Revisão Acesso aberto Revisado por pares

Practice Guideline for Evaluation of Fever and Infection in Long‐Term Care Facilities

2001; Wiley; Volume: 49; Issue: 2 Linguagem: Inglês

10.1046/j.1532-5415.2001.49999.x

ISSN

1532-5415

Autores

David W. Bentley, Suzanne Bradley, Kevin P. High, Stephen C. Schoenbaum, George Taler, Thomas T. Yoshikawa,

Tópico(s)

Emergency and Acute Care Studies

Resumo

Journal of the American Geriatrics SocietyVolume 49, Issue 2 p. 210-222 Practice Guideline for Evaluation of Fever and Infection in Long-Term Care Facilities David W. Bentley, David W. Bentley Division of Geriatric Medicine, St. Louis University School of Medicine, St. Louis Veterans Affairs Medical Center, St. Louis, Missouri;Search for more papers by this authorSuzanne Bradley, Suzanne Bradley University of Michigan School of Medicine, Geriatric Research, Education and Clinical Center, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan;Search for more papers by this authorKevin High, Kevin High Department of Internal Medicine, Division of Infectious Diseases, Wake Forest University School of Medicine, Winston-Salem, North Carolina;Search for more papers by this authorStephen Schoenbaum, Stephen Schoenbaum Harvard Medical School, Boston, Massachusetts; Commonwealth Fund, New York, New YorkSearch for more papers by this authorGeorge Taler, George Taler Washington Hospital Center, Washington, DC;Search for more papers by this authorThomas T. Yoshikawa, Thomas T. Yoshikawa Department of Internal Medicine, Charles R. Drew University of Medicine and Science, and Martin Luther King, Jr.—Charles R. Drew Medical Center, Los Angeles, California; Committee chair.Search for more papers by this author David W. Bentley, David W. Bentley Division of Geriatric Medicine, St. Louis University School of Medicine, St. Louis Veterans Affairs Medical Center, St. Louis, Missouri;Search for more papers by this authorSuzanne Bradley, Suzanne Bradley University of Michigan School of Medicine, Geriatric Research, Education and Clinical Center, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan;Search for more papers by this authorKevin High, Kevin High Department of Internal Medicine, Division of Infectious Diseases, Wake Forest University School of Medicine, Winston-Salem, North Carolina;Search for more papers by this authorStephen Schoenbaum, Stephen Schoenbaum Harvard Medical School, Boston, Massachusetts; Commonwealth Fund, New York, New YorkSearch for more papers by this authorGeorge Taler, George Taler Washington Hospital Center, Washington, DC;Search for more papers by this authorThomas T. Yoshikawa, Thomas T. Yoshikawa Department of Internal Medicine, Charles R. Drew University of Medicine and Science, and Martin Luther King, Jr.—Charles R. Drew Medical Center, Los Angeles, California; Committee chair.Search for more papers by this author First published: 21 December 2001 https://doi.org/10.1046/j.1532-5415.2001.49999.xCitations: 46 Address correspondence to Dr. Thomas T. Yoshikawa, Dept. of Internal Medicine (MP-11), King-Drew Medical Center, 12021 S. Wilmington Ave., Los Angeles, CA 90059 ([email protected]). Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat REFERENCES 1 Kemper P & Murtaugh DM. Lifetime use of nursing home care. N Engl J Med 1991; 324: 595–600. 10.1056/NEJM199102283240905 CASPubMedWeb of Science®Google Scholar 2 Evans JM, Chutka DS & Fleming KC et al. Medical care of nursing home residents. Mayo Clin Proc 1995; 70: 694–702. 10.4065/70.7.694 CASPubMedWeb of Science®Google Scholar 3 Besdine RW, Rubenstein LZ & Cassel C. Nursing home residents need physician services. Ann Intern Med 1994; 120: 616–618. 