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SHEA/APIC Guideline: Infection Prevention and Control in the Long-Term Care Facility

 

More than 1.5 million residents reside in United States (US) nursing homes. In recent years, the acuity of illness of nursing home residents has increased, and LTCF residents have a risk of developing HAIs that approaches the number seen in acute care hospital patients. A great deal of information has been published concerning infections in the LTCF, and infection control programs are nearly universal in that setting. This position paper reviews the literature on infections and infection control programs in the LTCF.

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February 2006

Volume 27, Number 2
Infect Control Hosp Epidemiol 2006;27:191–194
0899-823X/2006/2702-0014$15.00
DOI: 10.1086/500623
Concise Communication

The Role of Gowns in Preventing Nosocomial Transmission of Methicillin-Resistant Staphylococcus aureus (MRSA): Gown Use in MRSA Control

J. Grant, MDCM, FRCPC;

L. Ramman-Haddad, BScN, CIC;

N. Dendukuri, PhD;

M. D. Libman, MDCM, FRCPC

Drs. Grant and Libman are from the Department of Microbiology, McGill University Health Centre, and Ms. Ramman-Haddad and Dr. Libman are from the Infection Control Service and Ms. Dendukuri is from the Department of Clinical Epidemiology and Community Studies, St. Mary's Hospital Centre, Montreal, Canada.

During a 2-year period, a standard isolation protocol for control of methicillin-resistant Staphylococcus aureus was compared with a similar protocol in which gowns were not used but the availability of alcohol-based hand disinfectant was increased. Intervention wards had 0.10 fewer new MRSA transmissions per ward per month, compared with control wards (P was not significant).

Received March 9, 2005; accepted June 30, 2005; electronically published February 8, 2006.

Address reprint requests to M. Libman, MDCM, Department of Microbiology, Montreal General Hospital, Room A5-165, 1650 Cedar Avenue, Montreal, Canada H3G 1A4 ().

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