IPC in L0ng Term Care Facilities:

The Needs and the Reality

Definiti0n of LTCFs
 A Facility that provides rehabilities, restorative, and/or ongoing skilled nursing care to patients or resident in
need of assistance with activities of daily living ( medicineNet).
 Assisted Living Facility
This residential care setting combines housing,support services, and healthcare for eldery inviduals.
 Continuing Care Retirement Community
A Residential care setting that usually has independent living, assisted living and skilled nursing facility on site
 Nursing Home
A Place of residence for people who require constant nursing care and have significant deficiencies with
activities of day living
 Home Care
Care delivered in the home to support people with the instrumental activities of daily living,activities of daily
living or limited skilled care.
HAI in LTCFs
 Estimates are hampered by limited availability of reliable data
 HAIs from USA range widely from 1,4 to 5,2 infections per 1,000 resident
care days
( Journal of Hospital Infection (2009) 71,269-274
 Europe – ECDC HALT –Survey from 1 april and 31 may 2013
• 181 LTCFs in 19 European countries
• General Nursing Home ( 64,5%) mixed LTCF(19%), Rehabilitation
Centres(5,8%) and residential homes(5,3%)
• Median 64 beds
The Impact of HAIs

 HAIs can cause :

 More Serious Illness
 Prolongation of stay in health care facilities
 Length og term disability
 Excess deaths
 High additional financial burden
 High personal cost on patient and their families
 Culture change
“Many infections are inevitable;
some might be preventable”

“Each infection is potentially preventable,

unless proven otherwise”
 Consumers Medical
Public Health Professionals

Safe Healthcare is Everyone’s Responsibility

Payors
Patients
Goverment
Government
Healthcare
Facilities