Challenges and Strategies for Prevention of Multidrug-Resistant Organism Transmission in Nursing Homes

被引：73

作者：

Dumyati, Ghinwa ^{[1
,2
]}

Stone, Nimalie D. ^{[3
]}

Nace, David A. ^{[4
]}

Crnich, Christopher J. ^{[5
,6
,7
,8
]}

Jump, Robin L. P. ^{[5
,6
,7
,8
]}

机构：

[1] Univ Rochester, Infect Dis Div, 46 Prince St, Rochester, NY 14607 USA

[2] Univ Rochester, Ctr Community Hlth, 46 Prince St, Rochester, NY 14607 USA

[3] Ctr Dis Control & Prevent, Div Healthcare Qual Promot, 1600 Clifton Rd, Atlanta, GA 30329 USA

[4] Univ Pittsburgh, Sch Med, Dept Med, Div Geriatr Med, 3471 Fifth Ave,Kaufman Med Bldg,Suite 500, Pittsburgh, PA 15213 USA

[5] Univ Wisconsin, Madison, WI USA

[6] William Middleton Mem Vet Hosp, GRECC, 2500 Overlook Terrace, Madison, WI 53705 USA

[7] Case Western Reserve Univ, Cleveland, OH 44106 USA

[8] Louis Stokes Cleveland Vet Affairs Med Ctr, GRECC, 10701 East Blvd, Cleveland, OH 44106 USA

来源：

CURRENT INFECTIOUS DISEASE REPORTS | 2017年 / 19卷 / 04期

基金：

美国医疗保健研究与质量局;

关键词：

Nursing home; Infection prevention and control; Methicillin-resistant Staphylococcus aureus; Multidrug-resistant organisms; Clostridium difficile; LONG-TERM-CARE; CLOSTRIDIUM-DIFFICILE INFECTION; STAPHYLOCOCCUS-AUREUS MRSA; CARBAPENEMASE-PRODUCING ENTEROBACTERIACEAE; KLEBSIELLA-PNEUMONIAE; ANTIBIOTIC-RESISTANCE; ISOLATION PRECAUTIONS; ORANGE-COUNTY; HAND HYGIENE; FACILITIES;

D O I：

10.1007/s11908-017-0576-7

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Purpose of Review Nursing home residents are at high risk for colonization and infection with bacterial pathogens that are multidrug-resistant organisms (MDROs). We discuss challenges and potential solutions to support implementing effective infection prevention and control practices in nursing homes. Recent Findings Challenges include a paucity of evidence that addresses MDRO transmission during the care of nursing home residents, limited staff resources in nursing homes, insufficient infection prevention education in nursing homes, and perceptions by nursing home staff that isolation and contact precautions negatively influence the well being of their residents. Summary A small number of studies provide evidence that specifically address these challenges. Their outcomes support a paradigm shift that moves infection prevention and control practices away from a pathogen-specific approach and toward one that focuses on resident risk factors.

引用

页数：9

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