The Role of the Medical Director as a Leader in a Long-Term Care Facility: A Leadership Intervention Study

2008 ◽  
Vol 9 (3) ◽  
pp. B27
Author(s):  
Jennifer L. Dalessandro ◽  
Susan Gilster
Keyword(s):  
Long Term Care ◽  
Intervention Study ◽  
Care Facility ◽  
Medical Director ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Leadership Intervention

A Norovirus Outbreak at a Long-Term-Care Facility: The Role of Environmental Surface Contamination

2005 ◽  
Vol 26 (10) ◽  
pp. 802-810 ◽  
Author(s):  
Henry M. Wu ◽  
Mary Fornek ◽  
Kellogg J. Schwab ◽  
Amy R. Chapin ◽  
Kristen Gibson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Long Term Care ◽  
Care Facility ◽  
Rt Pcr ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Environmental Surface

AbstractBackground:The role of environmental surface contamination in the propagation of norovirus outbreaks is unclear. An outbreak of acute gastroenteritis was reported among residents of a 240-bed veterans long-term-care facility.Objectives:To identify the likely mode of transmission, to characterize risk factors for illness, and to evaluate for environmental contamination in this norovirus outbreak.Methods:An outbreak investigation was conducted to identify risk factors for illness among residents and employees. Stool and vomitus samples were tested for norovirus by reverse transcription polymerase chain reaction (RT-PCR). Fourteen days after outbreak detection, ongoing cases among the residents prompted environmental surface testing for norovirus by RT-PCR.Results:One hundred twenty-seven (52%) of 246 residents and 84 (46%) of 181 surveyed employees had gastroenteritis. Case-residents did not differ from non-case-residents by comorbidities, diet, room type, or level of mobility. Index cases were among the nursing staff. Eight of 11 resident stool or vomitus samples tested positive for genogroup II norovirus. The all-cause mortality rate during the month of the outbreak peak was significantly higher than the expected rate. Environmental surface swabs from case-resident rooms, a dining room table, and an elevator button used only by employees were positive for norovirus. Environmental and clinical norovirus sequences were identical.Conclusion:Extensive contamination of environmental surfaces may play a role in prolonged norovirus outbreaks and should be addressed in control interventions.

An Outbreak of Scabies in a Long-Term Care Facility: The Role of Misdiagnosis and the Costs Associated With Control

2006 ◽  
Vol 27 (5) ◽  
pp. 517-518 ◽  
Author(s):  
Gretha de Beer ◽  
Mark A. Miller ◽  
Lucie Tremblay ◽  
Johanne Monette
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
The Other ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Short Period ◽  
Negative Publicity

In August 2003, an outbreak of scabies was detected in a Canadianlong-term care facility. The outbreak was likely associated with 2index cases, 1 involving classic scabies and the other involving Norwegian scabies. The scabies control costs totaled CDN$200,000, and the facility received negative publicity for a short period after the outbreak.

Role of Acid-Suppressing Medications During a Sustained Outbreak of Salmonella Enteritidis Infection in a Long-Term Care Facility

2007 ◽  
Vol 28 (10) ◽  
pp. 1202-1205 ◽  
Author(s):  
Anna Bowen ◽  
Alexandra Newman ◽  
Concepcion Estivariz ◽  
Norene Gilbertson ◽  
John Archer ◽  
...  
Keyword(s):  
Vulnerable Populations ◽  
Salmonella Enteritidis ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Risks And Benefits

During an insidious outbreak of salmonellosis in a long-term care facility, residents who were treated with acid-suppressing medications were 8 times more likely than other residents to develop Salmonella infection. Among vulnerable populations, the risks and benefits of acid-suppressing medications should be considered carefully before use.

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