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Infection Control in Pediatric Extended Care Facilities

Published online by Cambridge University Press:  21 June 2016

Jo-Ann S. Harris*
Affiliation:
Section of Pediatric Infectious Diseases, Boston Medical Center, Department of Pediatrics, Boston University School of Medicine, and, Franciscan Children's Hospital, Boston, Massachusetts Pediatric Infectious Diseases, University of Kansas Medical Center, Kansas City
*
Pediatric Infectious Diseases, University of Kansas Medical Center, MS 4004, 3901 Rainbow Blvd, Kansas City, KS 66160 (jharris7@kumc.edu)

Abstract

Pediatric extended care facilities provide for the biopsychosocial needs of patients younger than 21 years of age who have sustained self-care deficits. These facilities include long-term and residential care facilities, chronic disease and specialty hospitals, and residential schools. Infection control policies and procedures developed for adult long-term care facilities, primarily nursing homes for elderly people, are not applicable to long-term care facilities that serve pediatric patients. This article reviews the characteristics of pediatric extended care facilities and their residents, and the epidemic and endemic nosocomial infections, infection control programs, and antimicrobial resistance profiles found in pediatric extended care facilities.

Type
Review Article
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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References

1.Friedman, C, Barnette, M, Buck, AS, et al. Requirements for infrastructure and essential activities of infection control and epidemiology in out-of-hospital settings: a consensus panel report. Am J Infect Control 1999; 27: 418-430.Google Scholar
2.Stausbaugh, LJ, Joseph, CL. Epidemiology and prevention of infections in residents of long term care facilities. In: Mayhall, CG, ed. Hospital Epidemiology and Infection Control. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 1999:14611482.Google Scholar
3.Smith, PW. Nursing home infection control: a status report. Infect Control Hosp Epidemiol 1998; 19:366369.Google Scholar
4.Harris, JS. Pediatric nosocomial infections: children are not little adults. Infect Control Hosp Epidemiol 1997; 18:739742.Google Scholar
5.Donowitz, L. Hospital-acquired infections in children. N Engl J Med 1990; 323:18361837.Google Scholar
6.Nicolle, LE, Garibaldi, RA. Infection control in long term care facilities. In: Herwaldt, LA, Decker, MD, eds. A Practical Handbook for Hospital Epidemiology. Thorofare, NJ: Slack; 1998:349356.Google Scholar
7.Hsu, K, Harris, JS. Control of infections in nonacute care pediatric settings. Semin Pediatr Infect Dis 2001; 12:9299.Google Scholar
8.Harris, JS. Infection control programs in pediatric extended care facilities. In: Abstracts of the 12th Annual Meeting of the Society for Healthcare Epidemiology of America; Salt Lake City, UT; April 6-9, 2002. Abstract 22.Google Scholar
9.Nicolle, LE. Preventing infections in non-hospital settings: long term care. Emerg Infect Dis 2001; 7:205207.Google Scholar
10.Glode, MP, Schiffer, MS, Robbins, JB, et al. An outbreak of Haemophilus influenzae type b meningitis in an enclosed hospital population. J Pediatr 1976; 88:3640.Google Scholar
11.Johnson, I, Hammon, GW, Verma, MR. Nosocomial Coxsackie B4 virus infections in two chronic care pediatric neurological wards. J Infect Dis 1985; 151:11531156.Google Scholar
12.Atkinson, WL, Arden, NH, Patriarca, PA, et al. Amantadine prophylaxis during an institutional outbreak of type A (H1N1) influenza. Arch Intern Med 1986; 146:17511756.Google Scholar
13.Finger, R, Anderson, LJ, Dicker, RC, et al. Epidemic infections caused by respiratory syncytial virus in institutionalized young adults. J Infect Dis 1987; 155:13351339.Google Scholar
14.Tassopoulos, NC, Roumeliotou-Karayannis, A, Sakka, M, et al. An epidemic of hepatitis A in an institution for young children. Am J Epidemiol 1987; 125:302307.Google Scholar
15.Gerber, SL, Erdman, DD, Pur, SL, et al. Outbreak of adenovirus genome type 7d2 infection in a pediatric chronic-care facility and tertiary-care hospital. Clin Infect Dis 2001; 32:694700.Google Scholar
16.Sheridan, RL, Weber, JM, Pasternak, MM, et al. A 15-year experience with varicella infections in a pediatric burn unit. Burns 1999; 25:353356.Google Scholar
17.Stover, BH, Duff, A, Adams, G, et al. Emergence and control of methicillin-resistant Staphylococcus aureus in a children's hospital and pediatric long term care. Am J Epidemiol 1987; 125:302305.Google Scholar
18.Vermaat, JH, Rosebrugh, E, Ford-Jones, EL, et al. An epidemiologic study of nosocomial infections in a pediatric long-term care facility. Am J Infect Control 1993;21:183188.Google Scholar
