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Infection Control in Long Term Care Settings

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Infection Control in Long Term Care Settings. Moderator: Carol ... Director, Infection Prevention and Control Dept. Mount Sinai, Hospital Toronto, Canada ... – PowerPoint PPT presentation

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Title: Infection Control in Long Term Care Settings


1
Infection Control in Long Term Care Settings
  • Moderator Carol Goldman, RN, BScN, CIC
  • Infection Control Consultant
  • IFIC Board member, CHICA-Canada
  • Expert Guest Allison McGeer, MD, FRCP
  • Director, Infection Prevention and
    Control Dept.
  • Mount Sinai, Hospital Toronto, Canada

2
Infection Control in Long Term Care
SettingsThank you for sponsoring this workshop
3
Infection Control in Long Term Care Settings
  • Format for todays workshop
  • Define and review long term care (LTC) settings
  • Discuss common infections and outbreaks
    associated in LTC
  • Review surveillance in LTC
  • Work collaboratively in groups to review and
    present the elements of an IPC programme in LTC

4
Infection Control in Long Term Care Settings
  • A facility that provides rehabilitative,
    restorative, and/or ongoing skilled care for
    those of all ages in need of assistance with
    activities of daily living
  • nursing homes
  • rehabilitation facilities,
  • Extended care situations behaviour health,
    psychiatric, physical and mental challenges
  • long-term chronic care

5
Infection Control in Long Term Care Settings
  • The differences of Infection Control in a LTC vs.
    Acute Care
  • fewer resources
  • less expertise/increased turnover
  • multiple duties
  • diagnostic facilities
  • residence
  • medical record
  • limited research

6
Infection Control in Long Term Care Settings
  • urinary infections
  • respiratory infections
  • skin and soft tissue infections
  • Outbreaks also occur frequently, and some
    facilities have a high prevalence of colonization
    of residents with antimicrobial-resistant
    organisms.

7
Infection Control in Long Term Care Settings
  • Prevalence of infection documented between 5.4
    and 32.7 per 100 residents per month
  • Infection incidence rates have been documented
    between 1.5 and 9.4 per 1,000 resident days
  • An estimated 1.5 million infections occur
    annually in LTC facilities in the United States
  • Facility-acquired infections account for 30 of
    all hospital admissions from nursing homes
  • Are the most common immediate cause of death in
    nursing home residents
  • NURSING HOMES,  May, 2006  by Linda L. Spaulding

8
Infection Control in Long Term Care Settings
  • 3 yr study looking at respiratory infections in
    Toronto
  • 0.42 infections per 1000 resident-days
  • Outbreaks occurred year round, with no seasonal
    pattern
  • Pneumonia developed in 72 (15)
  • 58 (12) required transfer to hospital
  • The case-fatality rate was 8 (37/480)
  • CMAJ,  April 2000, McGeer et al

9
Infections in residential long term care for the
elderly in Canada, 1994-6
10
Prevalence of infections in Italian long term
care facilities
11
Infection Control in Long Term Care
Settingsquestions you need to ask
  • Who are your patients and what kind of infections
    are they most at risk of?
  • - slide on NH distribution
  • - but it depends on populations
  • Are these infections sporadic, or do they occur
    as outbreaks?
  • What opportunities are there to prevent disease?
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