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Nursing Home Infection Control: A Status Report

Published online by Cambridge University Press:  02 January 2015

Philip W. Smith*
Affiliation:
Epidemiology Department, Nebraska Health System, Omaha, Nebraska
*
Department of Epidemiology, Clarkson Hospital, Omaha, NE 68105

Abstract

Infection control in the long-term–care facility has expanded substantially since “Topics in Long-Term Care” debuted in this journal in 1989. This section has been on hiatus, but now, after a 4-year lag, resumes its exploration of these topics.

In the first article, endemic and epidemic infections in long-term care are discussed and compared to nosocomial infections in the hospital. The basic elements of an infection control program in this setting, as well as the recent advances in the field, are reviewed

Type
Topics in Long-Term Care
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1998

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References

REFERENCES

1. Lester, MR. Looking inside 101 nursing homes. Am J Nursing 1964;64:111116.Google Scholar
2. Garibaldi, RA, Brodine, S, Matsumiya, S. Infections among patients in nursing homes—policies, prevalence, and problems. N Engl J Med 1981;305:731735.Google Scholar
3. American Medical Association White Paper on Elderly Health. Arch Intern Med 1990;150:24592472.Google Scholar
4. Libow, LS, Starer, P. Care of the nursing home patient. N Engl J Med 1989;321:9396.Google Scholar
5. Potter, JF. Immunity in the elderly. In: Smith, PW, ed. Infection Control in Long-Term Care Facilities. 2nd ed. Albany, NY: Delmar Publishers Inc; 1994.Google Scholar
6. Sager, MA, Easterling, DV, Kindig, DA, Anderson, OW. Changes in the location of death after passage of Medicare's prospective payment system. N Engl J Med 1989;320:433439.Google Scholar
7. Nicolle, LE, Garibaldi, RA. Infection control in long-term care facilities. Infect Control Hosp Epidemiol 1995;16:348353.Google Scholar
8. Magaziner, J, Tenney, JH, DeForge, B, Hebel, R, Muncie, HL Jr, Warren, JW. Prevalence and characteristics of nursing home-acquired infections in the aged. J Am Geriatr Soc 1991;39:10711078.Google Scholar
9. Jackson, MM, Fierer, J, Barrett-Connor, E, Frazier, D, Klauver, MR, Hatch, R, et al. Intensive surveillance for infections in a three year study of nursing home patients. Am J Epidemiol 1992;135:685696.Google Scholar
10. Smith, PW, Daly, PB, Roccaforte, JS. Current status of nosocomial infection control in extended care facilities. Am J Med 1991:91(suppl): 281284.Google Scholar
11. Bentley, DW. Current challenges and future opportunities. Infect Control Hosp Epidemiol 1989;10:481483.Google Scholar
12. Garner, JS, Jarvis, WR, Emori, TG, Horan, TC, Hughes, JM. CDC definitions for nosocomial infections. Am J Infect Control 1988;16:128140.Google Scholar
13. McGeer, A, Campbell, B, Emori, TG, Hierholzer, WJ, Jackson, MM, Nicolle, LE, et al. Definitions of infection for surveillance in long-term care facilities. Am J Infect Control 1991;19:17.Google Scholar
14. Smith, PW. Epidemic investigation. In: Smith, PW, ed. Infection Control in Long-Term Care Facilities. 2nd ed. Albany, NY: Delmar Publishers Inc; 1994.Google Scholar
15. Bentley, DW. Clostridium difficile associated disease in long-term care facilities. Infect Control Hosp Epidemiol 1990;11:434438.Google Scholar
16. Lee, Y-L, Gupta, G, Cesario, T, Lee, R, Nothvogel, S, Nassar, J, et al. Colonization by Staphylococcus aureus resistant to methicillin and ciprofloxacin during 20 months' surveillance in a private skilled nursing facility. Infect Control Hosp Epidemiol 1996;17:649653.Google Scholar
17. Bonilla, HF, Zervos, MA, Lyons, MJ, Bradley, SF, Hedderwick, SA, Ramsey, MA, et al. Colonization with vancomycin-resistant Enterococcus faecium: comparison of a long-term-care unit with an acute-care hospital. Infect Control Hosp Epidemiol 1997;18:333339.Google Scholar
18. Schwartz, B, Ussery, XT. Group A streptococcal outbreaks in nursing homes. Infect Control Hosp Epidemiol 1992;13:742747.Google Scholar
19. Troy, CJ, Peeling, RW, Ellis, AG, Hockin, JC, Bennett, DA, Murphy, MR, et al. Chlamydia pneumoniae as a new source of infectious outbreaks in nursing homes. JAMA 1997;277:12141218.Google Scholar
20. Beck-Sague, C, Villarino, E, Giuliano, D, Welbel, S, Latts, L, Manangan, LM, et al. Infectious diseases and death among nursing home residents; results of surveillance in 13 nursing homes. Infect Control Hosp Epidemiol 1994;15:494496.Google Scholar
21. Muder, RR, Brennen, C, Swenson, DL, Wagener, M. Pneumonia in a longterm care facility—a prospective study of outcome. Arch Intern Med 1996;156:23652370.Google Scholar
22. Kunin, CM, Douhitts, S, Dancing, J, Anderson, J, Moeschberger, M. The association between the use of urinary catheters and morbidity and mortality among elderly patients in nursing homes. Am J Epidemiol 1992;135:291301.Google Scholar
23. Mitchell, SL, Kiely, DK, Lipsitz, LA. The risk factors and impact on survival of feeding tube placement in nursing home residents with severe cognitive impairment. Arch Intern Med 1997;157:327332.Google Scholar
