Nursing Homes Are Severly At Risk For Gastrointestinal Infections Says Elder Abuse Lawyer Steven Peck
Nursing Homes may be at unique risk for outbreaks of gastrointestinal disease. Multiple chronic diseases and functional impairments, as well as common air, food, water, and medical care, heighten the potential for an outbreak, as do prolonged lengths of stay, limited diagnostic facilities, and poorly developed infection-control programs.
Among epidemic illnesses, outbreaks of gastrointestinal disease may be particularly severe. A variety of characteristics of the nursing home and its residents predispose to serious gastrointestinal infection. One review of such outbreaks identified a variety of factors placing this population at risk. Age-related (or medication-induced) achlorhydria and high rates of antibiotic usage, which alter the normal protective gastrointestinal flora, increase rates of infection and colonization. Additionally, dementia, incontinence, and psychosis, present in high rates in long-term care facilities, as well as crowded communal living conditions, facilitate behavioral patterns that allow person-to-person transmission of gastrointestinal pathogens. These risk factors create the potential for the occurrence of severe outbreaks, including wrongful death.
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