A targeted infection prevention intervention in nursing home residents with indwelling devices: a randomized clinical trial.

ABSTRACT:

Importance

Indwelling devices (eg, urinary catheters and feeding tubes) are often used in nursing homes (NHs). Inadequate care of residents with these devices contributes to high rates of multidrug-resistant organisms (MDROs) and device-related infections in NHs.

Objective

To test whether a multimodal targeted infection program (TIP) reduces the prevalence of MDROs and incident device-related infections.

Design, setting, and participants

Randomized clinical trial at 12 community-based NHs from May 2010 to April 2013. Participants were high-risk NH residents with urinary catheters, feeding tubes, or both.

Interventions

Multimodal, including preemptive barrier precautions, active surveillance for MDROs and infections, and NH staff education.

Main outcomes and

SUBMITTER: Mody L 

PROVIDER: S-EPMC4420659 | biostudies-literature | 2015 May

REPOSITORIES: biostudies-literature