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Infection Control Programs in Twelve North Carolina Extended Care Facilities

Published online by Cambridge University Press:  02 January 2015

Loraine E. Price ,
Felix A. Sarubbi Jr.  and
William A. Rutala
Loraine E. Price*
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
Felix A. Sarubbi Jr.
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
William A. Rutala
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
*
Division of Infectious Diseases, University of North Carolina School of Medicine, 547 Clinical Sciences Building 229H, Chapel Hill, NC 27514
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Abstract

To assess the scope of infection control programs in extended care facilities, 1-day surveys were conducted in 12 North Carolina facilities over an 8-month period using a standardized questionnaire. All 12 facilities had a designated infection control practitioner (ICP), although none had attended an infection control education course. Eleven had an Infection Control Committee of which 8 (73%) met regularly. The Director of Nurses generally (58%) was the ICP and spent about 2 hr/wk on infection control. Ten (83%) facilities conducted infection surveillance among residents but did not accurately compute nosocomial infection rates. Eleven (92%) facilities had employee health programs that included preemployment and annual tuberculosis screening. None had a comprehensive resident health program. Infection control aspects of patient care practices often varied from facility to facility. Nosocomial infection surveillance among 336 residents in 9 facilities using modified CDC criteria revealed an overall prevalence rate of 5.4%. Additional infections were suspected but not included because of limitations of laboratory data and chart documentation.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 6 , Issue 11 , November 1985 , pp. 437 - 441
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1985

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References

1. Kovar, MG: Health of the elderly and use of health services. Public Health Rep 1977;92:9–19.Google ScholarPubMed
2. Smith, PW (ed): Infection Control in Long-Term Care Facilities. New York, John Wiley and Sons, 1984.CrossRefGoogle Scholar
3. Magnussen, MH, Robb, SS: Nosocomial infections in a long-term care facility. Am J Infect Control 1980;8:12–17.CrossRefGoogle ScholarPubMed
4. Garibaldi, RA, Brodine, S, Matsumiya, S: Infections among patients in nursing homes: Policies, prevalence and problems. N Engl J Med 1981;305:731–735.CrossRefGoogle ScholarPubMed
5. Cohen, ED, Hierholzer, WJ, Schilling, CR, et al: Nosocomial infections in skilled nursing facilities: A preliminary study. Public Health Rep 1979;94:162–166.Google Scholar
6. Lester, MR: Looking inside 101 nursing homes. Am J Nurs 1964;64:111–116.Google ScholarPubMed
7. Gross, PA, Rapuano, C, Adrignolo, A, et al: Nosocomial infections: Decade-specific risk. Infect Control 1983;4:145–147.CrossRefGoogle ScholarPubMed
8. American Health Care Association: Infection Control in Long-Term Care Facilities: An Administrative Guide. Washington, DC, 1983.Google Scholar
9. Heaton, WH: Health Care Facilities: Infection Control Isolation Techniques Policy and Procedure Manual. Albertville, GA, Heaton Publishing Co, 1983.Google Scholar
10. Recommendations for Establishing and Maintaining an Effective Infection Control Program in Nursing Homes. Norwalk, The Purdue Frederick Company, 1975.Google Scholar
11. US Dept. of Health and Human Services: Outline for Suiveillance and Control of Nosocomial Infections. Atlanta, Centers for Disease Control, 1976.Google Scholar
12. Rules and Regulations for the Licensing of Nursing Homes and Home for the Aged Beds When Licensed as a Part of a Nursing Home. Raleigh, North Carolina Department of Human Resources, 1983.Google Scholar
13. Infection Control in the Hospital, ed 4. Chicago, American Hospital Association; 1979, pp 61–65.Google Scholar
14. Tuberculosis Control Policies and Procedures. Raleigh, North Carolina Department of Human Resources, 1984, pp 63–65.Google Scholar
15. Centers for Disease Control: Impact of influenza on a nursing home population—New York. MMWR 1983;32:32–34.Google Scholar
16. Hall, WN, Goodman, RA, Noble, GR, et al: An outbreak of influenza B in an elderly population. J Infect Dis 1981;144:297–302.CrossRefGoogle Scholar
17. Mathur, U, Bentley, DW, Hall, CB: Concurrent respiratorv syncytial virus and influenza A infections in the institutionalized elderlv and chronically ill. Ann Intern Med 1980;93:49–52.CrossRefGoogle Scholar
18. Stead, WW: Tuberculosis among elderly persons: An outbreak in a nursing home. Ann Intern Med 1981;94:606–610.CrossRefGoogle ScholarPubMed
19. Centers for Disease Control: Tuberculosis—North Dakota. MMWR 1979;27:523–525.Google Scholar
20. Centers for Disease Control: Tuberculosis—United States, 1983. MMWR 1984;33:412–413.Google Scholar
21. Thompson, NJ, Glassroth, JL, Snider, DE, et al: The booster phenomenon in serial tuberculin testing. Am Rev Respir Dis 1979;119:587–597.Google ScholarPubMed
22. Centers for Disease Control: Recommendation of the immunization practices advisory committee (ACIP): Influenza vaccines, 1983-1984. MMWR 1983;32:333–337.Google Scholar
23. Centers for Disease Control: Recommendation of the immunization practices advisory committee (ACIP): Pneumococcal polysaccharide vaccine usage—United States. MMWR 1984;33:273-276, 281.Google Scholar
24. Barker, WH, Mullooly, JP: Influenza vaccination of elderly persons: Reductions in pneumonia and influenza hospitalizations and deaths. JAMA 1980;244:2547–2549.CrossRefGoogle ScholarPubMed
25. Patriarca, PA, Weber, JA, Parker, RA, et al: Efficacy of influenza vaccine in nursing homes: Reduction in illness and complications during an influenza (H3N2) epidemic. JAMA 1985;253:1136–1139.CrossRefGoogle ScholarPubMed
26. Stamm, WE: Infectious diseases: Urinary tract infections, in Soule, BM (ed): The APIC Curriculum for Infection Control Practice. Dubuque, Kendall/Hunt Publ Co, 1983, pp 258–262.Google Scholar
27. Soule, BM, Thomas, DJ: Patient care practices: Genitourinary system, in Soule, BM (ed): The APIC Curriculum for Infection Control Practice. Dubuque, Kendall/Hunt Publ Co. 1983, pp 655–674.Google Scholar
28. Burke, JP, Garibaldi, RA, Britt, MR, et al: Prevention of catheter-associated urinary tract infections: Efficacy of daily meatal care regimens, in Dixon, RF. (ed): Nosocomial Infections: Proceedings of the 2nd International Conference on Nosocomial Infections, Atlanta, August 4-8, 1980. New York, Yorke Medical Books, 1981, pp 95–98.Google Scholar
29. Warren, JW, Platt, R, Thomas, RJ, et al: Antibiotic irrigation and catheter-associated urinary tract infections. N Engl J Med 1978;299:570–573.CrossRefGoogle ScholarPubMed
30. Garibaldi, RA: Hospital acquired urinary tract infection, in Wenzel, RP (ed): CRC Handbook of Hospital Acquired Infections. Boca Raton, CRC Press, Inc. 1981, pp 513–537.Google Scholar