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A before and after study Subject: European Geriatric Medicine, https://doi.org/10.1007/s41999-025-01193-0 Keywords: Nursing homes; Frail elderly; Hygiene; Antimicrobial stewardship; Medical audit; Overdiagnosis; Anti-bacterial agents Author: Ramon Monfà Creator: Springer Producer: Acrobat Distiller 10.1.8 (Windows) CreationDate: Thu Apr 17 21:09:06 2025 CEST ModDate: Tue Aug 12 11:13:39 2025 CEST Custom Metadata: yes Metadata Stream: yes Tagged: no UserProperties: no Suspects: no Form: AcroForm JavaScript: no Pages: 9 Encrypted: no Page size: 595.276 x 790.866 pts Page rot: 0 File size: 513802 bytes Optimized: yes PDF version: 1.4 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- MyriadPro-SemiCn Type 1C WinAnsi yes no yes 419 0 MyriadPro-Semibold Type 1C Custom yes no yes 420 0 MyriadPro-SemiboldSemiCn Type 1C Custom yes no yes 428 0 MyriadPro-Bold Type 1C Custom yes no yes 433 0 AGMNBO+STIX-Regular Type 1C Custom yes yes yes 434 0 AVNUDV+STIX-Italic Type 1C WinAnsi yes yes yes 442 0 EQYMUB+Wingdings-Regular Type 1C WinAnsi yes yes yes 443 0 YBHYRV+MyriadPro-SemiCn2 Type 1C WinAnsi yes yes yes 471 0 MyriadPro-BoldSemiCn Type 1C Custom yes no yes 200 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-10-15 03:52:59 CEST RepresentationInformation: 320318.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-10-14 10:09:48 CEST Size: 513802 Format: PDF Version: 1.4 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf Profile: Linearized PDF PDFMetadata: Objects: 527 FreeObjects: 1 IncrementalUpdates: 1 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseOutlines Language: en-US Outlines: Item: Title: The impact of a multifaceted intervention on antibiotic use for common infections in nursing homes in Spain. A before and after study Children: Item: Title: Key summary points Children: Item: Title: Aim Item: Title: Findings Item: Title: Message Item: Title: Abstract Children: Item: Title: Purpose Item: Title: Methods Item: Title: Results Item: Title: Conclusion Item: Title: Introduction Item: Title: Methods Children: Item: Title: Setting, study population and study design Item: Title: Audit registrations Item: Title: Intervention Item: Title: Data analysis Item: Title: Results Children: Item: Title: Study population Item: Title: Urinary and respiratory infections Item: Title: Intervention effect analysis on antibiotic use for urinary and respiratory tract infections and implementation of hygiene elements Item: Title: Discussion Item: Title: Acknowledgements Item: Title: References Info: Title: The impact of a multifaceted intervention on antibiotic use for common infections in nursing homes in Spain. A before and after study Author: Ramon Monfà Subject: European Geriatric Medicine, https://doi.org/10.1007/s41999-025-01193-0 Keywords: Nursing homes; Frail elderly; Hygiene; Antimicrobial stewardship; Medical audit; Overdiagnosis; Anti-bacterial agents Creator: Springer Producer: Acrobat Distiller 10.1.8 (Windows) CreationDate: Thu Apr 17 21:39:06 CEST 2025 ModDate: Tue Aug 12 11:43:39 CEST 2025 ID: 0x78e3291b43505649898c7532d0d9e747, 0x5ad1053ab5a4e14096b09f8c0356c5de Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: MyriadPro-Bold FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-Bold Flags: Nonsymbolic FontBBox: -163, -250, 1256, 989 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: AGMNBO+STIX-Regular FontSubset: true FirstChar: 26 LastChar: 248 FontDescriptor: FontName: AGMNBO+STIX-Regular Flags: Serif, Nonsymbolic FontBBox: -970, -486, 2208, 1023 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: MyriadPro-SemiCn FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-SemiCn Flags: Nonsymbolic FontBBox: -128, -250, 1059, 876 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: MyriadPro-Semibold FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-Semibold Flags: Nonsymbolic FontBBox: -161, -250, 1198, 972 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: MyriadPro-BoldSemiCn FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-BoldSemiCn Flags: Nonsymbolic FontBBox: -133, -250, 1161, 894 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: AVNUDV+STIX-Italic FontSubset: true FirstChar: 0 LastChar: 255 FontDescriptor: FontName: AVNUDV+STIX-Italic Flags: Serif, Nonsymbolic, Italic FontBBox: -970, -305, 1429, 1023 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: EQYMUB+Wingdings-Regular FontSubset: true FirstChar: 0 LastChar: 255 FontDescriptor: FontName: EQYMUB+Wingdings-Regular Flags: Nonsymbolic FontBBox: 0, -103, 1359, 439 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: MyriadPro-SemiboldSemiCn FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-SemiboldSemiCn Flags: Nonsymbolic FontBBox: -131, -250, 1115, 886 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true XMP: 2025-04-18T00:39:06+05:30 Springer 2025-08-12T14:43:39+05:30 2025-08-12T14:43:39+05:30 Acrobat Distiller 10.1.8 (Windows) Nursing homes; Frail elderly; Hygiene; Antimicrobial stewardship; Medical audit; Overdiagnosis; Anti-bacterial agents application/pdf https://doi.org/10.1007/s41999-025-01193-0 Springer International Publishing European Geriatric Medicine, https://doi.org/10.1007/s41999-025-01193-0 Nursing homes Frail elderly Hygiene Antimicrobial stewardship Medical audit Overdiagnosis Anti-bacterial agents The impact of a multifaceted intervention on antibiotic use for common infections in nursing homes in Spain. A before and after study Ramon Monfà Ana García-Sangenís Rosa Morros Carlota Manuela Zárate Sáez Jesús Mateos-Nozal María N. 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