key":"10.1016\/j.archger.2026.106231_bib0059","doi-asserted-by":"crossref","DOI":"10.2807\/1560-7917.ES.2018.23.46.1800394","article-title":"Antimicrobial use in European long-term care facilities: Results from the third point prevalence survey of healthcare-associated infections and antimicrobial use, 2016 to 2017","volume":"23","author":"Ricchizzi","year":"2018","journal-title":"Euro Surveill"},{"issue":"4","key":"10.1016\/j.archger.2026.106231_bib0072","first-page":"1184","article-title":"Impact of long-term care facility residence on the antibiotic resistance of urinary tract Escherichia coli and Klebsiella","volume":"72","author":"Rosello","year":"2017","journal-title":"Journal of Antimicrobial Chemotherapy"},{"key":"10.1016\/j.archger.2026.106231_bib0093","article-title":"Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents","author":"Rowe","year":"2021","journal-title":"Clinical Infectious Diseases"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0037","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1111\/jgs.16261","article-title":"A statewide program to improve management of suspected urinary tract infection in long-term care","volume":"68","author":"Salem-Schatz","year":"2020","journal-title":"Journal of the American Geriatrics Society"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0090","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1111\/jgs.16261","article-title":"A statewide program to improve management of suspected urinary tract infection in long-term care","volume":"68","author":"Salem-Schatz","year":"2020","journal-title":"Journal of the American Geriatrics Society"},{"issue":"6","key":"10.1016\/j.archger.2026.106231_bib0038","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/j.ajic.2022.08.015","article-title":"Novel care bundle of established basic and practical approaches greatly reduces urinary tract infections in nursing facility residents without indwelling catheters","volume":"51","author":"Sansone","year":"2023","journal-title":"American Journal of Infection Control"},{"issue":"20","key":"10.1016\/j.archger.2026.106231_bib0066","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph192013412","article-title":"Prevalence of antimicrobial prescribing in long-term care facilities in a local health authority of northern italy","volume":"19","author":"Sarro","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"5","key":"10.1016\/j.archger.2026.106231_bib0039","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.jamda.2024.01.019","article-title":"Antibiotic prescribing patterns for urinary tract infections and pneumonia by prescriber type and specialty in nursing home care, 2016\u20132018","volume":"25","author":"Silva","year":"2024","journal-title":"Journal of the American Medical Directors Association"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0040","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1111\/jgs.16059","article-title":"A 2-year pragmatic trial of antibiotic stewardship in 27 community nursing homes","volume":"68","author":"Sloane","year":"2020","journal-title":"Journal of the American Geriatrics Society"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0060","article-title":"Quality of the diagnostic process, treatment decision, and predictors for antibiotic use in general practice for nursing home residents with suspected urinary tract infection","volume":"10","author":"Sommer-Larsen","year":"2021","journal-title":"Antibiotics (Basel, Switzerland)"},{"issue":"46","key":"10.1016\/j.archger.2026.106231_bib0061","doi-asserted-by":"crossref","DOI":"10.2807\/1560-7917.ES.2018.23.46.1800100","article-title":"Antimicrobial prescribing in long-term care facilities: A nationwide point-prevalence study, Slovenia, 2016","volume":"23","author":"Stepan","year":"2018","journal-title":"Euro Surveill"},{"issue":"5","key":"10.1016\/j.archger.2026.106231_bib0073","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1111\/imj.12740","article-title":"Survey of infection control and antimicrobial stewardship practices in Australian residential aged-care facilities","volume":"45","author":"Stuart","year":"2015","journal-title":"Internal Medicine Journal"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0091","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1071\/HI14016","article-title":"A nurse-led antimicrobial stewardship intervention in two residential aged care facilities","volume":"20","author":"Stuart","year":"2015","journal-title":"Healthcare Infection"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0074","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12877-015-0073-5","article-title":"Antibiotic use in the care home setting: A retrospective cohort study analysing routine data","volume":"15","author":"Sundvall","year":"2015","journal-title":"BMC Geriatrics"},{"issue":"11","key":"10.1016\/j.archger.2026.106231_bib0075","doi-asserted-by":"crossref","DOI":"10.2807\/1560-7917.ES.2019.24.11.1800102","article-title":"A comparative analysis of prophylactic antimicrobial use in long-term care facilities in Ireland, 2013 and 2016","volume":"24","author":"Tandan","year":"2019","journal-title":"Euro Surveill"},{"key":"10.1016\/j.archger.2026.106231_bib0062","first-page":"24","article-title":"A comparative analysis of prophylactic antimicrobial use in long-term care facilities in Ireland, 2013 and 2016","volume":"2","author":"Tandan","year":"2019","journal-title":"Euro