Hostname: page-component-848d4c4894-jbqgn Total loading time: 0 Render date: 2024-06-17T01:24:46.390Z Has data issue: false hasContentIssue false

Current Challenges and Future Opportunities

Published online by Cambridge University Press:  21 June 2016

David W. Bentley*
Affiliation:
Infectious Diseases and Infection Control Units, Monroe Community Hospital and the Infectious Diseases Unit and Department of Medicine, University of Rochester- School of Medicine and Dentistry, Rochester, New York
*
Infectious Diseases Unit, Monroe Community Hospital, 435 East Henrietta Road, Rochester, NY 14603

Extract

This article is the first in a new series entitled “Topics in Long-Term Care.” The author, a full-time academic physician, is based at a chronic disease hospital with a 577-bed nursing home where he is head of infectious diseases and, with the support of a full-time infection control officer (RN), manages the infection control programs as the hospital epidemiologist and chair of the infection control committee. Although most interest centers on the nursing home setting, the title reflects the need to consider all long-term care facilities (LTCFs) with special populations and risk factors for acquiring infection, e.g., rehabilitation units, day care centers and day hospitals for the elderly and institutions for developmental disabled persons of all ages.

Type
Special Sections
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Wenzel, RP, Schaffner, W: A new affiliation, a new name, and new directions. Infect Control Hosp Epidemiol 1988;9:7.10.2307/30144127Google Scholar
2. Gabow, PA, Hutt, DM, Baker, S, et al: Comparison of hospitalization between nursing home and community residents. J Am Geriatr Soc 1985;33:524529.10.1111/j.1532-5415.1985.tb04615.xCrossRefGoogle ScholarPubMed
3. Lewis, MA, Cretin, S, Kane, RL: The natural history of nursing home patients. Gerontologist 1985:25:382388.10.1093/geront/25.4.382Google Scholar
4. Scheckler, WE, Peterson, PJ: Infections and infection control among residents of eight rural Wisconsin nursing homes. Arch Intern Med 1986;146:19811984.10.1001/archinte.1986.00360220141024Google Scholar
5. Garibaldi, RA, Brodine, S, Matsumiya, S: Infections among patients in nursing homes: Policies, prevalence, and problems. N Engl J Med 1981;305:731735.10.1056/NEJM198109243051304CrossRefGoogle ScholarPubMed
6. Alvarez, S, Shell, CG, Woolley, TW, et al: Nosocomial infections in long-term care facilities. J Gerontol 1988;43:M917.10.1093/geronj/43.1.M9CrossRefGoogle Scholar
7. Warren, JW, Tenney, JH, Hoopes, JM, et al: A prospective microbiologic study of bacteriuria in patients with chronic indwelling urethral catheters. J Infect Dis 1982;146:719723.10.1093/infdis/146.6.719CrossRefGoogle ScholarPubMed
8. Zervos, MJ, Terpenning, MS, Schaberg, DR, et al: High-level aminoglyco-side-resistant enterococci colonization of nursing home and acute care hospital patients. Arch Intern Med 1987:147:15911594.10.1001/archinte.1987.00370090069013Google Scholar
9. Gaynes, RP, Weinstein, RA, Chamberlin, W, et al: Antibiotic-resistant flora in nursing home patients admitted to the hospital. Arch Intern Med 1985;145:18041807.10.1001/archinte.1985.00360100064009Google Scholar
10. Bentley, DW, Ha, K, Moon, D, et al: Pneumococcal vaccine in the institutional&d elderly: Design of a non-randomized trial and preliminary results. Rev Infect Dir 1981:3:S71S81.10.1093/clinids/3.Supplement_1.S71Google Scholar
11. Valenti, WM, Trudell, KG, Bentley, DW: Factors predisposing to oropharyngeal colonization with gram-negative bacilli in the aged. N Engl J Med 1978;198:11081111.10.1056/NEJM197805182982002CrossRefGoogle Scholar
