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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