10.7326/0003-4819-120-7-199404010-00015 CASPubMedWeb of Science®Google Scholar 4 Ouslander JG & Osterweil D. Physician evaluation and management of nursing home residents. Ann Intern Med 1994; 121: 584–592. 10.7326/0003-4819-120-7-199404010-00010 PubMedWeb of Science®Google Scholar 5 Smith PW & Rusnak PG. Infection prevention and control in the long-term-care facility. Infect Control Hosp Epidemiol 1997; 18: 831–849. CASPubMedWeb of Science®Google Scholar 6 Nicolle LE & Garibaldi RA. Infection control in long-term-care facilities. Infect Control Hosp Epidemiol 1995; 16: 348–353. 10.1086/647124 CASPubMedWeb of Science®Google Scholar 7 Brown NK & Thompson DJ. Nontreatment of fever in extended care facilities. N Engl J Med 1979; 300: 1246–1250. 10.1056/NEJM197905313002204 CASPubMedWeb of Science®Google Scholar 8 McGeer A, Campbell B & Emori TB et al. Definitions of infection for surveillance in long-term care facilities. Am J Infect Control 1991; 19: 1–7. 10.1016/0196-6553(91)90154-5 CASPubMedWeb of Science®Google Scholar 9 Smith PW, Consensus Conference Participants. Consensus conference on nosocomial infections in long-term care facilities. Am J Infect Control 1987;15:97–100. Google Scholar 10 Irvine PW, Van Buren N & Crossley K. Causes for hospitalization of nursing home residents: the role of infection. J Am Geriatr Soc 1984; 32: 103–107. 10.1111/j.1532-5415.1984.tb05848.x CASPubMedWeb of Science®Google Scholar 11 Yoshikawa TT, Nicolle LE & Norman DC. Management of complicated urinary tract infection in older patients. J Am Geriatr Soc 1996; 44: 1235–1241. 10.1111/j.1532-5415.1996.tb01376.x CASPubMedWeb of Science®Google Scholar 12 Muder RR. Pneumonia in residents of long-term care facility: epidemiology, etiology, management and prevention. Am J Med 1998; 105: 319–330.DOI: 10.1016/s0002-9343(98)00262-9 10.1016/s0002-9343(98)00262-9 CASPubMedWeb of Science®Google Scholar 13 Berman P, Hogan DB & Fox RA. The atypical presentation of infection in old age. Age Ageing 1987; 16: 201–207. 10.1093/ageing/16.4.201 CASPubMedWeb of Science®Google Scholar 14 Marrie TJ, Durrant H & Kwan C. Nursing home–acquired pneumonia. A case-control study. J Am Geriatr Soc 1986; 34: 697–702. 10.1111/j.1532-5415.1986.tb04300.x PubMedWeb of Science®Google Scholar 15 McAlpine CH, Martin BJ & Lennox IM et al. Pyrexia in infection in the elderly. Age Ageing 1986; 15: 230–234. 10.1093/ageing/15.4.230 CASPubMedWeb of Science®Google Scholar 16 Samily AH. Clinical manifestations of disease in the elderly. Med Clin North Am 1983; 67: 333–344. PubMedWeb of Science®Google Scholar 17 Brooks S, Warshaw G & Hasse L et al. The physician decision-making process in transferring nursing home residents to the hospital. Arch Intern Med 1994; 154: 902–908. CASPubMedWeb of Science®Google Scholar 18 Castle SC, Norman DC & Yeh M et al. Fever response in elderly nursing home residents: are the older truly colder? J Am Geriatr Soc 1991; 39: 853–857. 10.1111/j.1532-5415.1991.tb04450.x CASPubMedWeb of Science®Google Scholar 19 Castle SC, Yeh M & Toledo S et al. Lowering the temperature criterion improves detection of infections in nursing home residents. Aging Immunol Infect Dis 1993; 4: 67–76. Google Scholar 20 Norman DC & Yoshikawa TT. Fever in the elderly. Infect Dis Clin North Am 1996; 10: 93–99. 10.1016/S0891-5520(05)70288-9 CASPubMedWeb of Science®Google Scholar 21 Darowski A, Najim Z & Weinberg JR. The febrile response to mild infections in elderly hospital residents. Age Ageing 1991; 20: 193–198. 