ArticleJournal of the American Medical Directors Association2020
Changes in US Nursing Home Infection Prevention and Control Programs From 2014 to 2018.
Article in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 32 citations in OpenAlex.
- Infection control in long term care institutions for the elderly: A reflection document on the situation in Spain.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023Review
- Long-Term Care and the COVID-19 Pandemic: Lessons Learned.The Nursing clinics of North America · 2023Review
- Reimagining Infection Control in U.S. Nursing Homes in the Era of COVID-19.Journal of the American Medical Directors Association · 2022Article
- Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection.American journal of infection control · 2022Article
- Southeastern United States Predictors of COVID-19 in Nursing Homes.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- Remote Infection Control Assessments of US Nursing Homes During the COVID-19 Pandemic, April to June 2020.Journal of the American Medical Directors Association · 2022Article
- Provider adherence to training components from theContemporary clinical trials communications · 2022Article
- Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline.Journal of the American Geriatrics Society · 2022Article
- Nursing Home Antibiotic Stewardship Policy and Antibiotics Use: 2013-2017.Journal of the American Medical Directors Association · 2022Article
- Infection preventionists' experiences during the first nine months of the COVID-19 pandemic: Findings from focus groups conducted with Association of Professionals in Infection Control & Epidemiology (APIC) members.American journal of infection control · 2021Article
- Rectal Colonization by Drug Resistant Bacteria in Nursing Home Residents in Crete, Greece.Tropical medicine and infectious disease · 2021Article
- Facilitators and challenges experienced by nursing homes enrolling in the CDC national health care safety network.American journal of infection control · 2021Article
- Factors Associated With Antimicrobial Use in Nursing Home Residents With Advanced Dementia.Journal of the American Medical Directors Association · 2021Article
- COVID-19 Preparedness in Nursing Homes in the Midst of the Pandemic.Journal of the American Geriatrics Society · 2020Article
- Root Cause Analysis to Identify Medication and Non-Medication Strategies to Prevent Infection-Related Hospitalizations from Australian Residential Aged Care Services.International journal of environmental research and public health · 2020Article
- Infection prevention and control in nursing homes during COVID-19: An environmental scan.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveBurgeoning rates of antibiotic resistance have resulted in a shift in national focus to improve infection prevention and control programs in US nursing homes (NHs). We sought to evaluate the changes in nursing home infection prevention and control programs over time.
designRetrospective comparative analysis of national nursing home survey data from 2014 and 2018. SETTING AND
participantsWe used survey data from 2 nationally representative samples of US nursing homes (945 NHs in 2014 and 888 in 2018).
methodsThree indices measuring antibiotic stewardship, outbreak control, and urinary tract infection prevention (ranging from 0 to 100) were developed to measure the change in infection prevention and control programs. Multivariable linear regression models were used to identify facility and infection preventionist characteristics associated with each index. Decomposition models were used to identify contributions of factors on the differences in each index over time.
resultsFrom 2014 to 2018, we saw strengthening of antibiotic stewardship practices by 33 percentage points, outbreak control practices by 13 percentage points, and urinary tract infection prevention practices by 6 percentage points. Although we found several predictors of these improvements, much of the improvement was due to the difference in time. CONCLUSIONS AND IMPLICATIONS: Policy mandates and greater national attention are likely important factors in improving nursing home infection prevention and control practices. Further work is needed to evaluate the effect of these programs on resident outcomes.
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