Montoya Ana, Mody Lona
University of Michigan, Division of Geriatrics, MI, USA.
Aging health. 2011 Dec;7(6):889-899. doi: 10.2217/AHE.11.80.
Over 1.5 million people live in 16,000 nursing homes in the USA and experience an average of 2 million infections a year. Infections have been associated with high rates of morbidity and mortality, rehospitalization, extended hospital stay and substantial healthcare expenses. Emerging infections and antibiotic-resistant organisms in an institutional environment where there is substantial antimicrobial overuse and the population is older, frailer and sicker, create unique challenges for infection control. This review discusses the common infections, challenges, and a framework for a practical infection prevention program.
在美国，超过150万人居住在16000家养老院中，每年平均发生200万起感染事件。感染与高发病率、高死亡率、再次住院、住院时间延长以及巨额医疗费用相关。在抗菌药物大量滥用且人群年龄更大、身体更虚弱、病情更严重的机构环境中，新出现的感染和耐药菌给感染控制带来了独特的挑战。本综述讨论了常见感染、挑战以及实用的感染预防计划框架。