10.1093/ageing/20.3.193 CASPubMedWeb of Science®Google Scholar 22 Downton JH, Andrews K & Puxty JAH. Silent pyrexia in the elderly. Age Ageing 1987; 41: 41–44. 10.1093/ageing/16.1.41 CASWeb of Science®Google Scholar 23 Yoshikawa TT & Norman DC. Approach to fever and infection in the nursing home. J Am Geriatr Soc 1996; 44: 74–82. 10.1111/j.1532-5415.1996.tb05642.x CASPubMedWeb of Science®Google Scholar 24 Zimmer JG, Bentley DW & Valenti WM et al. Systemic antibiotic use in nursing homes: a quality assessment. J Am Geriatr Soc 1986; 34: 703–710. 10.1111/j.1532-5415.1986.tb04301.x CASPubMedWeb of Science®Google Scholar 25 McFadden JP, Price RC & Eastwood HD et al. Raised respiratory rate in dehydrated elderly patients. Clin Endocrinol 1984; 20: 451–456. 10.1111/j.1365-2265.1984.tb03441.x Web of Science®Google Scholar 26 Sonnenblick M & Algur N. Hypernatremia in acute ill elderly patient: role of impaired residents: a valuable physical sign. Br Med J 1982; 284: 626–627. 10.1136/bmj.284.6316.626 Google Scholar 27 Kirkland J, Lye M & Goodard F et al. Plasma arginine vasopressin in arginine-vasopressin secretion. Miner Electrolyte Metab 1993; 19: 32–35. PubMedWeb of Science®Google Scholar 28 Weinberg AD, Pals JK & Leveque PG et al. Dehydration and death during febrile episodes in the nursing home. J Am Geriatr Soc 1994; 42: 968–971. 10.1111/j.1532-5415.1994.tb06589.x CASPubMedWeb of Science®Google Scholar 29 Gross C, Lindquist RP & Wooley AC et al. Clinical indicators of dehydration severity in elderly patients. J Emerg Med 1992; 10: 267–74. 10.1016/0736-4679(92)90331-M CASPubMedWeb of Science®Google Scholar 30 Rudman D, Hontanosas A & Cohen Z et al. Clinical correlates of bacteremia in a Veterans Administration extended care facility. J Am Geratr Soc 1988; 36: 726–732. 10.1111/j.1532-5415.1988.tb07175.x CASPubMedWeb of Science®Google Scholar 31 Ouslander JC. Medical care in the nursing home. JAMA 1989; 262: 2582–2590. CASPubMedWeb of Science®Google Scholar 32 Kane RL, Garrard J & Skay CL et al. Effects of a geriatric nurse practitioner on process and outcome of nursing home care. Am J Public Health 1989; 79: 1271–1277. 10.2105/AJPH.79.9.1271 CASPubMedWeb of Science®Google Scholar 33 Jackson MM & Schafer K. Identifying clues to infections in nursing home residents: the role of the nurse's aide. J Gerontologic Nurs 1993; 19: 33–42. 10.3928/0098-9134-19930701-11 CASPubMedGoogle Scholar 34 Garrard J, Kane RL & Radosevich DM et al. Impact of geriatric nurse practitioners on nursing-home resident's functional status, satisfaction, and discharge outcomes. Med Care 1990; 28: 271–283. 10.1097/00005650-199003000-00007 CASPubMedWeb of Science®Google Scholar 35 Magaziner J, Tenney JH & DeForge B et al. Prevalence and characteristics of nursing home–acquired infections in the aged. J Am Geriatr Soc 1991; 39: 1071–1078. 10.1111/j.1532-5415.1991.tb02871.x CASPubMedWeb of Science®Google Scholar 36 Brown NK & Thompson DJ. Nontreatment of fever in extended-care facilities. N Engl J Med 1979; 300: 1246–1250. 10.1056/NEJM197905313002204 CASPubMedWeb of Science®Google Scholar 37 Warren JW, Palumbo FB & Fitterman L et al. Incidence and characteristics of antibiotic use in aged nursing home residents. J Am Geriatr Soc 1991; 39: 963–972. 10.1111/j.1532-5415.1991.tb04042.x CASPubMedWeb of Science®Google Scholar 38 Mott PD & Barker WH. Treatment decisions for infections occurring in nursing home residents. J Am Geriatr Soc 1988; 36: 820–824. 