"Item Id","Item URI","Dublin Core:Title","Dublin Core:Subject","Dublin Core:Description","Dublin Core:Creator","Dublin Core:Source","Dublin Core:Publisher","Dublin Core:Date","Dublin Core:Contributor","Dublin Core:Rights","Dublin Core:Relation","Dublin Core:Format","Dublin Core:Language","Dublin Core:Type","Dublin Core:Identifier","Dublin Core:Coverage","Item Type Metadata:Bibliography","Item Type Metadata:Biographical Text","Item Type Metadata:Occupation","Item Type Metadata:Death Date","Item Type Metadata:Birthplace","Item Type Metadata:Text","Item Type Metadata:Player","Item Type Metadata:Access","Item Type Metadata:Alternate URL","Item Type Metadata:Citation","Item Type Metadata:Accessibility","Item Type Metadata:Abstract","Item Type Metadata:Read Online","Item Type Metadata:Additional Exercise","Item Type Metadata:Email Body","Item Type Metadata:Interviewer","Item Type Metadata:Interviewee","Item Type Metadata:Location","Item Type Metadata:Transcription","Item Type Metadata:Local URL","Item Type Metadata:Original Format","Item Type Metadata:Physical Dimensions","Item Type Metadata:Duration","Item Type Metadata:Compression","Item Type Metadata:Producer","Item Type Metadata:Director","Item Type Metadata:Bit Rate/Frequency","Item Type Metadata:Time Summary","Item Type Metadata:Birth Date","Item Type Metadata:Subject Line","Item Type Metadata:From","Item Type Metadata:To","Item Type Metadata:CC","Item Type Metadata:BCC","Item Type Metadata:Number of Attachments","Item Type Metadata:Standards","Item Type Metadata:Objectives","Item Type Metadata:Materials","Item Type Metadata:Lesson Plan Text","Item Type Metadata:URL","Item Type Metadata:Event Type","Item Type Metadata:Participants","PDF Text:Text",tags,file,itemType,collection,public,featured
1666,https://repository.netecweb.org/items/show/1666,"The Chain of Infection and How to Use it to Prevent the Spread of Infection in LTC","Infection Control","This printable flyer infographic describes the Chain of Infection and How to Use it to Prevent the Spread of Infection in Long-Term Care (LTC).",NETEC,,,2022-05-02,,,,,,,,2024-05-02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Chain of infection,Infection Prevention and Control,Long-term Care,R-LTC",https://repository.netecweb.org/files/original/950e75da1468a5a87a22ec88919a25f3.pdf,Guide,Develop,1,0
1207,https://repository.netecweb.org/items/show/1207,"NETEC COVID-19 Webinar Series (7/22/20)/Online Course: Tackling the COVID-19 Storm through the Lens of Long-Term Care Facilities: Part 2","Treatment & Care","In this webinar, participants will discuss different policies and processes taken at long-term care facilities caring for COVID-19 positive residents based on case-based experiences, describe mitigation strategies involved to promptly identify and isolate residents with possible COVID-19 utilizing appropriate infection prevention practices, and describe the role of local and state public health in the identification, prevention, and control of COVID-19 in long-term facilities.
Webinar slides attached.
An intervention that successfully reduced colonization and infection with carbapenemase-producing Enterobacteriaceae (CPE) in Chicago-area long-term acute-care hospitals included active surveillance and contact precautions. However, the specific effects of contact precautions applied to surveillance-detected carriers on patient-to-patient transmission are unknown, as other, concurrent intervention components or changes in facility patient dynamics also could have affected the observed outcomes.
Using previously published data from before and after the CPE intervention, we designed a mathematical model with an explicit representation of postintervention surveillance. We estimated preintervention to postintervention changes of 3 parameters: β, the baseline transmission rate excluding contact precaution effects; δb, the rate of a CPE carrier progressing to bacteremia; and δc, the progression rate to nonbacteremia clinical detection.
Assuming that CPE carriers under contact precautions transmit carriage to other patients at half the rate of undetected carriers, the model produced no convincing evidence for a postintervention change in the baseline transmission rate β (+2.1% [95% confidence interval {CI}, −18% to +28%]). The model did find evidence of a postintervention decrease for δb(−41% [95% CI, −60% to −18%]), but not for δc(−7% [95% CI, −28% to +19%]).
