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Infection control programs in skilled nursing long-term care facilities: an assessment, 1995

B A Goldrick1

  • 1Georgetown University School of Nursing, Washington, DC, USA.

American Journal of Infection Control
|February 9, 1999
PubMed
Summary
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Long-term care facilities (LTCFs) show improved infection control program activity since 1989. However, infection rates remain high, indicating a need for enhanced infection surveillance and control strategies in skilled nursing facilities.

Area of Science:

  • Healthcare Management
  • Infection Control
  • Public Health

Background:

  • Long-term care facilities (LTCFs) were mandated to have infection control programs in 1989.
  • Limited data exist to guide the design of effective LTCF infection control programs.

Purpose of the Study:

  • To assess the current status of infection control programs in skilled nursing LTCFs.
  • To adapt and apply methodology from the Centers for Disease Control and Prevention Study on the Efficacy of Nosocomial Infection Control.

Main Methods:

  • A descriptive study was conducted in 136 skilled nursing LTCFs in New England.
  • A self-report Infection Surveillance and Control Questionnaire was utilized.

Main Results:

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  • Infection control programs showed increased activity from 1988 to 1994.
  • Surveillance and control indices indicated medium activity levels.
  • An estimated infection rate of 13.97 per 1000 resident-days was calculated, higher than previously reported.

    • Conclusions:

    • Methodology adapted from CDC's Study on the Efficacy of Nosocomial Infection Control is feasible for assessing LTCF infection control.
    • Further research is necessary to evaluate the efficacy of nosocomial infection control in skilled nursing LTCFs.