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April 22, 1992

Infections in Nursing Homes and Long Term Care Facilities

Author Affiliations

Veterans Administration Medical Center Wilmington, Del

JAMA. 1992;267(16):2255. doi:10.1001/jama.1992.03480160115051

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Nursing homes in the United States provide shelter and comfort to approximately 1.5 million chronically ill or elderly Americans. These are unique institutions since they are really neither "home" nor "hospital," and they vary greatly in the quality of care and caring. Even though the nosocomial infection rates are known to be high, and infections frequently prompt the transfer of patients to hospitals, infection control practices in many of these institutions leave much to be desired. The authors state that "the nursing home is an exciting and fulfilling place to teach, carry out research and practice medicine" and offer this book as a "useful reference source for physicians, nurses, administrators and all those involved with the nursing home." I believe they have succeeded in their objectives.

The multiauthored text has 16 chapters, 13 figures, and 41 tables. Eight chapters are devoted to infections of various organ systems, which include pneumonias,