A Retrospective Review of Nosocomial Infections in an Acute Rehabilitative and Chronic Population at a Large Skilled Nursing Facility

摘要: Objective: This study was undertaken to analyze infection rate, risk for acquisition of infection, and spectrum infectious disease in two distinct sub-populations within a large, metropolitan, long-term care skilled nursing facility (LTCSNF). Design: A retrospective chart review over an 18-month period. Setting: metropolitan LTCSNF. Patients: 786 acute rehabilitative patients 554 chronic patients. Measurements: The compared the microbiology most common infections sub-populations. Analyses comparing rate population with were performed by multiple regression. dependent variable these analyses number infections. length time that patient at included as covariate. Main Results: Approximately 75% both groups women. median age 80 years group, 85 group. Urinary tract pneumonia, skin/soft tissue groups. Five hundred forty-seven group 479 had three or more underlying diseases. Enterobacteriaceae organisms isolates urinary episodes groups; mixed flora pneumonia calculated not significantly different (P = >0.05). Conclusions: In concordance other studies, respiratory infections, skin soft facility. populations single, teaching revealed, however, between stay presence predictive infection. J Am Geriatr Soc 42:45–49, 1994