Epidemiology and Genetic Diversity of Methicillin-ResistantStaphylococcus aureusStrains in Residential Care Homes for Elderly Persons in Hong Kong

2007 ◽  
Vol 28 (6) ◽  
pp. 671-678 ◽  
Author(s):  
Pak-Leung Ho ◽  
Teresa K. F. Wang ◽  
Patricia Ching ◽  
Gannon C. Mak ◽  
Eileen Lai ◽  
...  
Keyword(s):  
Hong Kong ◽  
Residential Care ◽  
Antimicrobial Agents ◽  
Univariate Analysis ◽  
Skin Lesions ◽  
Care Homes ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Mrsa Strains ◽  
Mrsa Colonization

Objective.To determine the prevalence and molecular epidemiology of methicillin-resistantStaphylococcus aureus(MRSA) strains among residents in residential care homes for the elderly in Hong Kong.Design.Cross-sectional and descriptive study.Participants.A total of 949 residents in 13 residential care homes for elderly persons in Hong Kong in January 2005.Methods.MRSA colonization was assessed by culture of swab specimens from anterior nares and active skin lesions. Characteristics of residents were obtained by a standard questionnaire. All MRSA isolates were analyzed by polymerase chain reaction for their staphylococcal cassette chromosome (SCC)meccontent and were typed by pulsed-field gel electrophoresis (PFGE) and multilocus sequencing.Results.MRSA colonization was detected in 27 residents (2.8%). No MRSA was found in 2 facilities. The rate of MRSA carriage in the other 11 facilities ranged from 1.9% to 4.2%. In univariate analysis, functional immobility (odds ratio [OR], 1.4), history of hospital admission (OR, 2.3), and the use of nebulized medication (OR, 5.4) were significantly associated with MRSA colonization. The isolates had 11 unique antibiograms, with 14 isolates susceptible to all but 1 or 2 of the non-β-lactam antimicrobial agents tested. The isolates exhibited SCCmectypes I (1 isolate), II (2 isolates), III (1 isolate), IV/IVA (10 isolates), and V (13 isolates). No isolates had the Panton-Valentine leukocidin genes. PFGE analysis clustered all except 1 isolate into 7 PFGE types, designated HKU10 to HKU70. Between 1 and 4 unique PFGE types were found in the individual residential care facilities.Conclusion.This study documented the emergence of SCCmec types IV and V among genetically diverse MRSA strains in residential care homes for elderly persons in Hong Kong.

scholarly journals Promotion of seasonal influenza vaccination among staff in residential care homes for elderly in Hong Kong

2010 ◽  
Vol 15 (4) ◽  
pp. 121-125
Author(s):  
H. Chen ◽  
Sammy Ng ◽  
Mark E. King ◽  
Carol Fong ◽  
W.P. Ng ◽  
...  
Keyword(s):  
Hong Kong ◽  
Influenza Vaccination ◽  
Residential Care ◽  
Seasonal Influenza ◽  
Care Homes ◽  
Seasonal Influenza Vaccination

Neighborhood Environment, Residential Satisfaction, and Depressive Symptoms Among Older Adults in Residential Care Homes

2017 ◽  
Vol 87 (3) ◽  
pp. 268-288 ◽  
Author(s):  
Susu Liu ◽  
Zheng Ouyang ◽  
Alice M. Chong ◽  
Haitao Wang
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Environmental Factors ◽  
Residential Care ◽  
Severe Depression ◽  
Residential Satisfaction ◽  
Neighborhood Environment ◽  
Care Homes ◽  
Environmental Characteristics ◽  
Cross Sectional

Burgeoning evidence has shown that neighborhood environments are related to depressive symptoms in the older population. Older adults living in residential care homes may be more vulnerable to environmental characteristics. The current study sought to understand how institutionalized older adults relate to environmental factors and residential satisfaction in terms of depressive symptoms. Data were collected from a cross-sectional national survey of 1,429 Chinese elders living in residential care homes. The findings reveal that 46.1% of the older Chinese residents living in residential care homes suffered from mild to severe depression. In addition, the current study finds that both environmental factors (e.g., geographic position, air quality, and transportation) and residential satisfaction are negatively associated with depressive symptoms. The findings support that residential satisfaction partially mediate the relationship between exterior environmental characteristics and depressive symptoms.

The association of eating challenges with energy intake is moderated by the mealtime environment in residential care homes

2020 ◽  
Vol 32 (7) ◽  
pp. 863-873 ◽  
Author(s):  
Susan E. Slaughter ◽  
Jill M. Morrison-Koechl ◽  
Habib Chaudhury ◽  
Christina O. Lengyel ◽  
Natalie Carrier ◽  
...  
Keyword(s):  
Energy Intake ◽  
Residential Care ◽  
Dementia Care ◽  
Care Homes ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Social ◽  
The Relationship ◽  
Mealtime Environment ◽  
General Care

ABSTRACTObjectives:Given the increased risk of malnutrition in residential care homes, we studied how specific aspects of the mealtime environment are associated with residents’ eating challenges and energy intake in general and dementia care units of these homes.Design:Cross-sectional study.Participants:624 residents and 82 dining rooms.Setting:32 residential care homes across Canada.Measurements:Eating challenges were measured using the Edinburgh Feeding Evaluation in Dementia Questionnaire (Ed-FED-q). Energy intake was estimated over nine meals. Physical, social, person-centered, functional, and homelike aspects of the mealtime environment were scored using standardized, valid measures. Effects of interactions between dining environment scores and eating challenges on daily energy intake were assessed using linear regression.Results:More eating challenges were associated with decreased energy intake on the general (β = −36.5, 95% confidence interval [CI] = −47.8, −25.2) and dementia care units (β = −19.9, 95% CI = −34.6, −5.2). Among residents living on general care units, the functional (β = 48.5, 95% CI = 1.8, 95.2) and physical (β = 56.9, 95% CI = 7.2, 106.7) environment scores were positively and directly associated with energy intake; the social and person-centered aspects of the mealtime environment moderated the relationship between eating challenges and energy intake.Conclusions:Resident eating challenges were significantly associated with energy intake on both dementia care and general care units; however on general care units, when adjusting for eating challenges, the functional and physical aspects of the environment also had a direct effect on energy intake. Furthermore, the social and person-centered aspects of the dining environment on general care units moderated the relationship between eating challenges and energy intake. Dementia care unit environments had no measurable effect on the association between resident eating challenges and energy intake.

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