2019
DOI: 10.1186/s12877-019-1236-6
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The burden of respiratory infections among older adults in long-term care: a systematic review

Abstract: Background Respiratory infections among older adults in long-term care facilities (LTCFs) are a major global concern, yet a rigorous systematic synthesis of the literature on the burden of respiratory infections in the LTCF setting is lacking. To address the critical need for evidence regarding the global burden of respiratory infections in LTCFs, we assessed the burden of respiratory infections in LTCFs through a systematic review of the published literature. Methods W… Show more

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Cited by 91 publications
(77 citation statements)
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References 49 publications
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“…Acute respiratory virus infection outbreaks are a common problem in NHs. 28,29 A recent systematic review reported a 1.21% to 85.2% annual incidence of influenza or RSV infection in long-term care facilities. 28 Other than influenza and RSV, human metapneumovirus is the third most common causative pathogen for NH respiratory infection outbreaks.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Acute respiratory virus infection outbreaks are a common problem in NHs. 28,29 A recent systematic review reported a 1.21% to 85.2% annual incidence of influenza or RSV infection in long-term care facilities. 28 Other than influenza and RSV, human metapneumovirus is the third most common causative pathogen for NH respiratory infection outbreaks.…”
Section: Discussionmentioning
confidence: 99%
“…28,29 A recent systematic review reported a 1.21% to 85.2% annual incidence of influenza or RSV infection in long-term care facilities. 28 Other than influenza and RSV, human metapneumovirus is the third most common causative pathogen for NH respiratory infection outbreaks. 30 NHs often do not have on-site equipment to evaluate suspected infection; therefore, a lower threshold for antibiotic prescription is common.…”
Section: Discussionmentioning
confidence: 99%
“…Prior research focused on P&I hospitalization among LTCF residents has also been limited in the number and geographic distribution of facilities examined [5,6,11], and most existing studies overlook the distinction between short-and long-stay LTCF residents in their analyses [12][13][14]. This is a relevant clinical and research consideration given rising numbers of short-stay (i.e., post-acute care) residents and distinct care goals and needs that distinguish them from long-stay residents [15][16][17].…”
Section: Introductionmentioning
confidence: 99%
“…Respiratory tract infections (RTI) are a significant cause of morbidity and mortality worldwide, particularly during winter months with seasonal respiratory epidemics [1][2][3][4]. More than the morbidity and mortality associated with RTI, the infections also represent a huge impact on emergency department (ED) visits, outpatient medical visits, hospital admissions and burden of antimicrobial prescriptions, especially in developing countries because of absence of rapid and accurate laboratorydepended testing for respiratory pathogens [5][6][7].…”
Section: Introductionmentioning
confidence: 99%