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.PubMed
  2. Nicolle  LE. Asymptomatic bacteriuria in the elderly. Infect Dis Clin North Am. 1997;11:647–62. DOIPubMed
  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. DOIPubMed
  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.PubMed
  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. DOIPubMed
  6. Smith  PW, Rusnak  PG. Infection prevention and control in the long-term care facility. Infect Control Hosp Epidemiol. 1997;18:831–49. DOIPubMed
  7. Bradley  S. Issues in the management of resistant bacteria in long-term care facilities. Infect Control Hosp Epidemiol. 1999;20:362–6. DOIPubMed
  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. DOIPubMed
  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. DOIPubMed
  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. DOIPubMed
  11. Goldrick  BA. Infection control programs in skilled nursing long-term care facilities: An assessment, 1995. Am J Infect Control. 1997;27:4–9. DOIPubMed
  12. Smith  PW. Development of nursing home infection control. Infect Control Hosp Epidemiol. 1999;20:303–5. DOIPubMed
  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. DOIPubMed
  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. DOIPubMed
  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.PubMed
  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. DOIPubMed
  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.PubMed

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