Infections in Nursing Homes: Epidemiology and Prevention Programs

Clin Geriatr Med. 2016 Aug;32(3):585-607. doi: 10.1016/j.cger.2016.02.004.


This review summarizes current literature pertaining to infection prevention in nursing home population including post-acute care patients and long-term care residents. Approximately 2 million infections occur each year and more than one-third of older adults harbor multidrug-resistant organisms in this setting. Surveillance, hand hygiene, isolation precautions, resident and employee health programs, education, and antibiotic stewardship are essential elements of infection prevention and control programs in nursing homes. This article discusses emerging evidence suggesting the usefulness of interactive multimodal bundles in reducing infections and antimicrobial resistance, thereby enhancing safety and quality of care for older adults in nursing homes.

Keywords: Epidemiology; Hand hygiene; Infection control; Infection prevention; Multidrug-resistant organisms; Nursing home.

Publication types

  • Review

MeSH terms

  • Aged
  • Cross Infection / epidemiology*
  • Cross Infection / prevention & control*
  • Global Health
  • Humans
  • Incidence
  • Infection Control / methods*
  • Nursing Homes*