Accreditation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this Internet Enduring Material for a maximum of 3.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
ABPLM Designation Statement: This Internet Enduring Material has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 3.5 management hours toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
Session Description: This interactive session will introduce medical directors to infection surveillance in the nursing home setting. Participants will explore various infection control criteria and be able to differentiate between surveillance criteria and minimal criteria for antimicrobial use. The presenter will discuss how to track and respond to common infections as well as how to identify and respond to less common, but particularly challenging, disease outbreaks. The session will employ a variety of learning formats including short didactic sessions, case-based learning, small group work, and panel discussion.
Identify several common sets of infection control criteria, and be able to differentiate when to use surveillance criteria as opposed to minimal criteria for initiation of antimicrobials
Use infection control data to address common nursing home infection issues
Define and identify disease outbreaks in nursing homes
List data to be collected during an outbreak and formulate an appropriate outbreak management plan
Speaker(s): David A. Nace, MD, MPH, CMD Nimalie Stone, MD, MS Robin Jump, MD, PhD David R. Mehr, MD, MS
Reference(s): 1) Stone ND, Ashraf MS; Calder J, et al. Surveillance definitions of infections in long-term care facilities: revisiting the McGeer Criteria Infect Control Hosp Epidemiol 2012; 33: 965- 977. 2) Loeb M, Bentley DW, Bradley S, et al. Development of minimum criteria for the initiation of antibiotics in residents of long-term care facilities: Results of a consensus conference. Infect Control Hosp Epidemiol 2001; 22 (2): 120-124. 3) High KP, Bradley SF, Gravenstein S, et al. Clinical practice guideline for the evaluation of fever and infection in older adult residents of long-term care facilities: 2008 update by the Infectious Diseases Society of America. Clin Infect Dis 2009; 48: 149-171. 4) Richards CL. Infection control in long-term care facilities. J Am Med Dir Assoc 2007; 8: 518-525.
Louis Stokes Cleveland VA Medical Center
MD, MPH, CMD,
Associate Professor of Medicine & Director of Long-Term Care,
University of Pittsburgh
Centers for Disease Control and Prevention