Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 66, Issue 4, Pages 789-803Publisher
WILEY
DOI: 10.1111/jgs.15248
Keywords
infections; infectious diseases; long-term care facilities; nursing facilities; nursing homes; geriatrics
Categories
Funding
- Cleveland Department of Veterans Affairs (VA)
- Cleveland Geriatric Research, Education and Clinical Center
- VA Merit Review Program [PPO 16-118-1]
- Agency for Healthcare Research and Quality (AHRQ) [HHSP2332015000201]
- National Institute on Aging [K24AG050685]
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The diagnosis, treatment, and prevention of infectious diseases in older adults in long-term care facilities (LTCFs), particularly nursing facilities, remains a challenge for all health providers who care for this population. This review provides updated information on the currently most important challenges of infectious diseases in LTCFs. With the increasing prescribing of antibiotics in older adults, particularly in LTCFs, the topic of antibiotic stewardship is presented in this review. Following this discussion, salient points on clinical relevance, clinical presentation, diagnostic approach, therapy, and prevention are discussed for skin and soft tissue infections, infectious diarrhea (Clostridium difficile and norovirus infections), bacterial pneumonia, and urinary tract infection, as well as some of the newer approaches to preventive interventions in the LTCF setting.
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