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JAMDA
January 1, 2020

Progress and Challenges in the Management of Nursing Home Infections

JAMDA
January 1, 2020
Infections are one of the leading causes of death and hospitalization for residents in post-acute and long-term care settings. With the aging population, increasing complexity of care and the growing threat of antibiotic resistance, infection...

Prioritizing Prevention to Combat Multidrug Resistance in Nursing Homes: A Call to Action

JAMDA
January 1, 2020
Multidrug-resistant organisms (MDROs) do not discriminate—they spread in all health care settings. From our unique vantage point at the Centers for Disease Control and Prevention (CDC), we are witnessing the emergence of novel MDROs across the...

Are Antibiograms Ready for Prime Time in the Nursing Home?

JAMDA
January 1, 2020
In 2017, the Centers for Medicare & Medicaid Services (CMS) initiated a requirement that nursing homes have an antibiotic stewardship program.1 As part of this requirement, nursing homes must track antibiotic use as well as monitor and...

Reducing Fluoroquinolone Use and Clostridioides difficile Infections in Community Nursing Homes Through Hospital–Nursing Home Collaboration

JAMDA
January 1, 2020
Nursing homes (NHs) are an important target for antibiotic stewardship (AS). We describe a collaborative model to reduce Clostridioides difficile infections (CDIs) in NHs through optimization of antibiotic use including a reduction in high-risk...

Recommendations for Mandatory Influenza Vaccinations for Health Care Personnel From AMDA's Infection Advisory Subcommittee

JAMDA
January 1, 2020
Preventing influenza infections is a national health priority, particularly among geriatric and adults with frailty who reside in post-acute and long-term care (PALTC) settings. Older adults account for more than 70% of deaths from influenza, a...

Diagnosis, Treatment, and Prevention of Urinary Tract Infections in Post-Acute and Long-Term Care Settings: A Consensus Statement From AMDA's Infection Advisory Subcommittee

JAMDA
January 1, 2020
The diagnosis and management of urinary tract infections (UTIs) among residents of post-acute and long-term care (PALTC) settings remains challenging. Nonspecific symptoms, complex medical conditions, insufficient awareness of diagnostic criteria,...

Changes in US Nursing Home Infection Prevention and Control Programs From 2014 to 2018

JAMDA
January 1, 2020
Burgeoning rates of antibiotic resistance have resulted in a shift in national focus to improve infection prevention and control programs in US nursing homes (NHs). We sought to evaluate the changes in nursing home infection prevention and control...

Community-Dwelling Older Women: The Association Between Living Alone and Use of a Home Nursing Service

JAMDA
December 27, 2019
To investigate the use of home nursing by community-dwelling older women to determine the nature of services required by those living alone.

Impact of Stiffer Arteries on the Response to Antihypertensive Treatment: A Longitudinal Study of the SardiNIA Cohort

JAMDA
December 26, 2019
Carotid-femoral pulse wave velocity (PWV), an index of arterial stiffness and a proxy of arterial aging, has been reported to be an independent determinant of cardiovascular health. Whether the effects of antihypertensive treatment vary in the...