Abstract
Healthcare delivery has moved from acute care hospitals to multiple settings, including subacute care, long-term care or nursing home (NH), rehabilitation, assisted living, home, and outpatient settings.
These transitions provide an opportunity for pathogens to be transferred from one setting to another.
Nursing homes should design their infection control programs based on the population that they serve.
Infection control programs should address surveillance for infections and antimicrobial resistance, hand hygiene programs, outbreak investigations, immunization programs, antimicrobial utilization program, resident and employee health program as well as infection control in rehabilitation services.
An Infection control practitioner is crucial for an effective program.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Jarvis, W.R. (2001). Infection control and changing health-care delivery systems. Emergency Infectious Disease, 7, 170–173.
Coleman, E.A. (2003). Falling through cracks: challenges and opportunities for improving transitional care for persons with continuous complex care needs. Journal of American Geriatrics Society, 51, 549–555.
Nicolle, L.E. (2000). Infection control in long-term care facilities. Clinical Infectious Diseases, 31, 752–756.
Mody, L., Langa, K.M., Saint, S., & Bradley, S.F. (2005). Preventing infections in nursing homes: a survey of infection control practices in Southeast Michigan. American Journal of Infection Control, 33, 489–492.
Loeb, M.B., Craven, S., McGeer, A.J., et al (2003). Risk factors for resistance to antimicrobial agents among nursing home residents. American Journal of Epidemiology, 157, 40–47.
Zimmerman, S., Gruber-baldini, A.L., Hebel, J.R., et al (2002). Nursing home facility risk factors for infection and hospitalization: importance of registered nurse turnover, administration and social factors. Journal of American Geriatrics Society, 50, 1987–1989.
Horan, T.C., & Gaynes, R.P. (2004). Surveillance of nosocomial infections. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control (3rd ed.) (pp. 1661–1702). Philadelphia, PA: Lippincott Williams & Wilkins.
McGeer, A., Campbell, B., Emori, T.G., et al (1991). Definitions of infection for surveillance in long-term care facilities. American Journal of Infection Control, 19, 1–7.
Stevenson, K.B., Moore, J., Colwell, H., et al (2005). Standardized infection surveillance in long-term care: interfacility comparisons from a regional cohort of facilities. Infection Control and Hospital Epidemiology, 26, 231–238.
Strausbaugh, L.J., Crossley, K.B., Nurse, B.A., et al (1996). Antimicrobial resistance in long-term care facilities. Infection Control and Hospital Epidemiology, 17, 129–140.
Seigel, J.D., Rhinehart, E., Jackson, M., Chiarello, L., & the Healthcare Infection Control Practices Advisory Committee. (June, 2007). Guideline for isolation precautions: preventing transmission of infection agents in healthcare settings. http://www.cdc.gov/ncidod/dhqp/pdf/isolation 2007.pdf, Accessed 5/1/2009
Muto, C.A., Jernigan, J.A., Ostrowsky, B.E., et al (2003). SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and enterococcus. Infection Control and Hospital Epidemiology, 24, 362–386.
Seigel, J.D., Rhinehart, E., Jackson, M., Chiarello, L., & the Healthcare Infection Control Practices Advisory Committee. (May, 2008). Management of multi-drug resistant organisms in healthcare setting. Retrieved 2006 from http://www.cdc.gov/ncidod/dhqp/pdf/ar/mdroguideline2006.pdf/.
Mody, L. (2007). Optimizing antimicrobial use in nursing homes: no longer optional. Editorial. Journal of American Geriatrics Society, 55, 1301–1302.
Loeb, M., Brazil, K., Lohfeld, L., et al (2005). Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections in residents of nursing homes: culture randomized controlled trial. BMJ, 331, 669–674.
Monette, J., Miller, M.A., Monette, M., et al (2007). Effect of an educational intervention in optimizing antibiotic prescribing in long-term care facilities. Journal of American Geriatrics Society, 55, 1231–1235.
Schwartz, D.N., Abiad, H., DeMarais, P.L., et al (2007). An educational intervention to improve antimicrobial use in a hospital based long-term care facility. Journal of American Geriatrics Society, 55, 1236–1242.
Mody, L., McNeil, S.A., Sun, R., et al (2003). Introduction of a waterless alcohol-based hand rub in a long-term care facility. Infection Control and Hospital Epidemiology, 24, 165–171.
Mody, L., Saint, S., Kaufman, S., et al (2008). Adoption of alcohol-based handrub in U.S. hospitals: a national survey. Infection Control and Hospital Epidemiology, 29, 1177–1180.
Pittet, D., Sax, H., Hugonnet, S., et al (2004). Cost implications of successful hand hygiene promotion. Infection Control and Hospital Epidemiology, 25, 264–246.
Carman, W.F., Elder, A.G., Wallace, L.A., et al (2000). Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet, 355, 93–97.
Embril, J.M., McLeod, J.A., AL-Barrak, A.M., et al (2001). An outbreak of methicillin-resistant Staphylococcus aureus on a burn unit: potential role of contaminated hydrotherapy equipment. Burns, 27, 681–688.
Basic statistics about home care. Retrieved 25 January 2008 from http://www.nahc.org/.
Do, A.N., Ray, B.J., Banerjee, S.N., et al (1999). Bloodstream infection associated with needleless device use and importance of infection control practices in the home health setting. Journal of Infectious Diseases, 179, 442–448.
Danzig, L.E., Short, L.J., Collins, K., et al (1995). Bloodstream infections associated with a needleless intravenous infusion system in patients receiving home infusion therapy. Journal of the American Medical Association, 273, 1862–1864.
Schantz, M. (2001). Infection control comes home. Home Healthcare Management and Practice, 13, 126–133.
Suggested Reading
See under Resources for Infection Control Practitioners
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Humana Press, a part of Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Mody, L. (2009). Infection Control Programs in Nursing Homes. In: Norman, D., Yoshikawa, T. (eds) Infectious Disease in the Aging. Infectious Disease. Humana Press. https://doi.org/10.1007/978-1-60327-534-7_25
Download citation
DOI: https://doi.org/10.1007/978-1-60327-534-7_25
Published:
Publisher Name: Humana Press
Print ISBN: 978-1-60327-533-0
Online ISBN: 978-1-60327-534-7
eBook Packages: MedicineMedicine (R0)