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 1.5 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 1.5 clinical 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: Caring for older adults with suspected infections presents challenges for post-acute/long-term care (PA/LTC) providers. This session will provide an update on management of positive urine cultures, pneumonia and C. difficile infections in PA/LTC. Topics covered include watchful waiting for older adults with positive urine cultures, gauging the risk of older adults with pneumonia for having a bacterial infection and for that infection to be a multi-drug resistant organism, choosing among viable therapeutic options for responding to C. difficile infection and for reducing the risk of infection through infection control strategies. The speakers are experienced geriatric, infectious disease and long-term care providers.
Discriminate between asymptomatic bacteriuria and urinary tract infections
Choose empiric therapy for older adults with suspected pneumonia, which may include supportive care without antibiotics
Discuss treatment options for C. difficile infection, including recurrent disease and infection control strategies for acute and long-term care facilities
Delineate strategies for effective communication regarding asymptomatic bacteriuria with nursing staff, long-term care facility residents and their family members
Speaker(s): Verna Sellers, MD, MPH, CMD David Nace, MD, MPH Robin Jump, MD, PhD
Reference(s): Nace DA, Drinka PJ, Crnich CJ Clinical uncertainties in the approach to long term care residents with possible urinary tract infection. J Am Med Dir Assoc. 2014 Feb; 15 (2): 133-9. Jump RL, Riggs MM, Sethi AK, Pultz MJ, Ellis-Reid T, Riebel W, Gerding DN, Salata RA, Donskey CJ. Multihospital outbreak of Clostridium difficile infection, Cleveland, Ohio, USA. Emerg Infect Dis. 2010 May; 16 (5): 827-9. El-Solh AA, Niederman MS, Drinka P. Management of pneumonia in the nursing home chest. 2010 Dec; 138 (6): 1480-5.
Louis Stokes Cleveland VA Medical Center
MD, MPH, CMD,
Associate Professor of Medicine & Director of Long-Term Care,
University of Pittsburgh