Skip to main content Accessibility help
×
Home

Infections and Infection Risks in Home Care Settings

  • Mary C. White (a1)

Abstract

Objectives:

To describe the characteristics of home healthcare clients with respect to infection risks and the presence of infections.

Design:

Descriptive survey of client charts using a point prevalence design.

Setting:

A private San Francisco, California, Bay area home care agency.

Participants:

A random sample of 175 clients (28%) was taken from the active client list for a single day; demographic data and clinical data from the last visit prior to the selection day were collected from each chart.

Results:

The clients were predominantly elderly (mean= 68.6) with an average of 3.6 comorbid conditions; 12% had an invasive device. Over 20% had an infection on the day surveyed. Five percent had an infection that occurred during home care delivery

Conclusions:

A substantial proportion of home health clients have infections, and they represent persons with a number of the risks associated with infections. Guidelines for defining and monitoring infections in home care need to be developed. Hospital-based surveillance methods are not altogether appropriate in this setting; redesigning methods such as targeted surveillance, monitoring rehospitalization, or immunization practices are discussed as potential ways to measure quality of care in the home setting.

Copyright

Corresponding author

DMHCAN Box 0608, University of California, San Francisco, CA 94143-0608

References

Hide All
1.Kavesh, WN. Home care: process, outcome, cost. Annual Rev Gerontol Geriatr. 1986;6:135195.
2.Council on Scientific Affairs, American Medical Association. Home care in the 1990s. JAMA. 1990;263:12411244.
3.Woodin, KA, Davis, CJ. The economic and psychosocial impact of outpatient parenteral antibiotic therapy in pediatrics. Sem Ped Infect Dis. 1990;1:419428.
4.Streckfuss, BLW, Bergers, RM. Infection control for caregivers of AIDS patients (domiciliary). NZTA. July-August, 1987:282284.
5.McGeer, A, Campbell, B, Emori, TG, et al. Definitions of infection for surveillance in long-term care facilities. Am J Infect Control. 1991;19:17.
6.Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death. Vol. 1, ed 9. Geneva, Switzerland: World Health Association; 1977.
7.Pasquale, DK. Characteristics of Medicareeligible home care clients. Pub Health Nurs. 1987;5:129134.
8.Joint Commission on the Accreditation of Healthcare Organizations. Standards for the Accreditation of Home Care. Chicago, Ill: Joint Commission on the Accreditation of Healthcare Organizations; 1988.
9.Rhame, FS. Surveillance objectives: descriptive epidemiology. Infect Control Hosp Epidemiol. 1987;8:454458.
10.Update on adult immunization: recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR. 1991;40(RR-12):193.
11.Simmons, B, Truster, M, Roccaforte, J, et al. Infection control for home health. Infect Control Hosp Epidemiol. 1990;11:362370.

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed