Remember antibiotic stewardship? Just a few years ago, there was a full-on push to take a hard look at how and why antibiotics were being prescribed. The focus on improving antibiotic stewardship in senior living communities hasn’t faded, it remains just as urgent today. Nearly one in ten residents are on antibiotics. Half of those prescriptions are flagged for being inappropriate in dose, duration, or indication. It’s clear we still have work to do.

A recent review shared by Cambridge.org highlights the ongoing challenge. Even with structured Antimicrobial Stewardship Programs (ASPs) required under 42 CFR §483.80 by the Centers for Medicare and Medicaid Services (CMS), meeting minimums doesn’t guarantee better clinical outcomes. We must do more than check a box. We need systems that truly change prescribing behavior.

How do we get there? First off, having a dedicated infection preventionist on staff is vital. This person should lead education, update clinical guidelines, monitor monthly infection reports, and provide real-time feedback. They help bridge the gap between policy and practice.

And we don’t have to do it alone. The CDC outlines actionable components in its Core Elements of Antibiotic Stewardship for Nursing Homes. This resource helps communities put structure around their efforts. For in-depth conversation strategies, the AHRQ offers a resident-centered Antimicrobial Stewardship Guide. It helps staff engage residents and families about antibiotic use.

Even with support and regulation, success depends on daily commitment. According to a recent McKnight’s Long-Term Care News article, interventions like real-time audits and prescriber feedback are among the most effective ways to reduce inappropriate use.

Ultimately, improving antibiotic stewardship in senior living communities means doing right by our residents. They deserve thoughtful, informed care that avoids unnecessary medications and promotes long-term wellness.

Stay well and stay informed!