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Infection control practices in Connecticut's skilled nursing facilities
D A Pearson1, P J Checko, W J Hierholzer
1Department of Health Management and Policy, School of Health and Human Services, University of New Hampshire, Durham 03824.
American Journal of Infection Control
|August 1, 1990
Summary
Skilled nursing homes in Connecticut widely use surveillance and written criteria for nosocomial infections. While most have employee health programs, their benefits appear limited, indicating areas for improvement in infection control.
Area of Science:
- Healthcare Management
- Infectious Disease Control
- Public Health
Background:
- Nosocomial infections pose a significant risk in skilled nursing facilities.
- Effective infection control programs are crucial for resident safety and facility operations.
- Understanding current practices is essential for identifying gaps and improving care.
Purpose of the Study:
- To describe surveillance, isolation, control measures, and employee health activities in Connecticut skilled nursing homes.
- To assess the current state of infection control practices within these facilities.
Main Methods:
- Surveys were distributed to all skilled nursing homes in Connecticut.
- Data collected focused on infection surveillance, isolation protocols, control measures, and employee health initiatives.
- Statistical analysis was performed to identify associations, such as facility size and control measures.
Main Results:
- All facilities conducted surveillance for nosocomial infections, with most using written criteria and weekly or daily monitoring.
- Microbiology reports and charge nurse information were primary data sources for infection reporting.
- Two-thirds had policies on isolation practices, and 38% had residents under isolation precautions; routine urinary catheter changes were linked to facility size.
- Over 90% reported employee health programs, but their impact was limited.
Conclusions:
- Connecticut skilled nursing homes demonstrate robust surveillance for nosocomial infections.
- Policies regarding isolation practices are common, but implementation varies.
- Employee health programs are widespread but may not be fully effective, suggesting a need for enhanced strategies.