Infectious disease outbreaks in nursing homes: An unappreciated hazard for frail elderly persons

Infectious disease outbreaks in nursing homes: An unappreciated hazard for frail elderly persons
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DOI:
10.1086/368197
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发表时间:
2003-04-01
影响因子:
11.8
通讯作者:
Joseph, CL
Joseph, CL
中科院分区:
医学1区
文献类型:
--
作者:
Strausbaugh, LJ;Sukumar, SR;Joseph, CL

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养老院中传染病暴发的常见情况和可怕后果往往得不到承认和重视。然而,这些设施为感染的获得和传播提供了理想的环境:在拥挤的机构环境中共享空气、食物、水和卫生保健来源的易感居民。此外,来访者、工作人员和居民不断来往,带来了来自医院和社区的病原体。在这种情况下,呼吸道和胃肠道感染的暴发占主导地位,但皮肤和软组织感染的暴发以及由抗菌素耐药细菌引起的感染也有一定的频率。
The common occurrence and dire consequences of infectious disease outbreaks in nursing homes often go unrecognized and unappreciated. Nevertheless, these facilities provide an ideal environment for acquisition and spread of infection: susceptible residents who share sources of air, food, water, and health care in a crowded institutional setting. Moreover, visitors, staff, and residents constantly come and go, bringing in pathogens from both the hospital and the community. Outbreaks of respiratory and gastrointestinal infection predominate in this setting, but outbreaks of skin and soft-tissue infection and infections caused by antimicrobial-resistant bacteria also occur with some frequency.