Question

what are some barriers to implementing an asp specifically in the ltc setting? (click all that apply)
time required to implement
lack of on - site providers
inappropriate sample collection
lack of a consensus on what infection actually means for older adults

Explanation:

In Long - Term Care (LTC) settings, when implementing an Antimicrobial Stewardship Program (ASP):

• "Time required to implement" is a barrier as LTC facilities have their regular operations, and allocating time for ASP implementation can be tough.
• "Lack of on - site providers" is an issue because on - site medical providers are crucial for assessing patients, prescribing antimicrobials, and participating in ASP activities. A shortage of them can hinder ASP implementation.
• "Inappropriate sample collection" can be a barrier. If samples for diagnosing infections are collected improperly, it can lead to wrong diagnoses, inappropriate antimicrobial use, and thus impede ASP goals.
• "Lack of a consensus on what infection actually means for older adults" is a barrier. Older adults may have different physiological responses to infections, and without a clear consensus on defining infection in this population, it's hard to implement ASP strategies like appropriate antimicrobial prescribing.

Answer:

A. Time required to implement
B. Lack of on - site providers
C. Inappropriate sample collection
D. Lack of a consensus on what infection actually means for older adults