Jump Robin L P, Donskey Curtis J
Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio ; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western, Reserve University, Cleveland, Ohio.
Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio ; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western, Reserve University, Cleveland, Ohio ; Research Service, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio.
Curr Geriatr Rep. 2015 Mar;4(1):60-69. doi: 10.1007/s13670-014-0108-3.
Residents of long-term care facilities are at high risk for infection due to frequent antibiotic exposure in a population already rendered vulnerable to infection due to advanced age, multiple comorbid conditions and communal living conditions. Moreover, asymptomatic carriage of toxigenic and recurrent infections are prevalent in this population. Here, we discuss epidemiology and management of infection among residents of long-term care facilities. Also, recognizing that both the population and culture differs significantly from that of hospitals, we also address prevention strategies specific to LTCFs.
长期护理机构的居民由于年事已高、多种合并症以及集体生活条件,本身就容易感染,又因频繁接触抗生素,感染风险很高。此外,该人群中产生毒素的无症状携带和反复感染很普遍。在此,我们讨论长期护理机构居民感染的流行病学和管理。同时,认识到该人群和文化与医院有很大不同,我们还探讨了长期护理机构特有的预防策略。