Strategies to improve outcomes in nursing home residents with modifiable risk factors for respiratory tract infections
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Contributor(s):
- Bradley, Sharon. Pennsylvania. Patient Safety Authority. ECRI (Organization) Institute for Safe Medication Practices.
- Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2011
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Nursing Homes -- organization & administration Outcome Assessment (Health Care) Respiratory Tract Infections -- prevention & control Risk Factors Deglutition Disorders -- diagnosis Evidence-Based Medicine Immunization Programs Influenza Vaccines Influenza, Human -- immunology Long-Term Care Oral Hygiene Respiratory Tract Infections -- epidemiology Respiratory Tract Infections -- mortality Humans Pennsylvania United States
- Genre(s):
- Technical Report
- Abstract:
- Pneumonia and other lower respiratory tract infections (LRTIs) are the second most common infections among nursing home residents and the leading cause of death from infections in the long-term care setting. From January through June 2011, the monthly average number of reported LTRIs in Pennsylvania nursing homes increased by 6.4%, and the number of influenza-like Illnesses (ILIs) increased by 28.2%, compared to the first 6 months of 2010. Poor oral care, aspiration due to swallowing difficulty, and inadequate vaccination programs are modifiable risk factors for ILI and LRTI. Pennsylvania Patient Safety Authority analysis found that Pennsylvania nursing homes with mandatory programs in place showed 21.5% lower combined seasonal LRTI/ILI infection rates and 42% lower mortality rates than nursing homes without mandatory programs. Approaches to integrate evidence-based strategies into clinical practice include a structured prevention program that targets intensive oral hygiene, identification of dysphagia, implementation of aspiration prevention protocols, and a commitment to implement a universal influenza vaccination program.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (pages 131-137))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101574104 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101574104