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Conjunctivitis in a long-term care facility

E Boustcha1, L E Nicolle

  • 1Section of Geriatric Medicine, Riverview Health Centre, Winnipeg, Manitoba, Canada.

Infection Control and Hospital Epidemiology
|April 1, 1995
PubMed
Summary
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Conjunctivitis is common in long-term care facilities, especially in more impaired residents. Bacterial infection is often not the cause, indicating a need for better management strategies.

Area of Science:

  • Infectious Diseases
  • Ophthalmology
  • Geriatrics

Background:

  • Conjunctivitis is a frequent ocular infection.
  • Understanding its epidemiology in long-term care facilities (LTCFs) is crucial for resident health.

Purpose of the Study:

  • To determine the prevalence, incidence, and causes of conjunctivitis in LTCF residents.
  • To identify risk factors and patterns of conjunctivitis within the facility.

Main Methods:

  • Prospective surveillance of conjunctivitis episodes over two 6-month periods.
  • Data collected from a 319-bed multipurpose LTCF with diverse patient units.

Main Results:

  • Incidence varied by unit (0.6-3.5 per 1,000 patient-days).

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  • Higher rates observed in one building and among more impaired patients.
  • Bacterial pathogens identified in a minority of acute cases (21-38%); Staphylococcus aureus most common.
  • Chronic conjunctivitis often linked to pre-existing conditions like glaucoma or eyelid abnormalities.

    • Conclusions:

    • Conjunctivitis is prevalent in this LTCF, particularly in residents with severe impairments.
    • The majority of cases may not be bacterial, suggesting non-infectious etiologies or viral causes.
    • Optimal management strategies for conjunctivitis in this population require further investigation.