{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:57:24Z","timestamp":1747173444269,"version":"3.40.5"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2019,2,22]],"date-time":"2019-02-22T00:00:00Z","timestamp":1550793600000},"content-version":"unspecified","delay-in-days":52,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To determine the burden of skin and soft tissue infections (SSTI), the nature of antimicrobial prescribing and factors contributing to inappropriate prescribing for SSTIs in Australian aged care facilities, SSTI and antimicrobial prescribing data were collected via a standardised national survey. The proportion of residents prescribed \u2a7e1 antimicrobial for presumed SSTI and the proportion whose infections met McGeer <jats:italic>et al.<\/jats:italic> surveillance definitions were determined. Antimicrobial choice was compared to national prescribing guidelines and prescription duration analysed using a negative binomial mixed-effects regression model. Of 12 319 surveyed residents, 452 (3.7%) were prescribed an antimicrobial for a SSTI and 29% of these residents had confirmed infection. Topical clotrimazole was most frequently prescribed, often for unspecified indications. Where an indication was documented, antimicrobial choice was generally aligned with recommendations. Duration of prescribing (in days) was associated with use of an agent for prophylaxis (rate ratio (RR) 1.63, 95% confidence interval (CI) 1.08\u20132.52), PRN orders (RR 2.10, 95% CI 1.42\u20133.11) and prescription of a topical agent (RR 1.47, 95% CI 1.08\u20132.02), while documentation of a review or stop date was associated with reduced duration of prescribing (RR 0.33, 95% CI 0.25\u20130.43). Antimicrobial prescribing for SSTI is frequent in aged care facilities in Australia. Methods to enhance appropriate prescribing, including clinician documentation, are required.<\/jats:p>","DOI":"10.1017\/s0950268819000128","type":"journal-article","created":{"date-parts":[[2019,2,22]],"date-time":"2019-02-22T09:23:48Z","timestamp":1550827428000},"source":"Crossref","is-referenced-by-count":4,"title":["Skin and soft tissue infections and current antimicrobial prescribing practices in Australian aged care residents"],"prefix":"10.1017","volume":"147","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0354-0881","authenticated-orcid":false,"given":"N. J.","family":"Bennett","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Imam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. J.","family":"Ingram","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. S.","family":"James","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. L.","family":"Buising","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. L.","family":"Bull","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. S.","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. A.","family":"Thursky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. J.","family":"Worth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,2,22]]},"reference":[{"key":"S0950268819000128_ref11","doi-asserted-by":"publisher","DOI":"10.3109\/02813432.2011.629156"},{"key":"S0950268819000128_ref10","unstructured":"Dermatology Expert Group (2015) Therapeutic Guidelines: Dermatology. Version 4. Melbourne Therapeutic Guidelines Limited."},{"key":"S0950268819000128_ref9","unstructured":"Antibiotic Expert Group (2014) Therapeutic Guidelines: Antibiotic. Version 15. Melbourne Therapeutic Guidelines Limited."},{"key":"S0950268819000128_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2008.10.032"},{"key":"S0950268819000128_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2017.05.013"},{"key":"S0950268819000128_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S1543-5946(10)80002-9"},{"key":"S0950268819000128_ref1","unstructured":"Commonwealth of Australia (2017) 2016\u201317 Report on the Operation of the Aged Care Act 1997. Commonwealth of Australia Canberra."},{"key":"S0950268819000128_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-6701(99)90061-0"},{"key":"S0950268819000128_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2005.01273.x"},{"key":"S0950268819000128_ref12","unstructured":"European Centre for Disease Prevention and Control (2014) Point prevalence survey of healthcare-associated infections and antimicrobial use in European long-term care facilities. April-May 2013. Stockholm: ECDC."},{"key":"S0950268819000128_ref8","doi-asserted-by":"publisher","DOI":"10.1086\/667743"},{"key":"S0950268819000128_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000323547.12358.b8"},{"key":"S0950268819000128_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2018.03.027"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268819000128","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,7]],"date-time":"2019-06-07T17:52:37Z","timestamp":1559929957000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268819000128\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":13,"alternative-id":["S0950268819000128"],"URL":"https:\/\/doi.org\/10.1017\/s0950268819000128","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"type":"print","value":"0950-2688"},{"type":"electronic","value":"1469-4409"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e87"}}