Translating the evidence of fall prevention into practice for Hong Kong residential care homes with a multifactorial approach

2008 ◽  
Author(s):  
Kwai-foon, May Chan
Keyword(s):  
Hong Kong ◽  
Residential Care ◽  
Fall Prevention ◽  
Care Homes ◽  
Multifactorial Approach

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

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.

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