12. Daltrey, DC, Rhodes, B, Chattwood, JG: Investigation into the microbial flora of healing and non-healing decubitus ulcers. J Clin Pathol 1981;34:701705.10.1136/jcp.34.7.701CrossRefGoogle ScholarPubMed
13. Norman, DC, Castle, SC, Cantrell, M: Infections in the nursing home. J Am Geriatr Soc 1987;35:796805.10.1111/j.1532-5415.1987.tb06359.xGoogle Scholar
14. Setia, U, Serventi, I, Lorenz, P: Bacteremia in a long-term care facilily: Spectrum and mortality. Arch Intern Med 1984;144:16331635.10.1001/archinte.1984.00350200143021Google Scholar
15. Patriarca, PA, Weber, JA, Parker, RA, et al: Efficacy of influenza vaccine in nursing homes: Reduction in illness and complications during an influenza A (H3N2) epidemic. JAMA 1985;253:11361139.10.1001/jama.1985.03350320060017CrossRefGoogle ScholarPubMed
16. Hall, WN, Goodman, RA. Noble, GR, et al: An outbreak of influenza B in an elderly population. J Infect Dis 1981;144:297302.10.1093/infdis/144.4.297CrossRefGoogle Scholar
17. Mathur, U, Bentley, DW, Hall, CB: Concurrent respiratory syncytial virus and in influenza A infections in the institutionalized elderly and chronically ill. Ann Intern Med 1980:93:4952.10.7326/0003-4819-93-1-49Google Scholar
18. Stead, WW: Tuberculosis among elderly persons: An outbreak in a nursing home. Ann Intern Med 1981;94:606610.10.7326/0003-4819-94-5-606CrossRefGoogle ScholarPubMed
19. Ravdin, JI, Guerrant, RL: Infectious diarrhea in the elderly. Geriatrics 1983;38:95101.Google Scholar
20. Carter, AO, Borczyk, AA, Carlson, JAK, et al: A severe outbreak of Escherichia coli 0157: H7-associated hemorrhagic colitis in a nursing home. N Engl J Med 1987;317:14961500.10.1056/NEJM198712103172403Google Scholar
21. Burkhart, CG: Scabies: An epidemiologic reassessment. Ann Intern Med 1983;98:498503.10.7326/0003-4819-98-4-498Google Scholar
22. Gajdusek, DC, Gibbs, CJ, Asher, DM, et al: Precautions in medical care of, and in handling materials from, patients with transmissible virus dementia (Creutzfeldt-Jakob disease). N Engl J Med 1977;297:12531258.10.1056/NEJM197712082972304Google Scholar
23. Gorbach, SL: Clostridium difficile settles in a nursing home. Hosp Pract 1989;24:145-149, 152, 157160.10.1080/21548331.1989.11703663Google Scholar
24. Valenti, WM, Betts, RF, Hall, CB, et al: Nosocomial viral infections: Guidelines for prevention and control of respiratory viruses, herpes viruses, and hepatitis viruses. Infect Control 1981;1:165177.10.1017/S0195941700052899CrossRefGoogle Scholar
25. Bentley, DW, Cheney, L: AIDS in the nursing home, in Verghese, A, Berk, SL (eds): Infections in the Nursing Home. Zurich, Switzerland, S Karger Publishers Inc, 1989: to be published.Google Scholar
26. Kunin, CM, Chin, QF, Chambers, S: Morbidity and mortality associated with indwelling urinary catheters in elderly patients in a nursing home-Confounding due to the presence of associated diseases. J Am Geriatr Soc 1987;35:10011006.10.1111/j.1532-5415.1987.tb04003.xGoogle Scholar
27. Hsu, CC, Macaluso, CP, Special, L, et al: High rate of methicillin resistance of Staphylococcus aureus isolated from hospitalized nursing home patients. Arch Intern Med 1988;148:569570.10.1001/archinte.1988.00380030075016CrossRefGoogle ScholarPubMed
28. Zimmer, JG, Bentley, DW, Valenti, WM, et al: Systemic antibiotic use in nursing homes: A quality assessment. J Am Geriatr Soc 1986;34:703710.10.1111/j.1532-5415.1986.tb04301.xGoogle Scholar
29. Crossley, KB, Irvine, P, Kaszar, DJ, et al: Infection control practices in Minnesota nursing homes. JAMA 1985;254:29182921.10.1001/jama.1985.03360200070029CrossRefGoogle ScholarPubMed