10.1111/j.1532-5415.1988.tb04266.x CASPubMedWeb of Science®Google Scholar 39 Franson TR, Schicker JM & LeClair SM et al. Documentation and evaluation of fevers in hospital-based and community-based nursing homes. Infect Control Hosp Epidemiol 1988; 9: 447–450. 10.1086/645741 CASPubMedWeb of Science®Google Scholar 40 Nicolle LE, Bentley DW, Garibaldi R et al., SHEA Long-Term Care Committee. Antimicrobial use in long-term care facilities. Infect Control Hosp Epidemiol 1996;17:119–128. Google Scholar 41 Valenti WM, Randall G & Trudell BS et al. Factors predisposing to oropharyngeal colonization with gram-negative bacilli in the aged. N Engl J Med 1978; 398: 1108–1111. 10.1056/NEJM197805182982002 Web of Science®Google Scholar 42 Nicolle LE. Urinary tract infections in long-term care facilities. Infect Control Hosp Epidemiol 1993; 14: 220–225. 10.1086/646719 CASPubMedWeb of Science®Google Scholar 43 Warren JW, Tenney JH & Hoopes JM et al. A prospective microbiologic study of bacteriuria in patients with chronic indwelling urethral catheters. J Infect Dis 1982; 146: 719–723. 10.1093/infdis/146.6.719 PubMedWeb of Science®Google Scholar 44 Yoshikawa TT, Norman DC. Diagnostic approach to infections. In: Yoshikawa TT, Norman DC, eds. Aging and Clinical Practice. Infectious Diseases. Diagnosis and Treatment. New York: Igaku-Shoin 1987:26–31. Google Scholar 45 Montgomery P, Semenchuk M & Nicolle LE. Antimicrobial use in nursing homes in Manitoba. J Geriatr Drug Ther 1995; 9: 55–74. 10.1300/J089v09n03_05 Google Scholar 46 Wasserman M, Levinstein M & Keller E et al. Utility of fever, white blood cells, and differential count in predicting bacterial infections in the elderly. J Am Geriatr Soc 1989; 37: 537–543. 10.1111/j.1532-5415.1989.tb05686.x CASPubMedWeb of Science®Google Scholar 47 Mellors JW, Horowitz RI & Harvey MR et al. A simple index to identify occult bacterial infection in adults with acute unexplained fever. Arch Intern Med 1987; 147: 666–671. CASPubMedWeb of Science®Google Scholar 48 Gleckman R & Hibert D. Afebrile bacteremia—a phenomenon in geriatric patients. JAMA 1982; 248: 1478–1481. CASPubMedWeb of Science®Google Scholar 49 Boscia JD, Kobasa WD & Abrutyn E et al. Lack of association between bacteriuria and symptoms in the elderly. Am J Med 1986; 81: 979–982. 10.1016/0002-9343(86)90391-8 CASPubMedWeb of Science®Google Scholar 50 Nicolle LE, Bjornson J & Harding GKM et al. Bacteriuria in elderly institutionalized men. N Engl J Med 1983; 309: 1420–1425. 10.1056/NEJM198312083092304 CASPubMedWeb of Science®Google Scholar 51 Nicolle LE, Mayhew WJ & Bryan L. Prospective randomized comparison of therapy and no therapy for asymptomatic bacteriuria in institutionalized elderly women. Am J Med 1987; 83: 27–33. 10.1016/0002-9343(87)90493-1 PubMedWeb of Science®Google Scholar 52 Norman DC, Yamamura R & Yoshikawa TT. Pyuria: its predictive value of asymptomatic bacteriuria in ambulatory elderly men. J Urol 1986; 135: 520–522. 10.1016/S0022-5347(17)45718-1 CASPubMedWeb of Science®Google Scholar 53 Monane M, Gurwitz JH & Lipsitz LA et al. Epidemiologic and diagnostic aspects of bacteriuria: a longitudinal study in older women. J Am Geriatr Soc 1995; 43: 618–622. 10.1111/j.1532-5415.1995.tb07194.x CASPubMedWeb of Science®Google Scholar 54 Ouslander JG, Greengold BA & Silverblatt FJ et al. An accurate method to obtain urine for cultures in men with external catheters. Arch Intern Med 1987; 147: 286–288. CASPubMedWeb of Science®Google Scholar 55 Nicolle LE, Strausbaugh LJ & Garibaldi RA. Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev 1996; 9: 1–17. 