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Santiago Deleon Toledo M.D., Ariane An PHARM. D., Fawn Takemoto PHARM. D. & Dean C. Norman M.D.

In: Improving Care in the Nursing Home: Comprehensive Reviews of Clinical Research

Chapter 3: Infections and Infection Control

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Infections and Infection Control
Infections and infection control
ArianeAnPHARM. D.
FawnTakemotoPHARM. D.

Infections are a major cause of morbidity and mortality and a leading cause of acute care hospitalization for nursing home (NH) residents (29,25,59). Over 1.5 million infections occur annually in the long-term care setting, and the risk of acquiring an infection in a NH approaches that of an acute care hospital (27). Despite the magnitude of this problem, the existing literature is relatively sparse and problematic. This is because standard methods for both defining and reporting infections have not been clearly established and accepted. Similarly, clinically detailed process criteria for the management of infections in NHs also have not been established.

Other problems further complicate evaluation of the existing NH infection literature. First, surveillance periods vary, and ...

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