title: Clostridium difficilein the Long-Term Care Facility: Prevention and Management.
abstract: Residents of long-term care facilities are at high risk forClostridium difficileinfection due to frequent antibiotic exposure in a population already rendered vulnerable to infection due to advanced age, multiple comorbid conditions and communal living conditions. Moreover, asymptomatic carriage of toxigenicC. difficileand recurrent infections are prevalent in this population. Here, we discuss epidemiology and management ofC. difficileinfection among residents of long-term care facilities. Also, recognizing that both the population and culture differs significantly from that of hospitals, we also address prevention strategies specific to LTCFs.
authors: Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio ; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western, Reserve University, Cleveland, Ohio.
authors: Robin L P
authors: RL
authors: Jump
authors: Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio ; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western, Reserve University, Cleveland, Ohio ; Research Service, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio.
authors: Curtis J
authors: CJ
authors: Donskey
keywords: Clostridium difficile infection; Long-term care facility; bleach; fecal microbiota transplant; fidaxomycin; hydrogen peroxide; infection control; metronidazole; nursing home; ultraviolet radiation; vancomycin