Infection prevention and antimicrobial stewardship (AMS) in aged care-United States perspective

Professor Patricia Stone

Across the United States there are over 1 million elderly persons living in the 15,700 nursing homes on any given day. These vulnerable residents are particularly susceptible to infections due to multiple reasons. A cross-sectional survey of 990 NHs was conducted and linked to a national data base that contains information about the facility as well as infection control deficiency citations given by the Centers for Medicare & Medicaid Services (CMS) on annual inspections.  One third of NH received an infection control deficiency citation. Weekly/monthly and quarterly infection control committee meetings were held in 61% and 27% of NH, respectively. Staff turnover was high. NH that received deficiency citations were more likely to have infection control committees that met weekly/monthly versus quarterly (p < 0.01).  Infection preventionist (IPs) in 39% of facilities had received specialized training. NHs with trained IPs were more likely to have 5 of the 7 components of antibiotic stewardship in place (all p values < 0.05). With new CMS regulations taking effect in 2016, more research is warranted.

About the College

The ACIPC is the peak body for Infection Prevention and Control professionals in the Australasian region. Our stated vision is the prevention and control of infection in our communities. We commenced in January 2012 bringing together the various State and Territory infection control associations formerly in AICA (The Australian Infection Control Association) to support and encourage collaboration across Australasia.

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