Surveillance"},{"issue":"12","key":"10.1016\/j.archger.2026.106231_bib0041","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.49544","article-title":"Syndromic antibiograms and nursing home clinicians' antibiotic choices for urinary tract infections","volume":"6","author":"Taylor","year":"2023","journal-title":"JAMA Network Open"},{"issue":"1","key":"10.1016\/j.archger.2026.106231_bib0042","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.jamda.2019.11.009","article-title":"Epidemiology of antibiotic use for urinary tract infection in nursing home residents","volume":"21","author":"Thompson","year":"2020","journal-title":"Journal of the American Medical Directors Association"},{"issue":"7","key":"10.1016\/j.archger.2026.106231_bib0076","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.1093\/jac\/dkz135","article-title":"Antimicrobial use in UK long-term care facilities: Results of a point prevalence survey","volume":"74","author":"Thornley","year":"2019","journal-title":"Journal of Antimicrobial Chemotherapy"},{"issue":"7","key":"10.1016\/j.archger.2026.106231_bib0015","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Annals of Internal Medicine"},{"key":"10.1016\/j.archger.2026.106231_bib0064","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1186\/1471-2318-14-136","article-title":"Factors influencing antibiotic prescribing in long-term care facilities: A qualitative in-depth study","volume":"14","author":"Van Buul","year":"2014","journal-title":"BMC Geriatrics"},{"issue":"7","key":"10.1016\/j.archger.2026.106231_bib0063","doi-asserted-by":"crossref","first-page":"2153","DOI":"10.1093\/jac\/dkv051","article-title":"Effect of tailored antibiotic stewardship programmes on the appropriateness of antibiotic prescribing in nursing homes","volume":"70","author":"Van Buul","year":"2015","journal-title":"Journal of Antimicrobial Chemotherapy"},{"issue":"9","key":"10.1016\/j.archger.2026.106231_bib0096","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0222200","article-title":"High prevalence of multidrug resistant Enterobacteriaceae among residents of long term care facilities in Amsterdam, the Netherlands","volume":"14","author":"van Dulm","year":"2019","journal-title":"PLoS One"},{"issue":"5","key":"10.1016\/j.archger.2026.106231_bib0065","doi-asserted-by":"crossref","DOI":"10.1111\/opn.12560","article-title":"Observation of urinary tract infection signs and symptoms in nursing home residents with impaired awareness or ability to communicate signs and symptoms: The development of supportive tools","volume":"18","author":"Van Eijk","year":"2023","journal-title":"International Journal of Older People Nursing"},{"issue":"11\u201312","key":"10.1016\/j.archger.2026.106231_bib0013","doi-asserted-by":"crossref","first-page":"512","DOI":"10.14745\/ccdr.v48i1112a04","article-title":"Antibiotic prescribing and antimicrobial stewardship in long-term care facilities: Past interventions and implementation challenges","volume":"48","author":"Vyas","year":"2022","journal-title":"Canada Communicable Disease Report"},{"issue":"7","key":"10.1016\/j.archger.2026.106231_bib0043","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1159\/000520813","article-title":"Nursing management-associated factors associated with urinary tract infection in residents from nursing home based on LTCfocus database","volume":"106","author":"Wang","year":"2022","journal-title":"Urologia Internationalis"},{"issue":"2","key":"10.1016\/j.archger.2026.106231_bib0044","doi-asserted-by":"crossref","first-page":"69","DOI":"10.7257\/2168-4626.2022.42.2.69","article-title":"An APRN-led initiative for improving non-licensed personnel's knowledge about urinary tract infections in long-term care residents","volume":"42","author":"Weaver","year":"2022","journal-title":"Urologic Nursing"},{"issue":"3","key":"10.1016\/j.archger.2026.106231_bib0083","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3399\/BJGPO.2023.0014","article-title":"Feasibility of a placebo-controlled trial of antibiotics for possible urinary tract infection in care homes: A qualitative interview study","volume":"7","author":"Wilcox","year":"2023","journal-title":"BJGP Open"},{"issue":"7","key":"10.1016\/j.archger.2026.106231_bib0045","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1017\/ice.2022.171","article-title":"Patient-level information underlying overdiagnosis of urinary tract infections in nursing homes: A discrete choice experiment","volume":"44","author":"Wretman","year":"2023","journal-title":"Infection Control and Hospital Epidemiology"}],"container-title":["Archives of Gerontology and Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0167494326001007?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0167494326001007?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T13:02:39Z","timestamp":1778590959000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0167494326001007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":100,"alternative-id":["S0167494326001007"],"URL":"https:\/\/doi.org\/10.1016\/j.archger.2026.106231","relation":{},"ISSN":["0167-4943"],"issn-type":[{"value":"0167-4943","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Antimicrobial stewardship in long-term care facilities: A scoping review of prevalence, key concepts, and gaps in the management of suspected urinary tract infections","name":"articletitle","label":"Article Title"},{"value":"Archives of Gerontology and Geriatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.archger.2026.106231","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"106231"}}