scholarly journals Guidance for the Prevention of the COVID-19 Epidemic in Long-Term Care Facilities: A Short-Term Prospective Study

2020 ◽  
Vol 24 (8) ◽  
pp. 812-816 ◽  
Author(s):  
Yves Rolland ◽  
M.-H. Lacoste ◽  
A. De Mauleon ◽  
A. Ghisolfi ◽  
P. De Souto Barreto ◽  
...  
Keyword(s):  
Prospective Study ◽  
Long Term Care ◽  
Short Term ◽  
Term Care ◽  
Care Facilities

Environmental hazards increase the fall risk among residents of long-term care facilities: a prospective study in Shanghai, China

2020 ◽  
Author(s):  
Yu Jiang ◽  
Qinghua Xia ◽  
Peng Zhou ◽  
Shuo Jiang ◽  
Vinod K Diwan ◽  
...  
Keyword(s):  
Prospective Study ◽  
Fall Risk ◽  
Long Term Care ◽  
Environmental Safety ◽  
Environmental Hazards ◽  
Falls Prevention ◽  
Term Care ◽  
Care Facilities ◽  
A Prospective Study

Abstract Background Falls are one of the most common safety concerns in long-term care facilities (LTCFs). Objective To evaluate the associations between the environmental hazards and the fall risk in LTCF residents. Design Prospective study with 12-month follow-up. Setting Twenty-five LTCFs in a central district of Shanghai. Subjects A total of 739 older people participated and 605 were followed up for 1 year. Methods Environmental hazards were measured using a 75-item Environment Assessment Checklist, and the associations between environmental hazards and falls were analysed using univariate and multilevel logistic regressions. Results The incidence of falls was 0.291 per person with 11 items/LTCF of hazards on average. The most common hazard items were inadequate/inappropriate handrails (96% LTCFs; odds ratio (OR) for falls: 1.88 [95% confidence interval: 1.13–3.13]), unsafe floors (92% LTCFs; 2.50 [1.11–5.61]) and poor lighting (84% LTCFs; 2.01 [1.10–3.66]). Environmental hazards were most frequently distributed in bedrooms (96% LTCFs), shared toilets/showers (80% LTCFs) and individual toilets/showers (68%LTCFs) and accounted for 20% of the differences in falls occurrence among the LTCFs. After adjusting for individual intrinsic and fall-related behavioural factors, it is found that having more than eight environmental hazard items increased the fall risk among older residents (adjusted OR = 4.01 [1.37–11.73]). Environmental hazards and toilet visits at night showed significant associations with falls (adjusted OR = 5.97 [1.10–32.29]). Conclusions The high prevalence of environmental hazards associated with falls highlights the urgency of improving environmental safety in LTCFs and the need of environmental safety policies, resource allocation and interventions in falls prevention.

Barriers to Running Therapy Groups in Long-Term Care Facilities

2006 ◽  
Author(s):  
Jeremy Sharp ◽  
Kate L. Martin ◽  
Kate Martin
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Facilities

Infections and use of antibiotics in residents of long-term care facilities in Hungary

2014 ◽  
Vol 155 (23) ◽  
pp. 911-917 ◽  
Author(s):  
Rita Szabó ◽  
Karolina Böröcz
Keyword(s):  
Urinary Tract ◽  
Long Term Care ◽  
Soft Tissues ◽  
Good Practice ◽  
Antibiotic Use ◽  
Prevalence Survey ◽  
Term Care ◽  
Care Facilities ◽  
Tract Infections

Introduction: Healthcare associated infections and antimicrobial use are common among residents of long-term care facilities. Faced to the lack of standardized data, the European Centre for Disease Prevention and Control funded a project with the aim of estimating prevalence of infections and antibiotic use in European long-term care facilities. Aim: The aim of the authors was to present the results of the European survey which were obtained in Hungary. Method: In Hungary, 91 long-term care facilities with 11,823 residents participated in the point-prevalence survey in May, 2013. Results: The prevalence of infections was 2.1%. Skin and soft tissues infections were the most frequent (36%), followed by infections of the respiratory (30%) and urinary tract (21%). Antimicrobials were mostly prescribed for urinary tract infections (40.3%), respiratory tract infections (38.4%) and skin and soft tissue infections (13.2%). The most common antimicrobials (97.5%) belonged to the ATC J01 class of “antibacterials for systemic use”. Conclusions: The results emphasise the need for a national guideline and education for good practice in long-term care facilities. Orv. Hetil., 2014, 155(23), 911–917.

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