10.1128/CMR.9.1.1 PubMedWeb of Science®Google Scholar 56 Muder RR, Brennen C & Wagener MM et al. Bacteremia in a long-term care facility: a five-year prospective study of 163 consecutive episodes. Clin Infect Dis 1992; 14: 647–654. 10.1093/clinids/14.3.647 CASPubMedWeb of Science®Google Scholar 57 Setia U, Serventi I & Lorenz P. Bacteremia in a long-term care facility. Arch Intern Med 1984; 144: 1633–1635. CASPubMedWeb of Science®Google Scholar 58 Richardson JP. Bacteremia in the elderly. J Gen Intern Med 1993; 8: 89–92. 10.1007/BF02599992 CASPubMedWeb of Science®Google Scholar 59 Pftizenmeyer P, Decrey H & Auckenthaler R et al. Predicting bacteremia in older patients. J Am Geriatr Soc 1995; 43: 230–235. 10.1111/j.1532-5415.1995.tb07327.x PubMedWeb of Science®Google Scholar 60 Chassagne P, Perol MB & Doucet J et al. Is presentation of bacteremia in the elderly the same as in younger patients? Am J Med 1996; 100: 65–70. 10.1016/S0002-9343(96)90013-3 CASPubMedWeb of Science®Google Scholar 61 Fontanarosa PB, Kaeberlein FJ & Gerson LW et al. Difficulty in predicting bacteremia in elderly emergency patients. Ann Intern Med 1992; 21: 842–848. CASPubMedWeb of Science®Google Scholar 62 Arbo MDJ & Snydman DR. Influence of blood culture results on antibiotic choice in treatment of bacteremia. Arch Intern Med 1994; 154: 2641–2645. 10.1001/archinte.1994.00420230024004 PubMedWeb of Science®Google Scholar 63 Fine MJ, Auble TE & Yealy DM et al. A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med 1997; 336: 243–250. 10.1056/NEJM199701233360402 CASPubMedWeb of Science®Google Scholar 64 Bartlett JG & Mundy LM. Current concepts: community-acquired pneumonia. N Engl J Med 1995; 333: 1618–1624. 10.1056/NEJM199512143332408 CASPubMedWeb of Science®Google Scholar 65 Mylotte JM, Naughton B & Saludades C et al. Validation and application of the Pneumonia Prognosis Index to nursing home residents with pneumonia. J Am Geriatr Soc 1998; 46: 1538–1544. 10.1111/j.1532-5415.1998.tb01539.x CASPubMedWeb of Science®Google Scholar 66 Medina-Walpole AM & Katz PR. Nursing home-acquired pneumonia. J Am Geriatr Soc 1999; 47: 1005–1015. 10.1111/j.1532-5415.1999.tb01298.x CASPubMedWeb of Science®Google Scholar 67 Medina-Walpole AM & McCormick WC. Provider practice patterns in nursing home-acquired pneumonia. J Am Geriatr Soc 1998; 46: 187–192. 10.1111/j.1532-5415.1998.tb02537.x CASPubMedWeb of Science®Google Scholar 68 Wipf JE, Lipsky BA & Hirschmann JV et al. Diagnosing pneumonia by physical examination: relevant or relic? Arch Intern Med 1999; 159: 1082–1087. 10.1001/archinte.159.10.1082 CASPubMedWeb of Science®Google Scholar 69 Geckler RW, Gremillion DH & McAllister CK et al. Microscopic and bacteriological comparison of paired sputa and transtracheal aspirates. J Clin Microbiol 1977; 6: 396–399. CASPubMedWeb of Science®Google Scholar 70 Bentley DW, Ha K & Moon D et al. Pneumococcal vaccine in the institutionalized elderly: design of a non-randomized trial and preliminary results. Rev Infect Dis 1981; 3: S71–S81. 10.1093/clinids/3.Supplement_1.S71 PubMedWeb of Science®Google Scholar 71 Barker WH & Mullooly JP. Pneumonia and influenza deaths during epidemics: implications of prevention. Arch Intern Med 1982; 142: 85–89. PubMedWeb of Science®Google Scholar 72 Hall WN, Goodman RA & Noble GR et al. An outbreak of influenza B in an elderly population. J Infect Dis 1981; 144: 297–302. 10.1093/infdis/144.4.297 CASPubMedWeb of Science®Google Scholar 73 Falsey AR. Noninfluenza respiratory virus infection in long-term care facilities. Infect Control Hosp Epidemiol 1991; 12: 602–608. 