Infection Control Citations in Nursing Homes: Compliance and Geographic Variability

Jester, Dylan J.; Peterson, Lindsay; Dosa, David; Hyer, Kathryn

doi:10.1016/j.jamda.2020.11.010

Cited by 13 publications

(31 citation statements)

References 17 publications

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“…Specific comorbidities, such as cardiovascular diseases, diabetes, chronic respiratory disorders, hypertension, and cancer, have been linked to increased risk of COVID-19 mortality [ 10 ]. In a retrospective study of deceased COVID-19 patients in Germany, it was found that most patients had multiple comorbidities, with cardiovascular and respiratory diseases being the most common [ 11 ].…”

Section: Resultsmentioning

confidence: 99%

Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

2021

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Introduction COVID-19 has caused unprecedented challenges in nursing homes. In this scoping review, we aimed to describe factors that contributed to the spread and mortality of COVID-19 in nursing homes and provide an overview of responses that were implemented to try to overcome such challenges. Methods The MeSH terms “Nursing homes” and “COVID-19” were searched in MEDLINE Ovid, and English language articles were retrieved that were published between 1 March 2020 and 31 January 2021. Article titles and abstracts were screened by two reviewers, and the results of included articles were grouped by themes. Results The search retrieved 348 articles, of which 76 were included in the thematic review. 8 articles related to COVID-19 disease characteristics (e.g. asymptomatic transmission), 24 to resident-related factors (e.g. comorbidities, nutrition, cognition), 13 to facility characteristics (e.g. physical space, occupancy, for-profit status), 21 to staffing (e.g. staffing levels, staff-to-resident ratio, staff multi-employment), and 10 to external factors (e.g. availability of personal protective equipment, prevailing health and social care policies). In terms of responses, identified themes included widespread testing, isolation and cohorting of residents, staff protection and support, promotion of residents’ well-being, and technological innovations. Conclusion COVID-19 exerted severe challenges on the nursing home population and its staff. Both internal and external factors predisposed nursing homes to an increased propensity of spread. Numerous strategies were employed to attempt to mitigate the negative impacts. Substantial learning occurred that may not only aid future pandemic preparedness but improve quality of care for nursing home residents at all times.

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Section: Resultsmentioning

confidence: 99%

Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

2021

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“…From 2017 to 2019, more than half of nursing homes had an infection control deficiency (F-tag 880): 41% of nursing homes had one citation for infection control, and 15% had two or more such citations. 4 Although infection control had been a concern in nursing homes prior to the COVID-19 pandemic, 5 it has taken on a heightened importance due to its significant role as a tool to prevent and mitigate COVID-19 outbreaks among residents and staff. As of early September 2020, roughly 85% of nursing homes have reported a case of COVID-19 among residents or staff.…”

Section: Introductionmentioning

confidence: 99%

Association between nursing home staff turnover and infection control citations

Loomer

Grabowski

et al. 2021

Health Services Research

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“…Although some NHs employ trained IPs, no specific recommendations for training are provided (CMS, 2016). Furthermore, ASPs remain suboptimal, with 57% of NHs receiving infection control deficiency citation between 2017 and 2019 (Jester et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Antimicrobial Stewardship Interventions to Optimize Treatment of Infections in Nursing Home Residents: A Systematic Review and Meta-Analysis

et al. 2021

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Effects of antibiotic stewardship program (ASP) interventions to optimize antibiotic use for infections in nursing home (NH) residents remain unclear. The aim of this systematic review and meta-analysis was to assess ASPs in NHs and their effects on antibiotic use, multi-drug-resistant organisms, antibiotic prescribing practices, and resident mortality. Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we conducted a systematic review and meta-analysis using five databases (1988–2020). Nineteen articles were included, 10 met the criteria for quantitative synthesis. Inappropriate antibiotic use decreased following ASP intervention in eight studies with a pooled decrease of 13.8% (95% confidence interval [CI]: [4.7, 23.0]; Cochran’s Q = 166,837.8, p < .001, I2 = 99.9%) across studies. Decrease in inappropriate antibiotic use was highest in studies that examined antibiotic use for urinary tract infection (UTI). Education and antibiotic stewardship algorithms for UTI were the most effective interventions. Evidence surrounding ASPs in NH is weak, with recommendations suited for UTIs.

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Infection Control Citations in Nursing Homes: Compliance and Geographic Variability

Cited by 13 publications

References 17 publications

Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

Association between nursing home staff turnover and infection control citations

Antimicrobial Stewardship Interventions to Optimize Treatment of Infections in Nursing Home Residents: A Systematic Review and Meta-Analysis

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