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Guidelines for infection control in nursing homes: a Delphi consensus web-based survey.

K Chami¹, G Gavazzi, B de Wazières

¹AP-HP, Charles-Foix University Hospital, Observatoire du Risque Infectieux en Gériatrie (Geriatric Infection Risk Monitoring Organisation), Ivry sur Seine, France. kathleen.chami@ehesp.fr

The Journal of Hospital Infection

|July 2, 2011

Summary

Consensus guidelines were developed to prevent infections in nursing home residents. Implementing these infection control procedures can reduce infections in the frail elderly.

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Area of Science:

Infectious Diseases
Geriatrics
Public Health

Background:

Nursing homes are high-risk environments for infection transmission among vulnerable elderly residents.
Effective infection prevention strategies are crucial to reduce morbidity and mortality in this population.

Purpose of the Study:

To develop consensus-based guidelines for preventing infections in nursing home residents.
To establish evidence-based recommendations for infection control in geriatric care settings.

Main Methods:

A two-round, web-based Delphi procedure involving 81 experts in infection prevention, control, and geriatrics.
Systematic literature review to identify preliminary recommendations, followed by expert rating and consensus building.

Main Results:

A total of 264 recommendations were evaluated, with 240 reaching consensus and 24 reaching near consensus.
The developed guidelines aim to reduce the incidence of preventable infections in frail elderly individuals.

Conclusions:

Many infections in the elderly are preventable through the implementation of standardized infection control procedures.
These consensus guidelines provide a framework for healthcare professionals and facilities to enhance infection prevention in nursing homes.