Prevention, diagnosis, and management of infection in the nursing home

C. E. Woodson, G. A. Sachs

Research output: Contribution to journalReview article

7 Scopus citations


Infectious diseases constitute a major source of morbidity and mortality in the long-term care (LTC) setting. Infections have been reported as the primary cause of transfer from the chronic disease facility to the acute care hospital and are a major cause of mortality in this population. This article will discuss the age-related immunologic changes and host-environment interactions that increase the susceptibility of LTC patients to infection. We will focus on the major classes of infections affecting this population: pneumonias, urinary tract infections, pressure sores, tuberculosis, and infectious diarrheas. We will describe the atypical disease presentations that cause diagnostic difficulty, and will outline approaches to treatment decisions. Finally, we will discuss prevention of infection, immunization, and infection control activities directed at protecting both patients and the institution-wide community.

Original languageEnglish (US)
Pages (from-to)507-525
Number of pages19
JournalClinics in Geriatric Medicine
Issue number3
StatePublished - Dec 1 1988


ASJC Scopus subject areas

  • Geriatrics and Gerontology

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