A national survey of infection control and antimicrobial stewardship structures in Irish long-term care facilities.

Hdl Handle:
http://hdl.handle.net/10147/305279
Title:
A national survey of infection control and antimicrobial stewardship structures in Irish long-term care facilities.
Authors:
Donlon, Sheila; Roche, Fiona; Byrne, Helen; Dowling, Siobhan; Cotter, Meaghan; Fitzpatrick, Fidelma
Affiliation:
Health Protection Surveillance Centre, Dublin, Ireland. sheila.donlon1@hse.ie
Citation:
A national survey of infection control and antimicrobial stewardship structures in Irish long-term care facilities. 2013, 41 (6):554-7 Am J Infect Control
Journal:
American journal of infection control
Issue Date:
Jun-2013
URI:
http://hdl.handle.net/10147/305279
DOI:
10.1016/j.ajic.2012.06.010
PubMed ID:
23149086
Abstract:
Information on infection prevention and control (IPC) and antimicrobial stewardship activities in Irish long-term care facilities (LTCFs) is limited.; A survey detailing IPC and antimicrobial stewardship activities, including staffing and bed capacity, was circulated to Irish LTCFs.; Sixty-nine LTCFs (61 public, 8 private) were surveyed, 56 (81%) of which had an IPC practitioner. Thirty-five (51%) LTCFs had an IPC committee that met on average 5 times (range, 1-10) during the previous year. LTCFs with IPC practitioners based solely in the facility (n = 17) were more likely to have an IPC committee (P = .027). Antimicrobial guidelines were available in 28% (n = 19) and 16% (n = 11) had an antimicrobial stewardship committee in place. Medical care was provided by general practitioners in 51% (n = 35), by physicians employed by the LTCFs in 35% (n = 24), or by both in 14% (n = 10). Medical care and activities were coordinated in 45% (n = 31) of LTCFs. These LTCFs were more likely to have an IPC committee (P < .001), medical staff training (P < .001), and antimicrobial guidelines (P = .005) in place.; There are significant gaps in Irish LTCFs' IPC and antibiotic stewardship programs and governance structures, highlighting the need for specific LTCF national initiatives.
Item Type:
Article
Language:
en
Keywords:
INFECTION CONTROL; SURVEY; ACCOMMODATION
Local subject classification:
LONG TERM CARE
MeSH:
Anti-Infective Agents; Cross Infection; Health Facilities; Humans; Infection Control; Ireland; Long-Term Care; Practice Guidelines as Topic; Prevalence; Questionnaires
ISSN:
1527-3296

Full metadata record

DC FieldValue Language
dc.contributor.authorDonlon, Sheilaen_GB
dc.contributor.authorRoche, Fionaen_GB
dc.contributor.authorByrne, Helenen_GB
dc.contributor.authorDowling, Siobhanen_GB
dc.contributor.authorCotter, Meaghanen_GB
dc.contributor.authorFitzpatrick, Fidelmaen_GB
dc.date.accessioned2013-11-12T16:51:43Z-
dc.date.available2013-11-12T16:51:43Z-
dc.date.issued2013-06-
dc.identifier.citationA national survey of infection control and antimicrobial stewardship structures in Irish long-term care facilities. 2013, 41 (6):554-7 Am J Infect Controlen_GB
dc.identifier.issn1527-3296-
dc.identifier.pmid23149086-
dc.identifier.doi10.1016/j.ajic.2012.06.010-
dc.identifier.urihttp://hdl.handle.net/10147/305279-
dc.description.abstractInformation on infection prevention and control (IPC) and antimicrobial stewardship activities in Irish long-term care facilities (LTCFs) is limited.-
dc.description.abstractA survey detailing IPC and antimicrobial stewardship activities, including staffing and bed capacity, was circulated to Irish LTCFs.-
dc.description.abstractSixty-nine LTCFs (61 public, 8 private) were surveyed, 56 (81%) of which had an IPC practitioner. Thirty-five (51%) LTCFs had an IPC committee that met on average 5 times (range, 1-10) during the previous year. LTCFs with IPC practitioners based solely in the facility (n = 17) were more likely to have an IPC committee (P = .027). Antimicrobial guidelines were available in 28% (n = 19) and 16% (n = 11) had an antimicrobial stewardship committee in place. Medical care was provided by general practitioners in 51% (n = 35), by physicians employed by the LTCFs in 35% (n = 24), or by both in 14% (n = 10). Medical care and activities were coordinated in 45% (n = 31) of LTCFs. These LTCFs were more likely to have an IPC committee (P < .001), medical staff training (P < .001), and antimicrobial guidelines (P = .005) in place.-
dc.description.abstractThere are significant gaps in Irish LTCFs' IPC and antibiotic stewardship programs and governance structures, highlighting the need for specific LTCF national initiatives.-
dc.language.isoenen
dc.rightsArchived with thanks to American journal of infection controlen_GB
dc.subjectINFECTION CONTROLen_GB
dc.subjectSURVEYen_GB
dc.subjectACCOMMODATIONen_GB
dc.subject.meshAnti-Infective Agents-
dc.subject.meshCross Infection-
dc.subject.meshHealth Facilities-
dc.subject.meshHumans-
dc.subject.meshInfection Control-
dc.subject.meshIreland-
dc.subject.meshLong-Term Care-
dc.subject.meshPractice Guidelines as Topic-
dc.subject.meshPrevalence-
dc.subject.meshQuestionnaires-
dc.subject.otherLONG TERM CAREen_GB
dc.titleA national survey of infection control and antimicrobial stewardship structures in Irish long-term care facilities.en_GB
dc.typeArticleen
dc.contributor.departmentHealth Protection Surveillance Centre, Dublin, Ireland. sheila.donlon1@hse.ieen_GB
dc.identifier.journalAmerican journal of infection controlen_GB

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