Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 7, Number 2—April 2001
THEME ISSUE
4th Decennial International Conference on Nosocomial and Healthcare-Associated Infections
Prevention is Primary

Preventing Infections in Non-Hospital Settings: Long-Term Care

Lindsay E. NicolleComments to Author 
Author affiliation: University of Manitoba, Winnipeg, Canada

Main Article

Table 3

Assessing effectiveness of selected interventions in decreasing infections in long-term care facilities

Study question (reference) Outcome
Does vitamin A supplementation decrease the frequency of infection (14)? No decrease in overall occurrence of infection with vitamin A supplementation
Do outcomes differ with routine percutaneous feeding tube changes compared with as- needed changes (15)? No difference in infection or other relevant outcomes with routine tube changes
Does treatment to eradicate MRSAa colonization decrease the frequency of MRSA infection (16)? No decrease in infection with antimicrobial therapy
Does the frequency of symptomatic urinary infection differ with clean or sterile intermittent catheterization (17)? No difference in frequency of infection or antimicrobial use

aMRSA = methicillin-resistant Staphylococcus aureus.

Main Article

References
  1. Nicolle  LE, Strausbaugh  LJ, Garibaldi  RA. Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev. 1996;9:1–17.PubMedGoogle Scholar
  2. Nicolle  LE. Asymptomatic bacteriuria in the elderly. Infect Dis Clin North Am. 1997;11:647–62. DOIPubMedGoogle Scholar
  3. Bradley  SF. Long-term Care Committee of the Society for Health Care Epidemiology of America. Prevention of influenza in long-term care facilities. Infect Control Hosp Epidemiol. 1999;20:629–37. DOIPubMedGoogle Scholar
  4. Strausbaugh  LJ, Crossley  KB, Nurse  BA, Thrupp  LD; SHEA Long-term Care Committee. Antimicrobial resistance in long-term care facilities. Infect Control Hosp Epidemiol. 1995;17:120–9.PubMedGoogle Scholar
  5. Crossley  K. Long-term Care Committee of the Society for Health Care Epidemiology of America. Vancomycin-resistant enterococci in long-term care facilities. Infect Control Hosp Epidemiol. 1998;19:521–5. DOIPubMedGoogle Scholar
  6. Smith  PW, Rusnak  PG. Infection prevention and control in the long-term care facility. Infect Control Hosp Epidemiol. 1997;18:831–49. DOIPubMedGoogle Scholar
  7. Bradley  S. Issues in the management of resistant bacteria in long-term care facilities. Infect Control Hosp Epidemiol. 1999;20:362–6. DOIPubMedGoogle Scholar
  8. McGeer  AR, Campbell  B, Emori  TG, Heirholzer  WJ, Jackson  MM, Nicolle  LE, Definitions of infection for surveillance in long-term care facilities. Am J Infect Control. 1991;19:1–7. DOIPubMedGoogle Scholar
  9. Nicolle  LE, Bentley  D, Garibaldi  R, Neuhaus  E, Smith  P; SHEA Long-term Care Committee. Antimicrobial use in long-term care facilities. Infect Control Hosp Epidemiol. 1996;17:119–28. DOIPubMedGoogle Scholar
  10. Orr  P, Nicolle  LE, Duckworth  H, Brunka  J, Kennedy  J, Murray  D, Febrile urinary infection in the institutionalized elderly. Am J Med. 1996;100:71–7. DOIPubMedGoogle Scholar
  11. Goldrick  BA. Infection control programs in skilled nursing long-term care facilities: An assessment, 1995. Am J Infect Control. 1997;27:4–9. DOIPubMedGoogle Scholar
  12. Smith  PW. Development of nursing home infection control. Infect Control Hosp Epidemiol. 1999;20:303–5. DOIPubMedGoogle Scholar
  13. Smith  PW, Rusnak  PG. Guideline for infection prevention and control in the long-term care facility. Am J Infect Control. 1991;19:198–215. DOIPubMedGoogle Scholar
  14. Murphy  S, West  KP, Greenough  WB, Cherot  E, Katz  J, Clement  L. Impact of vitamin A supplementation on the incidence of infection in elderly nursing home residents: A randomized controlled trial. Age Ageing. 1992;21:435–9. DOIPubMedGoogle Scholar
  15. Graham  S, McIntyre  M, Chicoine  J, Gerard  B, Laughren  R, Cowley  G, Frequency of changing enteral alimentation bags and tubing and adverse clinical outcomes in patients of a long-term care facility. Can J Infect Control. 1993;8:41–3.PubMedGoogle Scholar
  16. Strausbaugh  LJ, Jacobson  C, Sewell  DL, Potter  S, Ward  TT. Antimicrobial therapy for methicillin-resistant Staphylococcus aureus colonization in residents and staff of a Veteran's Affairs nursing home care unit. Infect Control Hosp Epidemiol. 1992;13:151–9. DOIPubMedGoogle Scholar
  17. Duffy  LM, Cleary  J, Ahern  S, Kushowski  MA, West  M, Wheeler  L, Clean intermittent catheterization: Safe, cost-effective bladder management for male residents of VA nursing homes. J Am Geriatr Soc. 1995;43:865–70.PubMedGoogle Scholar

Main Article

Page created: May 10, 2011
Page updated: May 10, 2011
Page reviewed: May 10, 2011
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external