Infection Control
Conditions
Keywords
Infection control, Urinary Tract Infections, Respiratory Tract Infections
Brief summary
STUDY HYPOTHESIS : An infection prevention program adapted for the nursing home context can reduce by 5% the number of infections (urinary, upper and lower respiratory and gastrointestinal) in elderly residents in nursing homes. STUDY DESIGN : The proposal is for an interventional cluster (nursing home) study comprising 2 randomized groups: group 1 (interventional), comprising 25 nursing homes implementing a specific infection prevention program; and group 2 (control), 25 nursing homes continuing to implement their routine prevention measures.
Interventions
The intervention mainly involves implementing urinary, respiratory and gastrointestinal infection prevention measures. Study nursing home medical coordinators will be in charge of training their own teams. For this, they will be provided with: * a slide-show of recommendations (commented by an expert), * recommendations guides (on paper and on computer) to be shown to their teams. Means will be provided to the intervention nursing homes : Hydro-alcoholic solutions, disinfectant detergent-impregnated tissues, mouth care kits, tec.
Sponsors
Study design
Eligibility
Inclusion criteria
* Nursing homes which contain a medical coordinator and at least one nurse and/or nursing auxiliary. * Nursing Homes located in France (North-West) * All the residents present or entering the facility during the study period
Exclusion criteria
* Nursing homes where a prevention program has already been implemented
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of infections (urinary, upper and lower respiratory and gastrointestinal) in elderly residents in nursing homes | every month |
Secondary
| Measure | Time frame |
|---|---|
| Number of death | every month |
| Number of hospitalizations | every month |
| Number of of prescriptions for antimicrobials | every month |