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Issues in the Management of Resistant Bacteria in Long-Term–Care Facilities

Published online by Cambridge University Press:  02 January 2015

Suzanne F. Bradley
Suzanne F. Bradley*
Affiliation:
Divisions of Geriatric Medicine and Infectious Disease, Department of Internal Medicine, Veterans' Affairs Health Systems, University of Michigan Medical School, Ann Arbor, Michigan
*
GRECC UG, Veterans'Affairs Health Systems, 2215 Fuller Rd, Ann Arbor, MI 48105
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Abstract

The prevalence of antibiotic-resistant bacteria in the long-term–care setting and the risk to nursing home residents is still unknown. Few studies have been done in community-based nursing homes, and most have focused on colonization rather than infection rates. Concerns about methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci have been expressed most often, while relatively scant attention has been paid to the problem of antibiotic resistance in gram-negative bacilli. Antibiotic resistance precautions need to be developed for nursing homes that are simple, effective, inexpensive, and recognize the unique rehabilitative and long-term custodial missions of chronic-care facilities.

Type
Topics in Long-Term Care
Information
Infection Control & Hospital Epidemiology , Volume 20 , Issue 5 , May 1999 , pp. 362 - 366
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

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