19.Ford-Jones, EL, Mindorff, M, Langley, JM, et al. Epidemiologic study of 4684 hospital-acquired infections in pediatric patients. Pediatr Infect Dis J 1989; 8:668675.Google Scholar
20.Harris, J, Hogan, M, Kagel, S. Nosocomial infections in a pediatric rehabilitation hospital. In: Abstracts of the Fifth Annual Meeting of the Society for Healthcare Epidemiology of America; San Diego, CA; April 2-4, 1995. Abstract S29.Google Scholar
21.Golliot, F, Astagneau, P, Cassou, B, et al. Nosocomial infections in geriatric long-term care and rehabilitation facilities: exploration in the development of a risk index for epidemiologic surveillance. Infect Control Hosp Epidemiol 2001; 22:746753.Google Scholar
22.National Nosocomial Infections Surveillance (NNIS) system report, data summary from January 1992-June 2002, issued August 2002. Am J Infect Control 2002; 30:458475.Google Scholar
23.Stover, BH, Shulman, ST, Bratcher, DF, et al. Nosocomial infection rates in US children's hospitals' neonatal and pediatric intensive care units. Am J Infect Control 2001; 29:152157.Google Scholar
24.Weber, JM, Sheridan, RL, Pasternack, MS, et al. Nosocomial infections in pediatric patients with burns. Am J Infect Control 1997; 25:195201.Google Scholar
25.Gastmeier, P, Weigt, O, Sohr, D, et al. Comparison of hospital-acquired infection rates in pediatric burn patients. J Hosp Infect 2002; 52:161165.Google Scholar
26.Smith, PW, Rusnak, PG. Infection prevention and control in the long-term-care facility. Infect Control Hosp Epidemiol 1997; 18:831849.Google Scholar
27.McGreer, A, Campbell, B, Eckert, DG, et al. Definitions for surveillance of infections in residents of long-term care facilities. Am J Infect Control 1991; 19:17.Google Scholar
28.Goldrick, BA. Infection control programs in long-term-care facilities: structure and process. Infect Control Hosp Epidemiol 1999; 20:764769.Google Scholar
29.Haley, RW, Culver, DH, White, JW, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985; 121:182205.Google Scholar
30.Makris, AT, Morgan, L, Gaber, DJ, et al. Effect of a comprehensive infection control program on the incidence of infections in long-term care facilities. Am J Infect Control 2000; 28:37.Google Scholar
31.Ostrowsky, BE, Trick, WE, Sohn, AH, et al. Control of vancomycin-resistant enterococcus in health care facilities in a region. N Engl J Med 2001; 344:14271433.Google Scholar
32.Greenaway, CA, Miller, MA. Lack of transmission of vancomycin-resistant enterococci in three long-term-care facilities. Infect Control Hosp Epidemiol 1999; 20:341343.Google Scholar
33.Armstrong-Evans, M, Litt, M, McArthur, MA, et al. Control of transmission of vancomycin-resistant Enterococcus faecium in a long-term-care facility. Infect Control Hosp Epidemiol 1999; 20:312317.Google Scholar
34.Bradley, SEIssues in the management of resistant bacteria in long-term-care facilities. Infect Control Hosp Epidemiol 1999; 20:362366.Google Scholar
35.Weber, JM, Sheridan, RL, Schultz, JT, et al. Effectiveness of bacteria-controlled nursing units in preventing cross-colonization with resistant bacteria in severely burned children. Infect Control Hosp Epidemiol 2002; 23:549551.Google Scholar
36.Camilleri, IG, Pedler, SJ, Murphy, O, et al. Cross infection on a combined pediatric plastic surgery and burns unit: a clinical and microbiologic audit. Burns 1999; 25:655658.Google Scholar
37.Bonomo, RA. Multiple antibiotic resistant bacteria in long-term-care facilities: an emerging problem in the practice of infectious diseases. Clin Infect Dis 2000; 31:14141422.Google Scholar
38.Toltzis, P, Hoyen, C, Spinner-Block, S, et al. Factors that predict preexisting colonization with antibiotic-resistant gram-negative bacilli in patients admitted to a pediatric intensive care unit. Pediatrics 1999; 103:719723.Google Scholar
39.Mannheimer, SB, Riley, LW, Roberts, RB. Association of penicillin-resistant pneumococci with residence in a pediatric chronic care facility. J Infect Dis 1996; 174:513519.Google Scholar
40.Lidsky, K, Hoyen, C, Salvator, A, et al. Antibiotic-resistant gram-negative organisms in pediatric chronic-care facilities. Clin Infect Dis 2002; 34: 760766.Google Scholar
41.Nicolle, LE, Bentley, DW, Garibaldi, R, et al. Antimicrobial use in long-term care facilities. Infect Control Hosp Epidemiol 2000; 21:537545.Google Scholar
42.Smith, PW, Seip, CW, Schaefer, SC, et al. Microbiologic survey of long-term care facilities. Am J Infect Control 2000; 28:813.Google Scholar
43.Nicolle, LE. Infection control in long-term care facilities. Clin Infect Dis 2000; 31:752756.Google Scholar