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How much time should long-term care and geriatric rehabilitation facilities (nursing homes) spend on infection
Peterhans J van den Broek1, Herman J M Cools, Mireille Wulf
1Department of Infectious Diseases, Leiden University Medical Centre, Leiden, The Netherlands. p.j.van_den_broek@lumc.nl
Background:
For hospitals, standards for the required number of infection control personnel are outdated and disputed. Such standards are not even available for long-term care and geriatric rehabilitation facilities (ie, nursing homes). This study addressed the question of how much time nursing homes should spend on infection control.
Methods:
Through group discussions and individual sessions, experienced infection control practitioners, medical microbiologists, and nursing home doctors evaluated the time needed to perform infection control activities in a model nursing home.
Results:
The number of hours needed was estimated as 513 per 100 beds, or 154 per 10,000 care-days per year.
Conclusion:
Given that significant differences can be expected among the various facilities identified as nursing homes, long-term care facilities, or geriatric rehabilitation centers, as well as among countries, the standard that we propose for The Netherlands will not be generally applicable. However, the method we have used to determine this standard can be easily applied in other countries and settings.
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