Principles of infection control in long-term care facilities
- Michael J Richards, MD, FRACP
Michael J Richards, MD, FRACP
- The Royal Melbourne Hospital
- Victoria, Australia
- Rhonda L Stuart, MBBS, FRACP, PhD
Rhonda L Stuart, MBBS, FRACP, PhD
- Infectious Diseases Physician, Medical Director Infection Control
- Monash Health
Long-term care facilities (LTCFs) represent a diverse group of healthcare settings that serve individuals of all ages and provide variable degrees of care; LTCFs are increasingly addressing a broader range of acute care needs. LTCFs include nursing homes, skilled-nursing facilities providing postacute care, assisted living facilities, retirement homes, rehabilitation centers, long-term care hospitals, long-term psychiatric facilities, and institutions for individuals with intellectual disabilities. For many residents, these facilities are a home as well as a place of nursing, medical, and/or psychosocial care.
The Association for Practitioners in Infection Control and the Society for Hospital Epidemiology have developed guidelines for infection prevention and control in LTCFs .
Staffing and support for infection control in LTCFs lag behind infection control programs in acute care hospitals [2-6]. Challenges to infection control in LTCFs include high patient-staff ratios, high staff turnover, and inadequate implementation of infection control policies .
Issues related to infection prevention and control in LTCFs will be reviewed here. Causes of infection in LTCFs facilities are discussed separately. (See "Causes of infection in long-term care facilities: An overview".)
The United States population >65 years and over increased from 36.6 million to 47.8 million between 2005 and 2015 and is projected to increase to 98 million by 2060. Around 3 percent of the population >65 years in the United States lived in institutional settings in 2015. .To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- ELEMENTS OF INFECTION CONTROL
- Surveillance for infection
- Prevention of infection
- - Residents
- - Healthcare workers
- - Visitors
- - Standard precautions
- - Isolation precautions
- Antimicrobial stewardship
- Bundled interventions
- ADDITIONAL RESOURCES
- SOCIETY GUIDELINE LINKS