Our results suggest that contact precautions for surveillance-detected CPE carriers could potentially explain the observed decrease in colonization by itself, even under conservative assumptions for the effectiveness of those precautions for reducing cross-transmission. Other intervention components such as daily chlorhexidine gluconate bathing of all patients and hand-hygiene education and adherence monitoring may have contributed primarily to reducing rates of colonized patients progressing to bacteremia.
Long-term care facilities are high-risk settings for severe outcomes from outbreaks of Covid-19, owing to both the advanced age and frequent chronic underlying health conditions of the residents and the movement of health care personnel among facilities in a region.
After identification on February 28, 2020, of a confirmed case of Covid-19 in a skilled nursing facility in King County, Washington, Public Health–Seattle and King County, aided by the Centers for Disease Control and Prevention, launched a case investigation, contact tracing, quarantine of exposed persons, isolation of confirmed and suspected cases, and on-site enhancement of infection prevention and control.
As of March 18, a total of 167 confirmed cases of Covid-19 affecting 101 residents, 50 health care personnel, and 16 visitors were found to be epidemiologically linked to the facility. Most cases among residents included respiratory illness consistent with Covid-19; however, in 7 residents no symptoms were documented. Hospitalization rates for facility residents, visitors, and staff were 54.5%, 50.0%, and 6.0%, respectively. The case fatality rate for residents was 33.7% (34 of 101). As of March 18, a total of 30 long-term care facilities with at least one confirmed case of Covid-19 had been identified in King County.
In the context of rapidly escalating Covid-19 outbreaks, proactive steps by long-term care facilities to identify and exclude potentially infected staff and visitors, actively monitor for potentially infected patients, and implement appropriate infection prevention and control measures are needed to prevent the introduction of Covid-19.
",https://www.nejm.org/doi/full/10.1056/NEJMoa2005412,,,,,,,,,,,,,,,,,,,,,,,,,,,https://www.nejm.org/doi/full/10.1056/NEJMoa2005412,,,,"2019-nCoV,Coronavirus,COVID-19,Epidemiology,Long-term Care,R-LTC",https://repository.netecweb.org/files/original/30d10a77239e1fddde203dddc7b1ff9e.png,Publication,Discover,1,0 1274,https://repository.netecweb.org/items/show/1274,"Engineering Controls for Long-term Care","Physical Infrastructure","Engineering controls can be implemented to isolate people from a hazard and provide protection for long-term care residents and staff. ",NETEC,,,2020-07-24,"2022-12-07 general asset review - IPC (move to LTC - now R-T&C)",,,,,,,2023-12-10,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2019-nCoV,Coronavirus,COVID-19,Infection Prevention and Control,Long-term Care,Physical Infrastructure,R-LTC,R-T&C",https://repository.netecweb.org/files/original/7957373e3db7cb81aa0811b1c37838f8.pdf,Guide,Develop,1,0 1014,https://repository.netecweb.org/items/show/1014,"COVID-19 Module Overview for Long-term Care Facilities","Infection Control","CDC’s National Healthcare Safety Network (NHSN) provides healthcare facilities, such as long term care facilities with a customized system or module to track infections and prevention process measures in a systematic way. Join the webinar to learn how the module can allow facilities to identify problems, improve care, and determine progress toward facility and national healthcare-associated infection goals.",CDC,,,2020-04-30,"2022-12-07 general asset review - IPC (change R-LTC/T&C)",,,,,,,2023-12-10,,,,,,,,,,,,,,,,,,,,,,,"Thursday, April 30, at 1:30-3:00 pm ET ",,,,,,,,,,,,,,,,,https://www.cdc.gov/nhsn/ltc/covid19/index.html,"Webinar, register in link from page below",,,"2019-nCoV,Coronavirus,COVID-19,Infection Prevention and Control,Long-term Care,R-LTC,R-T&C",https://repository.netecweb.org/files/original/8d0dd43bd3566808ae6d84e2fdbf309e.png,Webinar,Discover,1,0 