Infection control program disparities between acute and long-term care facilities in Maryland

Roup, Brenda J.; Roche, Jeffrey C.; Pass, Margaret

doi:10.1016/j.ajic.2005.12.010

Cited by 40 publications

(29 citation statements)

References 4 publications

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“…63 The LTAC hospitals require infection control programs similar to acute care hospitals, 43,64,65 but it could be argued that LTAC facilities require more aggressive infection control programs because prevalence of MDROs in CCI patients is so high, and prevention of transmission is critical. 47 With the implementation of well proven infection control practices to prevent VAPs, 44 BSIs, 45 and CAUTIs, 46 nosocomial infection rates can be reduced and maintained at low rates.…”

Section: Infection Control Programsmentioning

confidence: 99%

Infections and the Compromised Immune Status in the Chronically Critically Ill Patient: Prevention Strategies

Cabrera-Cancio

2012

Respir Care

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An estimated 2-3% of all hospitalized patients become critically ill. These patients are in a state of relative immune exhaustion, which cripples their response to infections. Patients are sicker, have many comorbidities, and undergo complex procedures. This clinical picture, combined with increasing technologies and improved survival, presents unique challenges and demands a high level of services and expertise over a prolonged period of time. Long-term acute care hospitals provide these services, and the migration of chronically critically ill patients to these institutions facilitates defining (and quantifying) the spectrum of disease and how to best manage them. The prevalence of multidrug-resistant organism colonization and infection upon arrival to long-term acute care hospitals is high. Admission screening, and appropriate isolation and infection control practices can prevent transmission of these organisms. The implementation of ventilator-associated pneumonia prevention protocols, blood stream infection prevention protocols, and minimizing Foley urinary catheter use can decrease hospital-acquired infection rates and keep them low. In addition, specific attention is required to environmental services and surface and equipment cleaning. A well organized infection control program and an antimicrobial stewardship program have become indispensable to achieve these goals. All of these key principles and recommendations are also relevant to the chronically ill patient in acute care hospital ICUs and step-down units.

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Section: Infection Control Programsmentioning

confidence: 99%

Infections and the Compromised Immune Status in the Chronically Critically Ill Patient: Prevention Strategies

Cabrera-Cancio

2012

Respir Care

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“…A previous study of infection control resources in Maryland suggested that long-term care facilities reported an average of 0.3 full-time equivalent infection control professionals per 200 beds. 16 In addition to those challenges, our study was limited by a number of factors. The research was conducted in 3 SNFs in Maryland, and the results may not be generalizable to other settings.…”

Section: U S I N G a N T I B I O G R A M S To I M P R O V E A N T I Bmentioning

confidence: 99%

Using Antibiograms to Improve Antibiotic Prescribing in Skilled Nursing Facilities

Furuno

Comer²,

Johnson³

et al. 2014

Infect. Control Hosp. Epidemiol.

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“…In 2003, the Maryland DOH found that NH IPs in their state were less likely than IPs employed in acute care to receive formal training in IPC (i.e., 8% versus 95% respectively) and more likely to have additional non-infection related responsibilities. 26 The state partnered with the LTC industry trade associations and spearheaded regulatory, educational, and financial initiatives to improve this situation and achieved a fivefold increase in facilities employing a trained IP and quicker identification of outbreaks resulting in less disease. 9 However, implementation of such programs uses resources and needs leadership.…”

Section: Discussionmentioning

confidence: 99%

Understanding infection prevention and control in nursing homes: A qualitative study

et al. 2015

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Infections have been identified as a priority issue in nursing homes (NHs). We conducted a qualitative study purposively sampling 10 NHs across the country where 6 to 8 employees were recruited (N = 73). Semi-structured, open-ended guides were used to conduct in-depth interviews. Data were audio-taped, transcribed and a content analysis was performed. Five themes emerged: ‘Residents’ Needs’, ‘Roles and Training’ ‘Using Infection Data’, ‘External Resources’ and ‘Focus on Hand Hygiene’. Infection prevention was a priority in the NHs visited. While all sites had hand hygiene programs, other recommended areas were not a focus and many sites were not aware of available resources. Developing ways to ensure effective, efficient and standardized infection prevention and control in NHs continues to be a national priority.

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Infection control program disparities between acute and long-term care facilities in Maryland

Cited by 40 publications

References 4 publications

Infections and the Compromised Immune Status in the Chronically Critically Ill Patient: Prevention Strategies

Infections and the Compromised Immune Status in the Chronically Critically Ill Patient: Prevention Strategies

Using Antibiograms to Improve Antibiotic Prescribing in Skilled Nursing Facilities

Understanding infection prevention and control in nursing homes: A qualitative study

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