Telephone Survey of Infection Control and Antibiotic Stewardship Practices in Long-term Care Facilities in Maryland
Methods: All Maryland long-term care facilities are obtained from the administrator for the Maryland Medical Director Association. We contacted each facility’s infection control personnel over the phone and administer the survey questions.
There are 231 LTCFs in Maryland. Our telephone survey reached 97 LTCFs but only 88 facilities are included in the analysis as three facilities did not have a designated infection control personnel and six facilities declined participation. Out of 88 facilities, there are 11,793 beds and 207 infection control personnel.
About 95% of facilities have a central line protocol. All facilities surveyed have urinary catheter protocols. 9.5% of facilities use silver impregnated urinary catheters. Most facilities track UTIs and report to the health department in the case of an outbreak. Close to 80% of facilities surveyed stated that they isolate patients with C. diff, MRSA, and VRE but isolation can be only cohort in some facilities.
71% and 84% of facilities already have antibiotic guides and restricted formulary, respectively. About 16% of facilities have antibiotics approval process. 32% of facilities state that they have training for antibiotics prescribing; however, a large percentage, 18.2%, of facilities' infection control personnel did not know whether such training existed.
Conclusion: Antibiotic stewardship programs in LTCFs are still in early development stages despite increasingly resistant organisms. To decrease the transmission and acquisition of nosocomial infections and drug-resistant organisms, not only do we need to have more support and resources for the infection control personnel, but we also need to involve the front line staff’s observations and expertise into a comprehensive infection control plan.
M. Bellantoni, None
G. Sood, None
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