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Infection Prevention and Control in the Long-Term-Care Facility

Published online by Cambridge University Press:  02 January 2015

Philip W. Smith  and
Patricia G. Rusnak
Philip W. Smith*
Affiliation:
SHEA Long-Term-Care Committee and APIC Guidelines Committee
Patricia G. Rusnak*
Affiliation:
SHEA Long-Term-Care Committee and APIC Guidelines Committee
*
The Society for Healthcare Epidemiology of America, 875 Kings Hwy, Suite 200, Woodbury, NJ 08096
The Society for Healthcare Epidemiology of America, 875 Kings Hwy, Suite 200, Woodbury, NJ 08096
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Abstract

More than 1.5 million residents reside in US nursing homes. In recent years, the acuity of illness of nursing home residents has increased. Long-term-care facility residents have a risk of developing nosocomial infection that is similar to acute-care hospital patients. A great deal of information has been published concerning infections in the long-term-care facility, and infection control programs are nearly universal.

This position paper reviews the literature on infections and infection control programs in the long-term-care facility, covering such topics as tuberculosis, bloodborne pathogens, epidemics, isolation systems, immunization, and antibiotic-resistant bacteria. Recommendations are developed for long-term-care infection control programs based on interpretation of currently available evidence. The recommendations cover the structure and function of the infection control program, including surveillance, isolation, outbreak control, resident care, and employee health. Infection control resources also are presented.

Type
SHEA/APIC Position Paper
Information
Infection Control & Hospital Epidemiology , Volume 18 , Issue 12 , December 1997 , pp. 831 - 849
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1997

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