Double, Double, Toil and Trouble Infections Still Spreading in Long-Term–Care Facilities

Bradley, Suzanne F.

doi:10.1086/502531

Cited by 7 publications

(5 citation statements)

References 27 publications

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“…In the nursing homes worldwide, norovirus is the most common cause of gastroenteritis and several such outbreaks have resulted in deaths due to aspiration or to exacerbations of other chronic diseases [25]. Indeed, this mild self-limited infection can lead to significant morbidity and mortality in residents of elderly homes [26]. …”

Section: Introductionmentioning

confidence: 99%

Institutional risk factors for norovirus outbreaks in Hong Kong elderly homes: a retrospective cohort study

Lin

Chan

et al. 2011

BMC Public Health

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BackgroundMost of the institutional outbreaks of norovirus in Hong Kong occur in elderly homes, the proportion being 69% in 2006. Residents in elderly homes are a special population seriously affected by norovirus infections, it is necessary to investigate the risk factors of the norovirus outbreaks in Hong Kong elderly homes at the facility level.MethodsA cohort of 748 elderly homes was followed up from January 2005 to December 2007; each elderly home was treated as one observation unit and the outcome event was the norovirus outbreak. Cox regression models were fitted to estimate the rate ratio (RR) and 95% confidence interval (CI) for the potential risk factors.ResultsA total of 276 norovirus outbreaks were confirmed during the study period; the outbreak rate was 12.2 (95% CI: 9.9-14.6) per 100 home-years; elderly homes with a larger capacity (RR = 1.4, 95% CI: 1.3-1.5 (per 30-resident increment)), a higher staff-to-resident ratio (RR = 1.2, 95% CI: 1.1-1.3 (per 1/30 increment) and better wheelchair accessibility (RR = 2.0, 95% CI: 1.3-3.2) were found to have an elevated norovirus outbreak rate in Hong Kong elderly homes; Elderly homes with partitions between beds had a lower rate of norovirus outbreaks (RR = 0.6, 95% CI: 0.4-0.8).ConclusionsElderly home capacity, staff-to-resident ratio and wheelchair accessibility were risk factors for norovirus outbreaks in Hong Kong elderly homes. Partitions between beds were a protective factor of norovirus outbreaks. These results should be considered in the infection control in Hong Kong elderly homes.

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Section: Introductionmentioning

confidence: 99%

Institutional risk factors for norovirus outbreaks in Hong Kong elderly homes: a retrospective cohort study

Lin

Chan

et al. 2011

BMC Public Health

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“…T tal admission a 0% of the staff ransmission of work) [36] . Furth RSA infection thers, a dirty en 3,24,25] . A high study with intr f microbial co RSA strains fro [12] .…”

Section: Resultsmentioning

confidence: 99%

Personal- and environmental hygiene in Norwegian nursing homes

Sie

2012

JNEP

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The prevalence of nosocomial infection in Norwegian nursing homes is still high (ca 7%) and MRSA-problems are increasing in nursing homes. Environmental hygiene and hygienic use of uniforms may play an important role concerning transmission of nosocomial infections. Most nursing homes in Oslo have written routines for floor cleaning and for the use of uniforms. However, while the procedures of uniform use and washing was followed by all staff, only 50% of the institutions seemed to implement in practice the written routines for environmental cleaning. The lack of dayly cleaning in nursing homes may be associated with an increased risk of nosocomial infections.

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“…Hand washing is the first line of defense in infection control, and ancillary staff have an important role to play. Increased training of staff and clients decreases infections (Bradley, 2005;Pittet, 2003). Based on this information, the students conducted an interactive educational campaign for residents and staff under the title "High Five against Germs."…”

Section: Infection Controlmentioning

confidence: 99%

Population Health Clinical Experiences at an Agency Serving Individuals With Developmental Disabilities

Ailey

O'Rourke

2008

Home Health Care Management & Practice

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The American Association of Colleges of Nursing's (AACN) Essentials of baccalaureate and master's degree education require teaching population health skills in nursing programs. Clinical site placement for learning population health skills is hoped to be beneficial for both students and the agencies. This article reports on the experience of placing undergraduate and graduate student groups at an agency serving adults and children with intellectual and developmental disabilities (I/DD) as well as many chronic health conditions. Each group of students developed a population health assessment and program plan, with each group building on the efforts of previous groups. The work of multiple student groups has assisted the agency in improving care for their clients, managing health issues associated with aging and chronic health conditions, and making organizational system changes. Lessons can be drawn from these experiences that are of benefit to others developing population health clinical experiences for nursing students.

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Double, Double, Toil and Trouble Infections Still Spreading in Long-Term–Care Facilities

Abstract: The rapid shift in the delivery of healthcare from acute care settings to chronic care settings has continued unabated.

Cited by 7 publications

References 27 publications

Institutional risk factors for norovirus outbreaks in Hong Kong elderly homes: a retrospective cohort study

Institutional risk factors for norovirus outbreaks in Hong Kong elderly homes: a retrospective cohort study

Personal- and environmental hygiene in Norwegian nursing homes

Population Health Clinical Experiences at an Agency Serving Individuals With Developmental Disabilities

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