1015,https://repository.netecweb.org/items/show/1015,"COVID-19 Enrollment Guidance for Long-term Care Facilities ","Infection Control","CDC’s NHSN has built a customizable module for long term care facilities to track infections and prevention process measures in a systematic way. Join this webinar to learn about the enrollment process and guidance. ",CDC,,,2020-05-01,"2022-12-07 general asset review - IPC (change R-LTC/T&C)",,,,,,,2023-12-10,,,,,,,,,,,,,,,,,,,,,,,"Friday, May 1, at 1:30-3:00 pm ET",,,,,,,,,,,,,,,,,https://www.cdc.gov/nhsn/ltc/covid19/index.html,"Webinar, register in link from page below.",,,"2019-nCoV,Coronavirus,COVID-19,Infection Prevention and Control,Long-term Care,R-LTC,R-T&C",https://repository.netecweb.org/files/original/ed58dc343d43eac08b2f66882f723377.png,Webinar,Discover,1,0 1327,https://repository.netecweb.org/items/show/1327,"Controles de ingeniería para cuidados a largo plazo","Elementos en Español","Spanish Language version of Engineering Controls for Long-term Care. Engineering controls can be implemented to isolate people from a hazard and provide protection for long-term care residents and staff.Se pueden implementar controles de ingeniería para aislar a las personas de un peligro y brindar protección a los residentes y al personal de cuidados a largo plazo.
",NETEC,,,2020-09-21,,,,,,,,2024-01-01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2019-nCoV,Coronavirus,COVID-19,Engineering Controls,Español,Infection Prevention and Control,Long-term Care,Physical Infrastructure,R-LTC,R-PhIn,Spanish",https://repository.netecweb.org/files/original/eebe5fb85e0fb6edda4dfa0d1e7e89ad.pdf,Guide,,1,0 1308,https://repository.netecweb.org/items/show/1308,"Considerations When Cleaning Assisted Living Facilities","Infection Control","This is a printable flyer infographic with information on considerations when cleaning assisted living facilities.",NETEC,,,2020-08-24,"2022-12-07 general asset review - IPC (LTC not IPC - move to T&C)",,,,,,,2023-12-10,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2019-nCoV,Confidentiality,Coronavirus,COVID-19,Disinfection,Environmental Services,Long-term Care,R-IPC,R-LTC",https://repository.netecweb.org/files/original/27e415570daadb54229d4fd7134ef784.pdf,Guide,Deploy,1,0 1355,https://repository.netecweb.org/items/show/1355,"Consideraciones al limpiar residencias de vivienda asistida","Elementos en Español","Spanish language version of Considerations When Cleaning Assisted Living Facilities printable flyer infographic.",NETEC,,,2020-08-24,,,,,,,,2024-01-01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2019-nCoV,Confidentiality,Coronavirus,COVID-19,Disinfection,Environmental Services,Español,Long-term Care,R-LTC,Spanish",https://repository.netecweb.org/files/original/e4fe4751d05fef9fb6a0a45a1ad12079.pdf,Guide,,1,0 1200,https://repository.netecweb.org/items/show/1200,"Asymptomatic SARS-CoV-2 infection in Belgian long-term care facilities","Treatment & Care","As of July 1, Belgium has 61 509 confirmed cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and 9754 related deaths. In early April, the ministry of health decided to implement a mass testing campaign in long-term care facilities (LTCFs; appendix p 1).","Hoxha, Ana, Chloe Wyndham-Thomas, Sofieke Klamer, Dominique Dubourg, Melissa Vermeulen, Naima Hammami, and Laura Cornelissen.",,,2020-07-03,,,,,,Publication,,2024-01-01,,,,,,,,,,"Hoxha, Ana, Chloe Wyndham-Thomas, Sofieke Klamer, Dominique Dubourg, Melissa Vermeulen, Naima Hammami, and Laura Cornelissen. 2020. ""Asymptomatic SARS-CoV-2 infection in Belgian long-term care facilities."" The Lancet Infectious Diseases. ","Free online on Lancet site.",,https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30560-0/fulltext,,,,,,,,,,,,,,,,,,,,,,,,,,,https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30560-0/fulltext,,,,"2019-nCoV,Airborne Transmission,Coronavirus,COVID-19,Droplet Transmission,Long-term Care,R-LTC",,Publication,Discover,1,0