Prevalence of nursing home-associated infections in the Department of Veterans Affairs nursing home care units

Tsan, Linda; Davis, Chester; Langberg, Robert; Hojlo, Christa; Pierce, J. Rush; Miller, M.K.; Gaynes, Robert P.; Gibert, Cynthia L.; Montgomery, Ona; Bradley, Suzanne F.; Richards, Chesley L.; Danko, Linda H.; Roselle, Gary A.

doi:10.1016/j.ajic.2007.06.008

Cited by 63 publications

(52 citation statements)

References 20 publications

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“…The findings are consistent with past studies that suggest limitations in ADL or functional impairment, and presence of skin ulcers are risk factors for infection. 15,17,21 Nevertheless, the protective effect of immunisation with seasonal influenza vaccine and pneumococcal vaccine was not clearly demonstrated in this study.…”

Section: Discussionmentioning

confidence: 44%

“…[15][16][17][18][19][20][21][22][23][24] Most reported UTI as the most common type of infection. 15,16,[19][20][21][22][23] Despite a lower prevalence in our survey compared with overseas surveys, we must interpret the results with caution for a few reasons. First, the difference in survey method, study population, and case definition among these studies may render direct comparison of prevalence inappropriate.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of infections among residents of Residential Care Homes for the Elderly in Hong Kong

Choy

Chen²,

Yau³

et al. 2016

Hong Kong Med J

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Methods:Residential Care Homes for the Elderly in Hong Kong were selected by stratified single-stage cluster random sampling. All residents aged 65 years or above from the recruited homes were surveyed. Infections were identified using standardised definitions. Demographic and health informationincluding medical history, immunisation record, antibiotic use, and activities of daily living (as measured by Barthel Index)-was collected by a survey team to determine any associated factors.Results: Data were collected from 3857 residents in 46 Residential Care Homes for the Elderly from February to May 2014. A total of 105 residents had at least one type of infection based on the survey definition. The overall prevalence of all infections was 2.7% (95% confidence interval, 2.2%-3.4%). The three most common infections were of the respiratory tract (1.3%; 95% confidence interval, 0.9%-1.9%), skin and soft tissue (0.7%; 95% confidence interval, 0.5%-1.0%), and urinary tract (0.5%; 95% confidence interval, 0.3%-0.9%). Total dependence in activities

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Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 99%

Prevalence of infections among residents of Residential Care Homes for the Elderly in Hong Kong

Choy

Chen²,

Yau³

et al. 2016

Hong Kong Med J

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“…LTCFs are faced with methicillin-resistant Staphylococcus aureus, MRSA. Currently, colonization by MRSA has reached staggering proportions in LTCFs [13][14][15][16][17][18]. Furthermore, multidrug resistant (MDR) Gram-negative pathogens (especially Escherichia coli, Klebsiella pneumoniae and Acinetobacter baumannii harboring extended-spectrum beta-lactamases/cephalosporinases that confer resistance to cefotaxime, ceftazidime, ceftriaxone and carbapenemases (e.g.…”

Section: An Overview Of Infections In the Elderly And Ltcfsmentioning

confidence: 99%

Taking stock of infections and antibiotic resistance in the elderly and long-term care facilities: A survey of existingand upcoming challenges

Augustine¹

2011

European Journal of Microbiology and Immunology

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Treating elderly patients with infections represents one of the greatest challenges to health-care providers. Older adults are the largest growing sector of the population and suffer excessively from infectious diseases such as pneumonia, urinary tract infections (UTIs), and skin and soft-tissue infections. Often because of disabilities, the elderly require treatment of infectious diseases in long-term care facilities (LTCFs). As a result of antibiotic use, LTCFs have become "reservoirs of resistance" and multi-drug resistant (MDR) pathogens are frequently recovered. Clinicians also need to be aware of the impairment of immune function and other emerging chronic infections (HIV, HCV) that are now present in the elderly. Despite vigilance regarding this issue, delays in diagnosis and initiation of therapy are common. This article reviews the changing landscape of infections in the elderly and the challenge these syndromes present in the context of an increasing older population that requires dedicated resources.

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“…Viele diesbezügliche Studien wurden bisher in den USA durchgeführt [1,2,18,19,20,21]. Für Europa existieren hingegen nur wenige entsprechende Prävalenzuntersuchungen [11,12,13,14,15,16].…”

Section: Diskussionunclassified

Healthcare-associated infections in long-term care facilities (HALT)

Wischnewski

Mielke

Wendt³

2011

Bundesgesundheitsbl.

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Prevalence of nursing home-associated infections in the Department of Veterans Affairs nursing home care units

Cited by 63 publications

References 20 publications

Prevalence of infections among residents of Residential Care Homes for the Elderly in Hong Kong

Prevalence of infections among residents of Residential Care Homes for the Elderly in Hong Kong

Taking stock of infections and antibiotic resistance in the elderly and long-term care facilities: A survey of existingand upcoming challenges

Healthcare-associated infections in long-term care facilities (HALT)

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