Infections in Residents of Nursing Homes

Matheï, Catharina; Niclaes, Luc; Suetens, Carl; Jans, Béatrice; Buntinx, Frank

doi:10.1016/j.idc.2007.07.005

Cited by 36 publications

(38 citation statements)

References 46 publications

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“…Nosocomial infections are associated with a considerable mortality, disability, increased duration of hospitalization, hospital costs and imposition of increased incidence of health problems; therefore, prevention of hospital infections through identification and removal of cases can be very effective (5,6). The most common infections are respiratory, urinary, skin and soft tissue and gastrointestinal infections (7). E. coli, Salmonella, Clostridium difficile and small round enteric viruses are common causes of outbreaks of gastrointestinal infections (7,8).…”

Section: Introductionmentioning

confidence: 99%

“…The most common infections are respiratory, urinary, skin and soft tissue and gastrointestinal infections (7). E. coli, Salmonella, Clostridium difficile and small round enteric viruses are common causes of outbreaks of gastrointestinal infections (7,8). Although efforts made in the field of NIs control have been associated with some success, recent advances in medical science and medical interventions including extensive use of immune system inhibitors and antibiotics increased vulnerable people.…”

Section: Introductionmentioning

confidence: 99%

“…This leads to an increase in antibiotic-resistant pathogens (9). Treatment of NIs, due to the emersion of antibiotic-resistant strains, can be very difficult and lead to prolonged hospitalization, extra costs and death (7,10,11). NIs result in up to $4.5 billion additional healthcare costs per year, and it affects approximately two million persons each year (12)(13)(14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of Nosocomial Infections in a Teaching Hospital

Salmanzadeh

Yousefi

Ahmadi³

et al. 2015

Avicenna J Clin Microbiol Infect

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Background: Nosocomial infections (NIs) have increasingly resulted in death and patients have to bear high treatment costs. Healthcare personnel could play a prominent role in prevention and control of NIs. Objectives: The aim of this study was to evaluate NIs in patients admitted to a teaching hospital in Ahvaz, southwest of Iran, during 2013. Patients and Methods:The present study was a cross-sectional study conducted in Razi Hospital, Ahvaz during 12 months from March 2013 to March 2014. All patients hospitalized with no signs and symptoms of infection within 48 hours of admission and presenting signs and symptoms of infection after 48 hours of hospitalization were included in the study. Data about patients' age, sex, site of infection, ward of hospitalization and type of NIs were collected. Bacterial strains were isolated from various clinical samples of patients and identified by conventional methods. Results: The incidence of NIs was low (i.e. < 2%). Among 16936 admitted patients in this hospital, 174 patients (79 males and 95 females) with a mean age of 51.7 ± 24.6 years (range, 5 to 90 years) were diagnosed with an NI. Incidence density of NIs were 3.18% in infectious diseases ward, 2.17% in intensive care unit (ICU), 2% in orthopedic ward, 0.68% in obstetrics and gynecology (OBGYN) ward and 0.278% in general surgery. Regarding the etiology of infection, coagulase-negative staphylococci in 23.69%, Bacillus in 21.05%, Escherichia coli was found in 18.42%, and coagulase-positive staphylococci in 13.16% of the cases. The results indicated that coagulase-negative staphylococci was the most frequent pathogen. Conclusions:The frequency of NIs in this hospital was lower in comparison with other worldwide studies. However, low incidence of health care-associated infections in our study may be due to under diagnosis and underreporting of such infections by health care staff.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Nosocomial Infections in a Teaching Hospital

Salmanzadeh

Yousefi

Ahmadi³

et al. 2015

Avicenna J Clin Microbiol Infect

View full text Add to dashboard Cite

show abstract

“…Therefore, the prevention of hospital infection through identification and removal of cases can be very effective (3). The most common endemic infections are respiratory, urinary, skin and soft tissue, and gastrointestinal infections (4). Escherichia coli, Salmonella, Clostridium difficile and small round enteric viruses are common causes of outbreaks of gastrointestinal infections (4,5).…”

Section: Introductionmentioning

confidence: 99%

“…The most common endemic infections are respiratory, urinary, skin and soft tissue, and gastrointestinal infections (4). Escherichia coli, Salmonella, Clostridium difficile and small round enteric viruses are common causes of outbreaks of gastrointestinal infections (4,5). Although the efforts made in nosocomial infection control has been associated with some success, recent advances in medical sciences and medical interventions have carried out repeated massive consumption of drugs to inhibit the immune system as well as antibiotics prescription in vulnerable people, which has led to resistance to antibiotics (6).…”

