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Challenges of infection prevention and control in Scottish long-term care facilities

Published online by Cambridge University Press:  22 April 2020

Le K. N. Nguyen*
Affiliation:
Department of Management Science, Cathedral Wing, Strathclyde Business School, University of Strathclyde, Glasgow, UK
Itamar Megiddo
Affiliation:
Department of Management Science, Cathedral Wing, Strathclyde Business School, University of Strathclyde, Glasgow, UK
Susan Howick
Affiliation:
Department of Management Science, Cathedral Wing, Strathclyde Business School, University of Strathclyde, Glasgow, UK
*
Author for correspondence: Le Khanh Ngan Nguyen, E-mail: nguyen-le-khanh-ngan@strath.ac.uk

Abstract

Residents living in long-term care facilities (LTCFs) are at high risk of contracting healthcare-associated infections (HAIs). The unique operational and cultural characteristics of LTCFs and the currently evolving models of healthcare delivery in Scotland create great challenges for infection prevention and control (IPC). Existing literature that discusses the challenges of infection control in LTCFs focuses on operational factors within a facility and does not explore the challenges associated with higher levels of management and the lack of evidence to support IPC practices in this setting.1-7 Here, we provide a broader view of challenges faced by LTCFs in the context of the current health and social care models in Scotland. Many of these challenges are also faced in the rest of the United Kingdom and internationally.

Type
Commentary
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

Yoshikawa, TT, Reyes, BJ, Ouslander, JG. Sepsis in Older Adults in long-term care facilities: challenges in diagnosis and management. J Am Geriatr Soc 2019;67:22342239.CrossRefGoogle ScholarPubMed
Dumyati, G, Stone, ND, Nace, DA, Crnich, CJ, Jump, RL. Challenges and strategies for prevention of multidrug-resistant organism transmission in nursing homes. Curr Infect Dis Rept 2017;19(4):18.CrossRefGoogle ScholarPubMed
Travers, J, Herzig, CT, Pogorzelska-Maziarz, M, et al.Perceived barriers to infection prevention and control for nursing home certified nursing assistants: a qualitative study. Geriatr Nurs 2015;36:355360.CrossRefGoogle ScholarPubMed
Mavrodaris, A, Sibal, B, McKerr, C, Hawker, J. Outbreak of acute respiratory infection in a care home for the vulnerable elderly: investigation, management and challenges. Public Health 2014;128:944947.CrossRefGoogle Scholar
Montoya, A, Mody, L. Common infections in nursing homes: a review of current issues and challenges. Aging Health 2011;7:889899.CrossRefGoogle ScholarPubMed
Longo, DR, Young, J, Mehr, D, Lindbloom, E, Salerno, LD. Barriers to timely care of acute infections in nursing homes: a preliminary qualitative study. J Am Med Dir Assoc 2002;3:360365.CrossRefGoogle ScholarPubMed
Nicolle, LE. Preventing infections in non-hospital settings: long-term care. Emerg Infect Dis 2001;7:205.CrossRefGoogle ScholarPubMed
Care homes market study: final report. Competition and Markets Authority website. https://assets.publishing.service.gov.uk/media/5a1fdf30e5274a750b82533a/care-homes-market-study-final-report.pdf. Published 2017. Accessed April 6, 2020.Google Scholar
Changing models of health and social care. Audit Scotland website. http://www.audit-scotland.gov.uk/uploads/docs/report/2016/nr_160310_changing_models_care.pdf. Published 2016. Accessed April 6, 2020.Google Scholar
Thorlby, R, Starling, A, Broadbent, C, Watt, T. What’s the Problem With Social Care, and Why Do We Need To Do Better? UK: The Health Foundation, the Institute for Fiscal Studies, The King’s Fund and the Nuffield Trust; 2018.Google Scholar
Shortage Occupations List 2018/9 Call for Evidence: Scottish Government Response for Health and Social Care. Edinburgh: The Scottish Government; 2019.Google Scholar
Thorlby, R, Starling, A, Broadbent, C, Watt, T. What’s the Problem With Social Care, and Why Do We Need to Do Better? London: The King’s Fund; 2018.Google Scholar
Dayan, M. General election 2017: Getting a Brexit deal that works for the NHS. Nuffield Trust website. https://www.nuffieldtrust.org.uk/research/getting-a-brexit-deal-that-works-for-the-nhs. Published 2017. Accessed April 6, 2020.Google Scholar
Burnett, E. Effective infection prevention and control: the nurse’s role. Nursing Stand (2014) 2018;33(4):68.CrossRefGoogle ScholarPubMed
Stone, PW, Clarke, SP, Cimiotti, J, Correa-de-Araujo, R. Nurses’ working conditions: implications for infectious disease. Emerg Infect Dis 2004;10:1984.CrossRefGoogle ScholarPubMed
Scotland’s NHS Workforce. The current picture. Audit Scotland website. https://www.audit-scotland.gov.uk/uploads/docs/report/2017/nr_170209_nhs_workforce.pdf. Published 2017. Accessed April 6, 2020.Google Scholar
National point prevalence survey of healthcare associated infection and antimicrobial prescribing in long term care facilities, 2017. Health Protection Scotland website. https://www.hps.scot.nhs.uk/web-resources-container/national-point-prevalence-survey-of-healthcare-associated-infection-and-antimicrobial-prescribing-in-long-term-care-facilities-2017/. Published 2017. Accessed April 6, 2020.Google Scholar
Infection control in adult care homes: final standards. Scottish Government website. https://www.gov.scot/publications/infection-control-standards-adult-care-homes-final-standards/. Published 2005. Accessed April 6, 2020.Google Scholar
National infection prevention and control manual. National Services Scotland website. Published 2015. Accessed April 6, 2020.Google Scholar
Hughes, C, Tunney, M, Bradley, MC. Infection control strategies for preventing the transmission of meticillin-resistant Staphylococcus aureus (MRSA) in nursing homes for older people. Cochrane Database Syst Revs 2013(11):Cd006354.CrossRefGoogle ScholarPubMed
Uchida, M, Pogorzelska-Maziarz, M, Smith, PW, Larson, E. Infection prevention in long-term care: a systematic review of randomized and nonrandomized trials. J Am Geriatr Soc 2013;61:602614.CrossRefGoogle ScholarPubMed
Lam, HR, Chow, S, Taylor, K, et al.Challenges of conducting research in long-term care facilities: a systematic review. BMC Geriatr 2018;18:242.CrossRefGoogle ScholarPubMed
Furuno, JP, Krein, S, Lansing, B, Mody, L. Health care worker opinions on use of isolation precautions in long-term care facilities. Am J Infect Control 2012;40:263266.CrossRefGoogle ScholarPubMed
Cohen, CC, Pogorzelska-Maziarz, M, Herzig, CT, et al.Infection prevention and control in nursing homes: a qualitative study of decision-making regarding isolation-based practices. BMJ Qual Safety 2015;24:630636.CrossRefGoogle ScholarPubMed