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Healthcare Associated Infections II: Preventive Measures01:22

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Infection prevention issues in long-term care.

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  • 1Department of Internal Medicine and Medical Microbiology, Health Sciences Centre, University of Manitoba, Winnipeg, Manitoba, Canada.

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Infections and antimicrobial use are prevalent in long-term care facilities. Implementing infection control and antimicrobial stewardship programs is crucial for resident safety and reducing resistance.

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Area of Science:

  • Gerontology
  • Infectious Diseases
  • Public Health

Background:

  • Long-term care facilities (LTCFs) experience high rates of infections and antimicrobial use.
  • Residents with high acuity and functional disability are at greatest risk.

Purpose of the Study:

  • To review recent literature on infection prevention and control (IPC) in LTCFs.
  • To discuss antimicrobial stewardship (AMS) strategies in LTCFs.

Main Methods:

  • Literature review of recent articles.
  • Analysis of national surveys and international initiatives.

Main Results:

  • Infections remain highly prevalent, particularly in high-acuity residents.
  • Antimicrobial resistance is closely linked to antimicrobial use in LTCFs.
  • Evidence for IPC program efficacy is limited, but AMS programs show promise in reducing inappropriate use.

Conclusions:

  • Preventing endemic infections and antimicrobial resistance in LTCFs requires further investigation.
  • Focus should be on outbreak prevention, standard hygiene, and optimal medical care.
  • Implementation of antimicrobial stewardship programs is recommended.