Practice guideline for evaluation of fever and infection in long-term care facilities

Journal of the American Geriatrics Society

Volumn 49, Issue 2, 2001, Pages 210-222

  Bentley, David W ^a   Bradley, Suzanne ^a,b,c,d,e   High, Kevin ^a   Schoenbaum, Stephen ^f   Taler, George ^a,g   Yoshikawa, Thomas T ^a,h  

^a SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

^d WAKE FOREST SCHOOL OF MEDICINE   (United States)

^e WASHINGTON HOSPITAL CENTER   (United States)

^f CHARLES R DREW UNIVERSITY OF MEDICINE AND SCIENCE   (United States)

^g Commonwealth Fund ^*  (United States)

^h KING DREW MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE DISEASE; AGED; AGING; BACTERIAL INFECTION; BLOOD CULTURE; DECUBITUS; DIARRHEA; FECES CULTURE; FEVER; GERIATRIC CARE; GERIATRIC PATIENT; HOSPITAL ADMISSION; HUMAN; INFECTION; INFLUENZA; LABORATORY TEST; LEUKOCYTE DIFFERENTIAL COUNT; LONG TERM CARE; PATIENT REFERRAL; PNEUMONIA; PRACTICE GUIDELINE; PULSE OXIMETRY; REVIEW; URINALYSIS; URINE CULTURE; VIRUS INFECTION;

AGED; DISEASE OUTBREAKS; EVIDENCE-BASED MEDICINE; FEVER; GERIATRIC ASSESSMENT; HUMANS; INFECTION; NURSING ASSESSMENT; NURSING HOMES; PATIENT SELECTION; PATIENT TRANSFER; PRACTICE GUIDELINES; QUALITY INDICATORS, HEALTH CARE; REPRODUCIBILITY OF RESULTS; RISK FACTORS; UNITED STATES;

EID: 0035092704     PISSN: 00028614     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1532-5415.2001.49999.x     Document Type: Review

References (108)