10.1086/646249 CASPubMedWeb of Science®Google Scholar 74 Mylotte JM, Bentley DW. Pulmonary infections: influenza, pneumonia and tuberculosis. In: Smith PW, ed. Infection control in long-term care facilities. 2d ed. Albany, NY: Delmar Publishers. 1994:53–69. Google Scholar 75 Leonardi GP, Leib H & Birkhead GS et al. Comparison of rapid detection methods for influenza A virus and their value in health-care management of institutionalized geriatric residents. J Clin Microbiol 1994; 32: 70–74. CASPubMedWeb of Science®Google Scholar 76 Sachs MK. The optimum use of needle aspiration in the bacteriologic diagnosis of cellulitis in adults. Arch Intern Med 1990; 150: 1907–1912. 10.1001/archinte.150.9.1907 CASPubMedWeb of Science®Google Scholar 77 Sapico FL, Ginones VJ & Thornhill-Joynes M. Quantitative microbiology of pressure sores in different stages of healing. Diagn Microbiol Infect Dis 1986; 5: 31–38. 10.1016/0732-8893(86)90089-1 CASPubMedWeb of Science®Google Scholar 78 Kertesz D & Chow AW. Infected pressure and diabetic ulcers. Clin Geriatr Med 1992; 8: 835–852. 10.1016/S0749-0690(18)30448-8 PubMedGoogle Scholar 79 Nicolle LE, Orr P & Duckworth H et al. Prospective study of decubitus ulcers in two long-term facilities. Can J Infect Control 1994; 9: 35–38. CASPubMedGoogle Scholar 80 Haag ML, Brozena SJ & Fenske NA. Attack of the scabies: what to do when an outbreak occurs. Geriatrics 1993; 48: 45–53. CASPubMedWeb of Science®Google Scholar 81 Degalu J. Scabies in long-term care facilities. Infect Control Hosp Epidemiol 1992; 13: 421–425. 10.1086/646561 PubMedWeb of Science®Google Scholar 82 Bennett RG. Diarrhea among residents of long-term care facilities. Infect Control Hosp Epidemiol 1993; 14: 397–404. 10.1086/646769 CASPubMedWeb of Science®Google Scholar 83 Johnson S & Gerding DN. Clostridium difficile–associated diarrhea. Clin Infect Dis 1998; 26: 1027–1036. 10.1086/520276 CASPubMedWeb of Science®Google Scholar 84 Lewis MA, Cretin S & Kane RL. The natural history of nursing home patients. Gerontologist 1985; 25: 382–388. 10.1093/geront/25.4.382 CASPubMedWeb of Science®Google Scholar 85 Mott PD & Parker WH. Hospital and medical care use by nursing home patients: the effect of patient care plans. J Am Geriatr Soc 1988; 36: 47–53. 10.1111/j.1532-5415.1988.tb03433.x CASPubMedWeb of Science®Google Scholar 86 Jones JS, Dwyer PR & White LJ et al. Patient transfer from nursing home to emergency department: outcomes and policy implications. Acad Emerg Med 1997; 4: 908–915. 10.1111/j.1553-2712.1997.tb03818.x CASPubMedWeb of Science®Google Scholar 87 Rubenstein LZ, Ouslander JG & Wieland D. Dynamics and clinical implications of the nursing home–hospital interface. Clin Geriatr Med 1988; 4: 471–491. 10.1016/S0749-0690(18)30730-4 CASPubMedGoogle Scholar 88 Lynn J. Hospitalization of nursing home residents: the right rate? J Am Geriatr Soc 1997; 45: 378–379. 10.1111/j.1532-5415.1997.tb00958.x CASPubMedWeb of Science®Google Scholar 89 Mehr DR. Nursing home acquired pneumonia: how and where to treat? J Am Board Fam Pract 1997; 10: 168–169. CASPubMedGoogle Scholar 90 Zimmer JG. Nursing home acquired pneumonia: avoiding the hospital. J Am Geriatr Soc 1997; 45: 380–381. 10.1111/j.1532-5415.1997.tb00959.x PubMedWeb of Science®Google Scholar 91 Creditor MC. Hazards of hospitalization of the elderly. Ann Intern Med 1993; 118: 219–223. 10.7326/0003-4819-118-3-199302010-00011 CASPubMedWeb of Science®Google Scholar 92 Mehr DR, Foxman B & Colombo P. Risk factors for mortality from lower respiratory infections in nursing home patients. J Fam Pract 1992; 34: 585–591. PubMedWeb of Science®Google Scholar 93 Fried TR, Gillick MR & Lipsitz LA. Whether to transfer? Factors associated with hospitalization and outcomes of elderly long term care patients with pneumonia. J Gen Intern Med 1995; 10: 246–250. 