24. DeMarais, PL, Gertzen, J, Weinstein, RA. Nosocomial infections in human immunodeficiency virus-infected patients in a long-term care setting. Clin Infect Dis 1997;25:12301232.Google Scholar
25. Thompson, BL, Dwyer, DM, Ussery, XT, Denman, S, Vacek, P, Schwartz, B. Handwashing and glove use in a long-term-care facility. Infect Control Hosp Epidemiol 1997;18:97103.Google Scholar
26. Price, LE, Sarubbi, FA, Rutala, WA. Infection control programs in twelve North Carolina extended care facilities. Infect Control 1985;6:437441.Google Scholar
27. Quick, RE, Hoge, CW, Hamilton, DJ, Whitney, CJ, Borges, M, Kobayashi, JM. Underutilization of pneumococcal vaccine in nursing homes in Washington state: report of a serotype—specific outbreak in a survey. Am J Med 1993;94:149153.Google Scholar
28. Potter, J, Stott, DJ, Roberts, MA, Elder, AG, O'Donnell, B, Knight, PV, et al. Influenza vaccination of healthcare workers in long-term care hospitals reduces the mortality of elderly patients. J Infect Dis 1997;175:16.Google Scholar
29. Oslander, JG, Schapira, M, Schnelle, JF, Uman, G, Fingold, S, Tuico, E, et al. Does eradicating bacteriuria effect the severity of chronic urinary incontinence in nursing home residents? Ann Intern Med 1995;122:749754.Google Scholar
30. Daly, PB, Smith, PW, Rusnak, PG, Jones, MB, Giuliano, D. Impact of knowledge and practice of a multi-regional long-term care facility infection control training program. Am J Infect Control 1992;20:225233.Google Scholar
31. Ehrenkrinz, NJ, Alfonso, BC. Failure of bland soap handwash to prevent hand transfer of patient bacteria to urethral catheters. Infect Control Hosp Epidemiol 1991;12:654662.Google Scholar
32. Schnelle, JF, Sowell, VA, Hu, TW, Traughber, B. Reduction of incontinence in nursing homes: does it reduce or increase costs? J Am Geriatric Soc 1988;36:3439.Google Scholar
33. Falsey, AR. Non-influenza respiratory virus infection in long-term care facilities. Infect Control Hosp Epidemiol 1991;12:602608.Google Scholar
34. Rodriguez, EM, Parrott, C, Rolkah, H, Monroe, SS, Dwyer, DM. An outbreak of viral gastroenteritis in a nursing home: importance of excluding ill employees. Infect Control Hosp Epidemiol 1996;17:587592.Google Scholar
35. Standaert, SM, Hutcheson, RH, Schaffner, W. Nosocomial transmission of salmonella gastroenteritis to laundry workers in a nursing home. Infect Control Hosp Epidemiol 1994;15:2226.Google Scholar
36. Crossley, KB. Infection control aspects of the employee health program. In: Smith, PW, ed. Infection Control in Long-Term Care Facilities. 2nd ed. Albany, NY: Delmar Publishers Inc; 1994.Google Scholar
37. Mylotte, JM. Measuring antibiotic use in a long-term care facility. Am J Infect Control 1996;24:174179.Google Scholar
38. Katz, PR, Beam, TR Jr, Brand, F, Boyce, K. Antibiotic use in the nursing home—physician practice patterns. Arch Intern Med 1990;150:14651468.Google Scholar
39. Omnibus Budget Reconciliation Act of 1987. Pub L No. 100-203, 4201 Stat 160-170.Google Scholar
40. Healthcare Financing Administration Medicare and Medicaid requirements for long-term care facilities. Federal Register 09 26, 1991;56:48826488879.Google Scholar
41. Crossley, K, Nelson, L, Irvine, P. State regulations governing infection control issues in long-term care. J Am Geriatr Soc 1992;40:251254.Google Scholar
42. Department of Labor. Occupational safety and health administration occupational exposure to bloodborne pathogens; final rule. Federal Register 12 6, 1991;56:6400464182.Google Scholar
43. Centers for Disease Control and Prevention. Guidelines for preventing transmission of Mycobacterium tuberculosis in healthcare facilities, 1994. MMWR 1994;45:132.Google Scholar
44. Garner, JS, the Hospital Infection Control Practices Advisory Committee. Guideline for isolation precautions in hospitals. Infect Control Hosp Epidemiol 1996;17:5380.Google Scholar
45. Boyce, JM, Jackson, MM, Pugliese, G, Batt, MD, Fleming, D, Garner, JS, et al. Methicillin-resistant Staphylococcus aureus (MRSA): a briefing for acute care hospitals and nursing facilities. Infect Control Hosp Epidemiol 1994;15:105115.Google Scholar
46. Nicolle, LE, Bentley, D, Garibaldi, R, Neuhaus, E, Smith, P, SHEA Long- Term-Care Committee. Antimicrobial use in long-term-care facilities. Infect Control Hosp Epidemiol 1996;17:119128.Google Scholar
47. Strausbaugh, LJ, Crossley, KB, Nurse, BA, Thrupp, LD, SHEA Long- Term-Care Committee. Antimicrobial resistance in long-term-care facilities. Infect Control Hosp Epidemiol 1996;17:129140.Google Scholar
48. Smith, PW, Rusnak, PG. Infection prevention and control in the long-term-care facility. Infect Control Hosp Epidemiol 1997;18:831849.Google Scholar
49. Goldrick, B, Larson, E. Assessment of infection control programs in Maryland skilled-nursing long-term-care facilities. Am J Infect Control 1994;22:8389.Google Scholar
50. Mott, PD, Barker, WH. Treatment decisions for infections occurring in nursing home residents. J Am Geriatr Soc 1988;36:820824.Google Scholar