Multidrug-Resistant Organism Infections in US Nursing Homes: A National Study of Prevalence, Onset, and Transmission across Care Settings, October 1, 2010-December 31, 2011. Kahvecioglu, D., Ramiah, K., McMaughan, D., Garfinkel, S., McSorley, V., E., Nguyen, Q., N., Yang, M., Pugliese, C., Mehr, D., & Phillips, C., D. Infection Control And Hospital Epidemiology: The Official Journal Of The Society Of Hospital Epidemiologists Of America, 35 Suppl 3:S48-S55, University of Chicago Press, 2014.
Multidrug-Resistant Organism Infections in US Nursing Homes: A National Study of Prevalence, Onset, and Transmission across Care Settings, October 1, 2010-December 31, 2011 [link]Website  abstract   bibtex   
Objective. To understand the prevalence of multidrug-resistant organism (MDRO) infections among nursing home (NH) residents and the potential for their spread between NHs and acute care hospitals (ACHs). Methods. Descriptive analyses of MDRO infections among NH residents using all NH residents in the Long-Term Care Minimum Data Set (MDS) 3.0 between October 1, 2010 and December 31, 2011. Results. Analysis of MDS data revealed a very high volume of bidirectional patient flow between NHs and ACHs, indicating the need to study MDRO infections in NHs as well as in hospitals. A total of 4.24% of NH residents had an active MDRO diagnosis on at least 1 MDS assessment during the study period. This rate significantly varied by sex, age, urban/rural status, and state. Approximately 2% of NH discharges to ACHs involved a resident with an active diagnosis of infection due to MDROs. Conversely, 1.8% of NH admissions from an ACH involved a patient with an active diagnosis of infection due to MDROs. Among residents who acquired an MDRO infection during the study period, 57% became positive in the NH, 41% in the ACH, and 2% in other settings (eg, at a private home or apartment). Conclusion. Even though NHs are the most likely setting where residents would acquire MDROs after admission to an NH (accounting for 57% of cases), a significant fraction of NH residents acquire MDRO infection at ACHs (41%). Thus, effective MDRO infection control for NH residents requires simultaneous, cooperative interventions among NHs and ACHs in the same community. ;
@article{
 title = {Multidrug-Resistant Organism Infections in US Nursing Homes: A National Study of Prevalence, Onset, and Transmission across Care Settings, October 1, 2010-December 31, 2011},
 type = {article},
 year = {2014},
 identifiers = {[object Object]},
 pages = {S48-S55},
 volume = {35 Suppl 3},
 websites = {http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=25222898&site=ehost-live&scope=site},
 publisher = {University of Chicago Press},
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 notes = {ID: 25222898; Accession Number: 25222898. Language: English. Date Created: 20140916. Update Code: 20140916. Publication Type: Journal Article. Journal ID: 8804099. Publication Model: Print. Cited Medium: Internet. NLM ISO Abbr: Infect Control Hosp Epidemiol. Linking ISSN: 0899823X. Subset: In-Data-Review; IM; N; Date of Electronic Publication: 20141001. Current Imprints: Publication: 2006- : Chicago, Ill. : University of Chicago Press; Original Imprints: Publication: Thorofare, N.J. : SLACK Inc., c1988-},
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 abstract = {Objective. To understand the prevalence of multidrug-resistant organism (MDRO) infections among nursing home (NH) residents and the potential for their spread between NHs and acute care hospitals (ACHs). Methods. Descriptive analyses of MDRO infections among NH residents using all NH residents in the Long-Term Care Minimum Data Set (MDS) 3.0 between October 1, 2010 and December 31, 2011. Results. Analysis of MDS data revealed a very high volume of bidirectional patient flow between NHs and ACHs, indicating the need to study MDRO infections in NHs as well as in hospitals. A total of 4.24% of NH residents had an active MDRO diagnosis on at least 1 MDS assessment during the study period. This rate significantly varied by sex, age, urban/rural status, and state. Approximately 2% of NH discharges to ACHs involved a resident with an active diagnosis of infection due to MDROs. Conversely, 1.8% of NH admissions from an ACH involved a patient with an active diagnosis of infection due to MDROs. Among residents who acquired an MDRO infection during the study period, 57% became positive in the NH, 41% in the ACH, and 2% in other settings (eg, at a private home or apartment). Conclusion. Even though NHs are the most likely setting where residents would acquire MDROs after admission to an NH (accounting for 57% of cases), a significant fraction of NH residents acquire MDRO infection at ACHs (41%). Thus, effective MDRO infection control for NH residents requires simultaneous, cooperative interventions among NHs and ACHs in the same community. ;},
 bibtype = {article},
 author = {Kahvecioglu, Daver and Ramiah, Kalpana and McMaughan, Darcy and Garfinkel, Steven and McSorley, Veronica E and Nguyen, Quy Nhi and Yang, Manshu and Pugliese, Christopher and Mehr, David and Phillips, Charles D},
 journal = {Infection Control And Hospital Epidemiology: The Official Journal Of The Society Of Hospital Epidemiologists Of America}
}
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