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Farm Comunitarios. 2024 Jan 15;16(1):28-50. doi: 10.33620/FC.2173-9218.(2024).02

Recommendations for the prevention of healthcare-associated infections in nursing homes

Bouza E1, Asensio A2, García Navarro J3, González P4, Acosta Benito M5, Aguilar J6, Barberán J7, Cabrera J8, Díez-Manglano J9, Fernández C10, Fernandez-Prada M11, Fontán G12, Cisneros J13, Lorenzo-Vidal B14, Martín Oliveros A15, Navas P16, Palomo E17, Kestler M18
1. CIBER of Respiratory Diseases (CIBERES CB06/06/0058), Spain. Trustee of the Health Sciences Foundation. Department of Microbiology and Infectious Diseases, Gregorio Marañón General University Hospital. Professor of Medicine. Complutense University. Madrid. 2. Head of the Department of Preventive Medicine, Puerta de Hierro - Majadahonda University Hospital, Madrid. 3. Geriatrician, President of the Spanish Society of Geriatrics and Gerontology. 4. Geriatrician, Medical Director, Los Nogales-Pacífico Nursing Home, Madrid. 5. Member of the semFYC Elderly Care Working Group and coordinator of the Prevention in the Elderly Working Group of the PAPPS. 6. President, General Council of Official Colleges of Pharmacists. 7. Microbiologist, President of the Spanish Society of Chemotherapy (SEQ). 8. Family Doctor. Infectious Diseases, Migrant, Vaccines and Preventive Activities (IMVAP) Working Group. Spanish Society of Primary Care Physicians (SEMERGEN). 9. Spanish Society of Internal Medicine (SEMI). 10. Head of Scientific Dissemination, General Council of Official Colleges of Pharmacists. 11. Secretary, Spanish Association of Vaccinology (AEV). 12. Coordinator of the Spanish Institute of Nursing Research. General Nursing Council of Spain (CGE). 13. Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC). 14. Spanish Society of General and Family Physicians (SEMG). 15. Pharmacy Doctor. Graduate in Human Nutrition and Dietetics. Member of the Board of Directors of the Spanish Society of Clinical, Family and Community Pharmacy (SEFAC). Trustee of the SEFAC Foundation. 16. Spanish Society of Preventive Medicine, Public Health and Hygiene (SEMPSPH). 17. Pharmacy Doctor. Director of the Spanish Health Sciences Foundation. 18. Attending Physician, Department of Clinical Microbiology and Infectious Diseases, Hospital Gregorio Marañón, Madrid. Associate Professor. Faculty of Medicine. Complutense University.
Bouza E, Asensio A, García J, González P, Acosta M, Aguilar J, Barberán J, Cabrera J, Díez-Manglano J, Fernández C, Fernandez-Prada M, Fontán G, Cisneros J, Lorenzo-Vidal B, Martín A, Navas P, Palomo E, Kestler M. Recommendations for the prevention of healthcare-associated infections in nursing homes. Farm Comunitarios. 2024 Jan 15;16(1):28-50. doi: 10.33620/FC.2173-9218.(2024).02
Abstract : 

Nursing homes (NH) although conceptually they should look as much like a home as possible, NH have unquestionable similarities with a nosocomium as they are places where many patients with underlying diseases and comorbidities accumulate and where the transmission of microorganisms between residents and between residents and caregivers is frequent.

We have not found any recommendations specifically aimed at the prevention of nosocomial infections in MRI by the major Public Health Agencies and, therefore, the Health Sciences Foundation (Fundación de Ciencias de la Salud) has convened a series of experts and 14 Spanish scientific societies to discuss recommendations that could guide NH personnel in establishing written programs for the control and reduction of these infections. The present document is the result of these deliberations and contains suggestions for establishing such control programs on a voluntary and flexible basis in NH. We also hope that the document can help the health authorities to encourage this control activity in the different territorial areas of Spain. In our opinion, it is necessary to draw up a written plan and establish the figure of a coordinator or person responsible for implementing these projects. The document includes measures to be implemented and ways of quantifying the reality of different problems and of monitoring the impact of the measures established.

Keywords : 
Respiratory infection, urinary tract infection, skin and soft tissue infection, environmental hygiene measures, incentive to use vaccines, nosocomial infection, nursing homes, primary prevention
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