Nurse-reported infections in a long term care facility

C W Smith1

  • 1Family Practice Residency Miami Valley Hospital.

Family Practice Research Journal
|January 1, 1986
PubMed

Insights

Nursing home infections are common, with urinary tract infections (UTIs) being most frequent. Proteus and E. Coli were common UTI pathogens, highlighting the need for targeted prevention strategies.

Area of Science:

  • Gerontology
  • Infectious Diseases
  • Healthcare Epidemiology

Background:

  • Nursing homes harbor significant infectious disease burdens.
  • Nurse-reported data offers valuable insights into infection epidemiology.

Purpose of the Study:

  • To characterize the types and pathogens of infectious episodes in a nursing home population.
  • To identify patterns of infection recurrence and culture practices.

Main Methods:

  • Analysis of 350 nurse-reported infectious episodes over two years.
  • Microbial identification from cultures for urinary, respiratory, and skin infections.

Main Results:

  • Urinary tract infections (UTIs) were most common, followed by respiratory and skin infections.
  • Common pathogens included Proteus and E. Coli (urinary), Proteus (respiratory), and Staph Aureus (skin).
  • Recurrence rates were substantial, particularly for skin (39%) and urinary (38%) infections.

Conclusions:

  • Infectious episodes, especially UTIs, are a significant issue in nursing homes.
  • Understanding common pathogens and recurrence is crucial for developing effective prevention strategies.

Related Concept Videos

Current Trends in Nursing I01:28

Current Trends in Nursing I

Current trends in nursing include:
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Nurses' Legal Responsibilities II01:23

Nurses' Legal Responsibilities II

Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and patients...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...