• 2019 GAPNA Pharmacology Conference: Contemporary Pharmacology and Prescribing in Older AdultsJoin us at the 2019 GAPNA Pharmacology Conference:
    Contemporary Pharmacology and Prescribing in Older Adults

    March 28-30, 2019, Chicago Hilton, Chicago, IL.

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    The awards are: Emerging Chapter Award, Established Chapter Excellence Award, Special Interest Group Excellence Award, Excellence in Clinical Practice Award, Excellence in Community Service Award, Excellence in Education Award, Excellence in Leadership Award, and Excellence in Research Award.

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    "Keynote Address - Health Policy: APRNs Working to the Full Extent of the Law"

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  • Poster Presentation

       

    This 22-module curriculum provides a basic knowledge base for Nurse Practitioners who looking to advance their expertise in caring for patients with dementia.
     

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Contact Precautions Should Be Extended to All MRSA Carriers in a Nursing Home

A new study finds there can be substantial benefit when contact precautions are extended to all known methicillin-resistant Staphylococcus aureus (MRSA) carriers in nursing homes, not just those with evident infection.

Researchers used a computational model that included virtual representations of 71 nursing homes and 29 hospitals to compare three strategies: not applying contact precautions to any nursing home residents, applying contact precautions to individuals with clinically apparent MRSA infections, and using contact precautions for all known MRSA carriers identified by hospital screening.

Implementing contact precautions for those with clinically apparent infection had a minimal effect of less than 1% on MRSA prevalence in hospitals, which continued 5 years after starting the practice. The strategy did result in a median 0.4% decrease in MRSA prevalence in nursing homes. Using contact precautions on all known MRSA carriers resulted in a 14.2% in MRSA prevalence in nursing homes and a 2.3% decrease in hospitals 1 year after implementation. 

According to the researchers, the findings support a more comprehensive approach to contain and prevent MRSA infection. They suggest that nursing homes include measures to help residents deal with the isolation requirement of contact precautions.

For more info, see Lee et al. (2013). The potential regional impact of contact precaution use in nursing homes to control methicillin-resistant Staphylococcus aureus. Infection Control and Hospital Epidemiology, 34(2), 151-160. doi:10.1086/669091

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