Section: Introductionmentioning

confidence: 99%

Nosocomial Infection Rates During One Year in Naft Grand Hospital, Ahvaz, Iran

Saeidimehr

Geravandi

Rahim

et al. 2015

Jundishapur J Health Sci

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Background: Nosocomial infections have increasingly resulted in death and the patients should bear high treatment costs. Members of the medical team could play an important role in prevention and control of nosocomial infections. Objectives: The purpose of this research was the evaluation of nosocomial infections in patients admitted to Naft grand hospital in Ahvaz, Iran, during 2013. Patients and Methods: This was a descriptive study, conducted prospectively during 12 months from March 2013 to March 2014 in Naft grand hospital in Ahvaz, Iran. All the patients who were hospitalized with no signs and symptoms of infection before the first 48 hours of hospitalization and presenting signs and symptoms of infection after 48 hours of hospitalization were included in this study. The patients' age, gender, site of infection, ward of hospitalization and type of nosocomial infection were collected. The results were analyzed by Excel and SPSS 16.0. Results:The results of the present study showed that the incidence of nosocomial infections was low (i.e., < 2%). The incidence rates of nosocomial infections were 36.78% in the intensive care unit (ICU), 46.55% in the internal medicine ward, 14.94% in the surgical medicine ward and 1.72% in the coronary care unit (CCU). Regarding the etiology of infection, Escherichia coli was found in 43.10%, coagulase-positive Staphylococci in 17.24%, coagulase-negative Staphylococci in 14.95% and Klebsiella in 10.34% of the cases. In our hospital, E. coli was the most frequent pathogen. Conclusions: In this study, nosocomial infections had a lower frequency in comparison with the national rates. According to researches, hospitals have been able to reduce nosocomial infections by establishing strategies and getting the risks under control.

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Estimated Cardiorespiratory Hospitalizations Attributable to Influenza and Respiratory Syncytial Virus Among Long-term Care Facility Residents

et al. 2021

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IMPORTANCE Older adults residing in long-term care facilities (LTCFs) are at a high risk of being infected with respiratory viruses, such as influenza and respiratory syncytial virus (RSV). Although these infections commonly have many cardiorespiratory sequelae, the national burden of influenzaand RSV-attributable cardiorespiratory events remains unknown for the multimorbid and vulnerable LTCF population.OBJECTIVE To estimate the incidence of cardiorespiratory hospitalizations that were attributable to influenza and RSV among LTCF residents and to quantify the economic burden of these hospitalizations on the US health care system by estimating their associated cost and length of stay. DESIGN, SETTING, AND PARTICIPANTS This retrospective cohort study used national MedicareProvider Analysis and Review inpatient claims and Minimum Data Set clinical assessments for 6 respiratory seasons (2011)(2012)(2013)(2014)(2015)(2016)(2017). Long-stay residents of LTCFs were identified as those living in the facility for at least 100 days (index date), aged 65 years or older, and with 6 months of continuous enrollment in Medicare Part A were included. Follow-up occurred from the resident's index date until the first hospitalization, discharge from the LTCF, disenrollment from Medicare, death, or the end of the study. Residents could re-enter the sample; thus, long-stay episodes of care were identified. Data analysis was performed between January 1 and September 30, 2020.EXPOSURES Seasonal circulating pandemic 2009 influenza A(H1N1), human influenza A(H3N2), influenza B, and RSV. MAIN OUTCOMES AND MEASURESCardiorespiratory hospitalizations (eg, asthma exacerbation, heart failure) were identified using primary diagnosis codes. Influenza-and RSV-attributable cardiorespiratory events were estimated using a negative binomial regression model adjusted for weekly circulating influenza and RSV testing data. Length of stay and costs of influenza-and RSV-attributable events were then estimated. RESULTSThe study population comprised 2 909 106 LTCF residents with 3 138 962 long-stay episodes and 5 079 872 person-years of follow-up. Overall, 10 939 (95% CI, 9413-12 464) influenzaand RSV-attributable cardiorespiratory events occurred, with an incidence of 215 (95% CI, 185-245) events per 100 000 person-years. The cost of influenza-and RSV-attributable cardiorespiratory events was $91 055 393 (95% CI, $77 885 316-$104 225 470), and the length of stay was 56 858 (95% CI, 48 757-64 968) days. CONCLUSIONS AND RELEVANCEThis study found that many cardiorespiratory hospitalizations among LTCF residents in the US were attributable to seasonal influenza and RSV. To minimize the (continued) Key Points Question What is the burden of cardiorespiratory events attributable to influenza and respiratory syncytial virus (RSV) among older adults residing in long-term care facilities (LTCFs) in the US? Findings In this cohort study of 2 909 106 LTCF residents, a total of 10 939 influenza-and RSV-attributable cardiorespiratory events occurred from 2011 to 2017 f...

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Infections in Residents of Nursing Homes

Cited by 36 publications

References 46 publications

Evaluation of Nosocomial Infections in a Teaching Hospital

Evaluation of Nosocomial Infections in a Teaching Hospital

Nosocomial Infection Rates During One Year in Naft Grand Hospital, Ahvaz, Iran

Estimated Cardiorespiratory Hospitalizations Attributable to Influenza and Respiratory Syncytial Virus Among Long-term Care Facility Residents

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