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INFECTIONS
Clinical Guidelines
Guideline
Overview
Source
Address
Cost
Aspiration in
Nursing Home
Residents: A
Review
This article provides an overview of the numerous
disorders that place the nursing home resident at risk
for aspiration and the respiratory and psychological
consequences of it, including a discussion of
evaluation for aspiration as well as treatment and
methods to prevent chronic and recurrent aspiration.
Guidelines for the use of instrumentation in the
assessment, diagnosis, management and treatment of
patients with dysphagia. Also provides indications and
contraindications for the use of instrumentation.
Teofilo L, LeeChiong. Aspiration in
Nursing Home
Residents: A Review.
Annals of Long-Term
Care 1998; 6(1): 24.
American SpeechLanguage-Hearing
Association. Clinical
Indicators for
Instrumental
Assessment of
Dysphagia
(Guidelines). ASHA
Desk Reference 2000
Rockville, MD.
Centers for Disease
Control and
Prevention. Guideline
for Prevention of
Catheter-associated
Urinary Tract
Infections. 2002.
Institute for Clinical
Systems
Improvement Health
Care Guidelines.
Institute for Clinical
Systems
Improvement Health
Care Guidelines. July
http://www.mmhc.com
Free
http://
professional.asha.org
Free
http://www.cdc.gov/
ncidod/hip/guide/
uritract.htm
Free
ICSI Publications
8009 34th Avenue South,
Suite 1200
Bloomington, MN 55425
http://
www.guidelines.gov
Free online;
Paper copies, $10
Clinical
Indicators for
Instrumental
Assessment of
Dysphagia
Guidelines for
Prevention of
CatheterAssociated
Urinary Tract
Infections
Current CDC guidelines covering epidemiology,
control measures, and recommendations for
prevention of catheter-associated urinary tract
infections, with extensive bibliography.
Institute for
Clinical
Systems
Improvement
Health Care
Guidelines
This guideline provides an analytic framework to
assist clinicians in evaluating and treating patients
with community-acquired pneumonia. It is also a
resource to assist practitioners in LCTFs to understand
the rationale for treatment choices. The information
provided is intended for health care professionals,
medical specialty and professional societies,
researchers, and others; not specific to LTC facilities.
Page 1 of 3
Guideline
Overview
Practice
Guidelines for
Evaluation of
Fever and
Infection in LTC
Facilities
Guidelines and standards of practice specific to the
LTC environment from the Infectious Diseases
Society of America are presented. These provide a
rational approach to the evaluation of potentially
infected residents and assist primary providers,
consultants, and other health care staff to recognize
infection, initiate treatment sooner, and improve
outcomes. The authors emphasize that clinical
manifestations of infections are subtle, atypical, or
non-existent in the very old, including fever, and that
diagnostic lab studies should be done and discussed
with the physician promptly. Provides in-depth
information for QIO use and an extensive
bibliography for reference.
Guidelines not specific to LTC facilities but provide
overview information on the vaccine itself,
vaccination programs, target recipients, laboratory
diagnosis and treatment of influenza and control of flu
outbreaks in institutional settings.
Prevention and
Control of
Influenza
Source
Recommendations for
Prevention and
Control of
Hepatitis C
Virus (HCV)
Infection and
HCV-Related
Infection
Comprehensive CDC guidelines on hepatitis C virus,
with 158 reference bibliography.
Treatment of
Pressure Ulcers
These guidelines comprehensively cover assessment
of pressure ulcer, ulcer care, managing bacterial
colonization and infection, operative repair, and
education and quality improvement in the LCTF
environment.
Address
2000:1-40.
Bentley DW, Bradley http://
S, High K, et al.
www.guidelines.gov
Practice Guideline for
Evaluation of Fever
and Infection in
Long-Term Care
Facilities. Clin Infect
Dis 2000; 31: 640653.
Centers for Disease
http://
Control and
www.guidelines.gov
Prevention.
Prevention and
Control of Influenza.
2001.
Center for Disease
http://www.phppo.cdc.
Control and
gov/cdcrecommends
Prevention. Chronic
Disease.
Recommendations
for Prevention and
Control of Hepatitis
C Virus (HCV)
Infection and HCVRelated Disease.
MMWR 16 Oct 1998
47 (RR19); 1-39.
U.S. Dept. of Health
http://
and Human Services,
www.guidelines.gov
Public Health
Service, AHCPR.
Treatment of Pressure
Page 2 of 3
Cost
Free
Free
Free
Free
Guideline
Overview
Source
Updated
Version of the
1991 guideline
from the SHEA
Long-Term
Care
Committee and
APIC
Guidelines
Committee
Urinary Tract
Infection
Guidelines
Reviews the literature on infections and infection
control programs in LTCFs, covering topics such as
tuberculosis, blood-borne pathogens, epidemics,
isolation systems, immunization, and antibioticresistant bacteria. This guideline is an excellent
resource for QIOs.
Ulcers. 1994.
Smith PW, Rusnak
PG. Infection
Prevention and
Control in the LongTerm-Care Facility.
American Journal of
Infection Control
1997; 25: 488-512.
Provide guidance on diagnosis, treatment, follow-up
and clinical algorithm.
MO-02-02-NHI December 2002
This material was prepared by Primaris under contract
with the Centers for Medicare & Medicaid Services (CMS).
The contents presented do not necessarily reflect CMS policy.
Version 12/26/2002
University of
Michigan Health
System. Urinary
Tract Infection Guide
1999.
Page 3 of 3
Address
Cost
http://www.us.elsevier
health.com
$30.00 online
Available at http://
www.guidelines.gov.
Available online