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Prescribing doctors are also contacted when data are missing or incomplete. Descriptive analysis was undertaken to examine the characteristics of residents in the RACF as well as the prevalence and types of antibiotics they were prescribed. All data were de-identified. http://www.selleckchem.com/products/Adriamycin.html The study was approved by the Southern Health Human Research Ethics Committee (A) as a quality initiative. The cohort for the point prevalence survey included all 257 residents in the five RACF. The RACF are all situated in urban settings and vary from 28�C100 bed capacity (Table?1). Each facility had two GP that attended regularly but were often also visited by locum GP if the facility GP was unavailable. Each RACF had an associated community pharmacy for medication supply and delivery, and the choice of private pathology services used was at the discretion of the attending GP. Twenty-eight per cent of residents were greater than 85 years of age, almost 50% were male and 71% had been in their RACF for more than a year. Sixty-seven per cent were incontinent of urine or faeces and 80% had some degree of cognitive impairment. Few (3%) residents had indwelling urinary catheters in place, and none had intravascular catheters in situ. Pressure sores (5%) were less common than other wounds (11%), while 13 (5%) residents were bedridden and 76 (30%) were wheelchair dependent. Twenty-one (8%) had had an acute hospital admission within the previous 3 months, while only two residents http://www.selleck.cn/products/dabrafenib-gsk2118436.html ( http://www.selleckchem.com/products/DAPT-GSI-IX.html were for skin or wound infections (two (12%)) and eye infections (two (12%)). One resident was receiving prolonged treatment for a splenic abscess. Prophylactic use was for the urinary tract in four cases (cephalexin (1), doxycycline (1) and nitrofurantoin (2)) and the respiratory tract (doxycycline) in one resident. In one case, it was impossible to decipher the reason for prophylactic therapy. Nineteen antibiotic courses (83%) were prescribed by the facility GP, while four (17%) had been prescribed during a hospital stay. Of the 17 therapeutic courses commenced in the RACF, only one (6%) had microbiological samples taken to direct therapy; however, this was a skin swab that yielded no further information. In the cases of suspected urinary sepsis, full ward tests were done in three of six treatments (50%), with all showing nitrates and leukocytes present.