10.1007/BF02599879 CASPubMedWeb of Science®Google Scholar 94 Degelau J, Guay D & Straub K et al. Effectiveness of oral antibiotic treatment in nursing home–acquired pneumonia. J Am Geriatr Soc 1995; 43: 245–251. 10.1111/j.1532-5415.1995.tb07330.x CASPubMedWeb of Science®Google Scholar 95 Muder RR, Brennen C & Swenson DL et al. Pneumonia in a long-term care facility: a prospective study of outcome. Arch Intern Med 1996; 156: 2365–2370. CASPubMedWeb of Science®Google Scholar 96 Fried TR & Mor V. Frailty and hospitalization of long term stay nursing home residents. J Am Geriatr Soc 1997; 45: 265–269. 10.1111/j.1532-5415.1997.tb00938.x CASPubMedWeb of Science®Google Scholar 97 Barker WH, Zimmer JG & Hall WJ et al. Rates, patterns, causes and costs of hospitalization of nursing home residents. Am J Public Health 1994; 84: 1615–1620. 10.2105/AJPH.84.10.1615 CASPubMedWeb of Science®Google Scholar 98 Teresi JA, Holmes D & Bloom HG et al. Factors differentiating transfers from long-term care facilities with high and low transfer rates. Gerontologist 1991; 31: 795–806. 10.1093/geront/31.6.795 CASPubMedWeb of Science®Google Scholar 99 Smith WR, Kellerman A & Brown JS. The impact of nursing home transfer policies at the end of life on a public acute care hospital. J Am Geriatr Soc 1995; 43: 1052–1957. 10.1111/j.1532-5415.1995.tb05573.x CASPubMedWeb of Science®Google Scholar 100 Wennberg JE, Freeman JL & Shelton R et al. Hospital use and mortality among Medicare beneficiaries in Boston and New Haven. N Engl J Med 1989; 321: 1168–1173. 10.1056/NEJM198910263211706 CASPubMedWeb of Science®Google Scholar 101 Mylotte JM, Ksiazek S & Bentley DW. Rational approach to the antibiotic treatment of pneumonia in the elderly. Drugs Aging 1994; 4: 21–33. 10.2165/00002512-199404010-00003 PubMedWeb of Science®Google Scholar 102 Marrie TJ & Slayter KL. Nursing home acquired pneumonia: treatment options. Drugs Aging 1996; 8: 338–348. 10.2165/00002512-199608050-00003 CASPubMedWeb of Science®Google Scholar 103 Thompson RS, Hall NK & Szpiech M et al. Treatment and outcomes of pneumonia in the elderly. J Am Board Fam Pract 1997; 10: 82–87. CASPubMedGoogle Scholar 104 Fried TR, Gillick MR & Lipsitz LA. Short-term functional outcomes of long-term care residents with pneumonia treated with and without hospital transfer. J Am Geriatr Soc 1997; 45: 302–306. 10.1111/j.1532-5415.1997.tb00944.x CASPubMedWeb of Science®Google Scholar 105 Blumer J. Pharmacokinetics of ceftriaxone. Hosp Pract (office edition) 1991; 26(Suppl 5): 7–13, 52–54. PubMedWeb of Science®Google Scholar 106 Davis R, Markham A & Balfour JA. Ciprofloxacin: an updated review of its pharmacology, therapeutic efficacy and tolerability. Drugs 1996; 51: 1019–1074. 10.2165/00003495-199651060-00010 CASPubMedWeb of Science®Google Scholar 107 Centers for Disease Control and Prevention. Prevention and control of tuberculosis in facilities providing long-term care to the elderly. Recommendations of the Advisory Committee for Elimination of Tuberculosis. MMWR 1990; 39 (No. RR–10): 7–20. PubMedGoogle Scholar 108 Gross PA, Barrett TL & Dellinger EP et al. Purpose of quality standards for infectious diseases. Clin Infect Dis 1994; 18: 421. 10.1093/clinids/18.3.421 CASPubMedWeb of Science®Google Scholar Citing Literature Volume49, Issue2Febuary 2001Pages 210-222 ReferencesRelatedInformation

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