Antibiotics are among the most widely prescribed drugs in long-term care facilities, which highlights the importance of antibiotic stewardship (ABS) in this setting. In this article, we describe the experiences with ABS in nursing homes (NHs) from the perspective of 4 European countries: the Netherlands, Norway, Poland, and Sweden. In these countries, a large variety of initiatives to develop and implement ABS in NHs have been introduced in recent years. Among these initiatives are national antibiotic prescribing surveillance systems, NH-specific prescribing guidelines, and national networks of healthcare institutions that exchange information and develop ABS policy. Several initiatives evolved as a result of political prioritization of antibiotic resistance, translated into national action plans. Experiences of the 4 countries with the presented initiatives may inspire other countries that aim to develop or improve ABS in the long-term care setting.

中文翻译：

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欧洲疗养院的抗生素管理：来自荷兰、挪威、波兰和瑞典的经验

抗生素是长期护理机构中使用最广泛的处方药之一，这凸显了抗生素管理 (ABS) 在这种情况下的重要性。在本文中，我们从荷兰、挪威、波兰和瑞典 4 个欧洲国家的角度描述了养老院 (NH) 使用 ABS 的经验。近年来，在这些国家中，引入了大量旨在在 NH 中开发和实施获取和惠益分享的举措。这些举措包括国家抗生素处方监测系统、NH 特定处方指南以及交换信息和制定 ABS 政策的国家医疗机构网络。由于对抗生素耐药性的政治优先排序，一些举措演变成国家行动计划。