1. Lifetime use of nursing home care
2. Medical care of nursing home residents
3. Nursing home residents need physician services
4. Physician evaluation and management of nursing home residents
5. Infection prevention and control in the long-term-care facility
6. Infection control in long-term-care facilities
7. Nontreatment of fever in extended care facilities
8. Definitions of infection for surveillance in long-term care facilities
9. Consensus conference participants. Consensus conference on nosocomial infections in long-term care facilities
10. Causes for hospitalization of nursing home residents: The role of infection
11. Management of complicated urinary tract infection in older patients
12. Pneumonia in residents of long-term care facility: Epidemiology, eriology, management and prevention
13. The atypical presentation of infection in old age
14. Nursing home-acquired pneumonia. A case-control study
15. Pyrexia in infection in the elderly
16. Clinical manifestations of disease in the elderly
17. The physician decision-making process in transferring nursing home residents to the hospital
18. Fever response in elderly nursing home residents: Are the older truly colder?
19. Lowering the temperature criterion improves detection of infections in nursing home residents
20. Fever in the elderly
21. The febrile response to mild infections in elderly hospital residents
22. Silent pyrexia in the elderly
23. Approach to fever and infection in the nursing home
24. Systemic antibiotic use in nursing homes: A quality assessment
25. Raised respiratory rate in dehydrated elderly patients
26. Hypernatremia in acute ill elderly patient: Role of impaired residents: A valuable physical sign
27. Plasma arginine vasopressin in arginine-vasopressin secretion
28. Dehydration and death during febrile episodes in the nursing home
29. Clinical indicators of dehydration severity in elderly patients
30. Clinical correlates of bacteremia in a Veterans Administration extended care facility
31. Medical care in the nursing home
32. Effects of a geriatric nurse practitioner on process and outcome of nursing home care
33. Identifying clues to infections in nursing home residents: The role of the nurse's aide
34. Impact of geriatric nurse practitioners on nursing-home resident's functional status, satisfaction, and discharge outcomes
35. Prevalence and characteristics of nursing home-acquired infections in the aged
36. Nontreatment of fever in extended-care facilities
37. Incidence and characteristics of antibiotic use in aged nursing home residents
38. Treatment decisions for infections occurring in nursing home residents
39. Documentation and evaluation of fevers in hospital-based and community-based nursing homes
40. SHEA long-term care committee. Antimicrobial use in long-term care facilities
41. Factors predisposing to oropharyngeal colonization with gram-negative bacilli in the aged
42. Urinary tract infections in long-term care facilities
43. A prospective microbiologic study of bacteriuria in patients with chronic indwelling urethral catheters
44. Diagnostic approach to infections
45. Antimicrobial use in nursing homes in Manitoba
46. Utility of fever, white blood cells, and differential count in predicting bacterial infections in the elderly
47. A simple index to identify occult bacterial infection in adults with acute unexplained fever
48. Afebrile bacteremia - A phenomenon in geriatric patients
49. Lack of association between bacteriuria and symptoms in the elderly
50. Bacteriuria in elderly institutionalized men
51. Prospective randomized comparison of therapy and no therapy for asymptomatic bacteriuria in institutionalized elderly women
52. Pyuria: Its predictive value of asymptomatic bacteriuria in ambulatory elderly men
53. Epidemiologic and diagnostic aspects of bacteriuria: A longitudinal study in older women
54. An accurate method to obtain urine for cultures in men with external catheters
55. Infections and antibiotic resistance in nursing homes
56. Bacteremia in a long-term care facility: A five-year prospective study of 163 consecutive episodes
57. Bacteremia in a long-term care facility
58. Bacteremia in the elderly
59. Predicting bacteremia in older patients
60. Is presentation of bacteremia in the elderly the same as in younger patients?
61. Difficulty in predicting bacteremia in elderly emergency patients
62. Influence of blood culture results on antibiotic choice in treatment of bacteremia
63. A prediction rule to identify low-risk patients with community-acquired pnenmonia
64. Current concepts: Community-acquired pneumonia
65. Validation and application of the Pneumonia Prognosis Index to nursing home residents with pneumonia
66. Nursing home-acquired pneumonia
67. Provider practice patterns in nursing home-acquired pneumonia
68. Diagnosing pneumonia by physical examination: Relevant or relic?
69. Microscopic and bacteriological comparison of paired sputa and transtracheal aspirates
70. Pneumococcal vaccine in the institutionalized elderly: Design of a non-randomized trial and preliminary results
71. Pneumonia and influenza deaths during epidemics: Implications of prevention
72. An outbreak of influenza B in an elderly population
73. Noninfluenza respiratory virus infection in long-term care facilities
74. Pulmonary infections: Influenza, pneumonia and tuberculosis
75. Comparison of rapid detection methods for influenza A virus and their value in health-care management of institutionalized geriatric residents
76. The optimum use of needle aspiration in the bacteriologic diagnosis of cellulitis in adults
77. Quantitative microbiology of pressure sores in different stages of healing
78. Infected pressure and diabetic ulcers
79. Prospective study of decubitus ulcers in two long-term facilities
80. Attack of the scabies: What to do when an outbreak occurs
81. Scabies in long-term care facilities
82. Diarrhea among residents of long-term care facilities
83. Clostridium difficile-associated diarrhea
84. The natural history of nursing home patients
85. Hospital and medical care use by nursing home patients: The effect of patient care plans
86. Patient transfer from nursing home to emergency department: Outcomes and policy implications
87. Dynamics and clinical implications of the nursing home-hospital interface
88. Hospitalization of nursing home residents: The right rare?
89. Nursing home acquired pneumonia: How and where to treat?
90. Nursing home acquired pneumonia: Avoiding the hospital
91. Hazards of hospitalization of the elderly
92. Risk factors for mortality from lower respiratory infections in nursing home patients
93. Whether to transfer?. Factors associated with hospitalization and outcomes of elderly long term care patients with pneumonia
94. Effectiveness of oral antibiotic treatment in nursing home-acquired pneumonia
95. Pneumonia in a long-term care facility: A prospective study of outcome
96. Frailty and hospitalization of long term stay nursing home residents
97. Rates, patterns, causes and costs of hospitalization of nursing home residents
98. Factors differentiating transfers from long-term care facilities with high and low transfer rates
99. The impact of nursing home transfer policies at the end of life on a public acute care hospital
100. Hospital use and mortality among medicare beneficiaries in Boston and New Haven
101. Rational approach to the antibiotic treatment of pneumonia in the elderly
102. Nursing home acquired pneumonia: Treatment options
103. Treatment and outcomes of pneumonia in the elderly
104. Short-term functional outcomes of long-term care residents with pneumonia treated with and without hospital transfer
105. Pharmacokinetics of ceftriaxone
106. Ciprofloxacin: An updated review of its pharmacology, therapeutic efficacy and tolerability
107. Prevention and control of tuberculosis in facilities providing long-term care to the elderly. Recommendations of the advisory committee for elimination of tuberculosis
108. Purpose of quality standards for infectious diseases