Predictors of mortality in nursing-home residents with pneumonia: a multicentre study

Abstract

NH residents with pneumonia have specific risk factors associated with 30-day mortality. Malnutrition and acute mental change appear as major determinants of death in this population.

Prevention of the spread of multidrug-resistant organisms in nursing homes

“…Table 1 summarizes all aspects responsible for the great heterogeneity among European LTCFs. The different typology of LTCFs [6], the regulatory processes [7], the quality monitoring [8], the local epidemiology of MDRO [9][10][11][12][13], the variability of infection control [14,15] and antimicrobial stewardship (AS) programs [3] account for the high heterogeneity among LTCFs in Europe.…”

Antimicrobial consumption and impact of antimicrobial stewardship programmes in long-term care facilities

“…This increasingly aged LTCF population contributes more and more to the burden of healthcare-associated infections. The most commonly reported infections are urinary tract infections (UTIs), lower respiratory tract infections, including pneumonia, skin and soft tissue infections, and gastroenteritis [7,8]. Infections are among the most frequent causes of transfer to acute care hospitals, and 30day hospital readmissions from LTCF are associated with increased mortality in this population [9].…”

Diagnostic stewardship based on patient profiles: differential approaches in acute versus chronic infectious syndromes

“…Community-acquired pneumonia (CAP) is a leading infectious cause of hospitalization with an estimated incidence of 2-11 cases per 1000 adults in the developed world and a mortality rate of 2-14% [87][88][89]. Detection of bacterial pathogens responsible for CAP is not usually achieved [90] and antibiotic therapy is commonly selected based on epidemiological data and host risk factors.…”