Evidence map›Paper›PMID 31496454›Full record

ArticleEpidemiology and infection2019

Surveillance of infections in long-term care facilities (LTCFs): The impact of participation during multiple years on health care-associated infection incidence.

A P J Haenen, L P Verhoef, A Beckers, E F Gijsbers, J Alblas, A Huis, M Hulscher, S C de Greeff

Abstract read
In one paragraph

Article in Epidemiology and infection, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Surveillance for Health Care-Associated Infections, Antimicrobial Resistant Organisms and Antimicrobial use in Canadian Long-Term Care Homes: A Cross-Sectional Survey.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. cleanSURFACESFrontiers in cellular and infection microbiology · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. High impact of COVID-19 in long-term care facilities, suggestion for monitoring in the EU/EEA, May 2020.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

A P J HaenenNational Institute for Public Health and the Environment, Centre for Infectious Disease Research, Epidemiology and Surveillance, Bilthoven, The Netherlands.ORCID 0000-0001-5979-0404
L P VerhoefNational Institute for Public Health and the Environment, Centre for Infectious Disease Research, Epidemiology and Surveillance, Bilthoven, The Netherlands.
A BeckersVivium Careg Group, Long-Term Care Facility Naarderheem, Naarden, The Netherlands.
E F GijsbersNational Institute for Public Health and the Environment, Centre for Infectious Disease Research, Epidemiology and Surveillance, Bilthoven, The Netherlands.
J AlblasNational Institute for Public Health and the Environment, Centre for Infectious Disease Research, Epidemiology and Surveillance, Bilthoven, The Netherlands.
A HuisRadboud University Medical Center, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands.
M HulscherRadboud University Medical Center, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands.
S C de GreeffNational Institute for Public Health and the Environment, Centre for Infectious Disease Research, Epidemiology and Surveillance, Bilthoven, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We studied trends in the incidence of health care-associated infections (HAIs) in LTCFs between 2009 and 2015 and determined the effect of participation in our network. Elder-care physicians reported weekly the number of cases of influenza-like illness, gastroenteritis, (probable) pneumonia, urinary tract infections (UTIs) and all-cause mortality. Trends in the incidence of infection and mortality in relation to LTCF characteristics were calculated using multilevel univariate and multivariate logistic regression. Thirty LTCF participated for 3 years or more, 16 for 2 years and the remaining 12 LTCF for 1 year. During the study period, the median number of beds decreased from 158 to 139, whereas the percentage of residents with private bedrooms increased from 14% to 87%. UTIs were the most frequently reported infections, followed by (probable) pneumonia and gastroenteritis. Adjusted for calendar year and season, we observed a statistically significant decrease in the incidence of influenza-like illness (odds ratio (OR) = 0.8, P < 0.01) and (probable) pneumonia (OR = 0.8, P < 0.01) for each extra year an LTCF participated. Although there are other likely contributors, such as more private rooms and enhanced infection control measures, the decreasing trend of HAI in LTCFs participating in surveillance implies that surveillance is a valuable addition to current strategies to optimise infection control.

Indexed as

Epidemiological MonitoringLong-Term CareCross InfectionHealth FacilitiesHumansIncidenceNetherlandsSurvival AnalysisIncidenceinfectious disease epidemiologysurveillance system

Identifiers

PMID31496454
PMCPMC6805744

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.