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    • University of Missouri-Columbia
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    • Department of Family and Community Medicine (MU)
    • Family Physicians Inquiries Network (MU)
    • Clinical Inquiries (MU)
    • Clinical Inquiries, 2004
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    Are antibiotics effective in preventing pneumonia for nursing home patients?

    Mouw, David R.
    Langlois, John P.
    Turner, Linda F.
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    [PDF] AreAntibioticsEffectivePreventingPneumonia.pdf (108.1Kb)
    Date
    2004
    Format
    Article
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    Abstract
    Antibiotics should not be used for prophylaxis of pneumonia in nursing homes. We found no studies testing the effectiveness of antibiotics in preventing pneumonia in any population, including persons with predisposing conditions such as influenza. Three measures effectively prevent pneumonia in nursing home patients: influenza vaccination of residents (strength of recommendation [SOR]: B, based on systematic review of homogenous cohort observational studies); influenza vaccination of caregivers (SOR: B, based on individual randomized controlled trial); pneumococcal vaccination of residents (SOR: B, based on randomized, nonblinded clinical trials and consistent case-control studies). Two other suggested interventions have not been extensively tested: antiviral chemoprophylaxis during an influenza outbreak in the nursing home, and oral hygiene programs for nursing home residents.
    URI
    http://hdl.handle.net/10355/3010
    Part of
    Journal of family practice, 53, no. 12 (December 2004): 994-996.
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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