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Non-respiratory infections – specific considerations in care homes

Ewan, Victoria; Gordon, Adam

Authors

Victoria Ewan victoria.ewan@newcastle.ac.uk

ADAM GORDON Adam.Gordon@nottingham.ac.uk
Professor of The Care of Older People



Abstract

This review provides an update on current evidence surrounding the epidemiology, treatment and prevention of non-respiratory infections in care homes. It covers urinary tract infection (UTI), methicillin-resistant staphylococcus aureus (MRSA), decubitus ulcers, scabies, tinea infections and viral and bacterial gastroenteritis. The care home sector provides a unique ecological niche for infections, housing frail older people with multiple co-morbidities and frequent contact with healthcare services in a semi-closed environment. This leads to differences in the diagnosis and management of infections – particularly of outbreaks – when compared with community-dwelling counterparts. It is essential that care home staff play a role in the early recognition, isolation and treatment of infections but they are often not trained as healthcare professionals – this presents a challenge to systematised response. Effective interface between care homes, public health and infection control services are essential to the delivery of care, yet it is not clear how most-effectively to structure such links.

Citation

Ewan, V., & Gordon, A. Non-respiratory infections – specific considerations in care homes. Reviews in Clinical Gerontology,

Journal Article Type Article
Deposit Date Oct 12, 2010
Journal Reviews in Clinical Gerontology
Print ISSN 0959-2598
Electronic ISSN 0959-2598
Publisher Cambridge University Press (CUP)
Peer Reviewed Not Peer Reviewed
Keywords Nursing homes, residential facilities, Homes for the Aged, Infection, Infection Control
Public URL http://eprints.nottingham.ac.uk/id/eprint/1346
Publisher URL http://journals.cambridge.org/action/displayJournal?jid=RCG
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf

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Non-resp_eprints_version.pdf (247 Kb)
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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