A new study found one in five nursing home residents with advanced dementia harbor strains of drug-resistant bacteria and more than 10 percent of the drug-resistant bacteria are resistant to four or more antibiotic classes. The research was published online today in Infection Control & Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America. Drug-resistant Escherichia coli (E. coli) and Proteus mirabilis (P. mirabilis) were the most common bacteria found among the study subjects. Nearly 90 percent of the bacteria found were resistant to three types of antibiotics, most notably ciprofloxacin, gentamicin and extended-spectrum penicillins.
Genetically related bacteria were detected in 18 of the 22 nursing homes (82 percent). Possible routes include overlapping hospital stays among residents with advanced dementia from different nursing homes and healthcare professionals cross-covering multiple nursing homes.
“Ongoing efforts to curb the acquisition and spread of this bacteria among nursing homes residents is crucial since this is an issue that goes beyond just one realm of care,” said D’Agata. “Healthcare institutions must work together to help curb the transmission of these emerging, dangerous pathogens.”
More information: Erika D’Agata, Daniel Habtemariam, Susan Mitchell. “Multidrug-Resistant Gram-Negative Bacteria: Inter- and Intradissemination Among Nursing Homes of Residents with Advanced Dementia.” Infection Control & Hospital Epidemiology. Web. (April 29, 2015).
Ozarks First reported that John Carrier is accused of sexually assaulting a woman described by the Nixa Police Department as being under legal guardianship and of diminished mental capacity. The Christian County prosecutor has charged Carrier with sodomy and rape of a resident in the nursing care facility where he worked. A probable cause statement in the case states that Carrier, a caregiver at the Life Enhancement Village in Nixa, had sexual intercourse and deviate sexual intercourse with the woman, despite her resistance.
During interviews with investigators, Carrier admitted to having sex and oral sex with the woman, the court document states. The victim told investigators that she had told Carrier to stop and that she didn’t want to have sex with him, but that she was afraid of him and followed his instructions because he was a staff member and was telling her what to do.
I wonder if he would have done this if there had been a video camera in the room?
The Humanitas Retirement Home in the Netherlands has created a program to attract younger residents in nursing homes. The younger residents do not require the services of the nursing home, but actually help out with their neighbors. Jurrien Mentink is a student at a nearby university. He lives in the Humanitas Retirement Home for free, in exchange for volunteering in some capacity 30 hours per month. The program is designed to increase the exchange of communications and culture, with the goal being a very simple one – have students be good neighbors. Mentink has volunteered to give computer lessons, cooked for his neighbors, and sometimes, just hangs out with them. “I bring the outside world in, so my world becomes their world,” said Mentink. Listen to the radio broadcast here.
Researchers from several established institutions just released a new study which shows that chronic constipation and fecal impaction are two areas of care where nursing homes aren’t meeting the needs of the residents. The study was conducted in 34 Spanish nursing homes, using surveys, data, and rectal examinations on consenting participants. This study is the first of its kind since other constipation studies have been based on the use of laxatives. What the researchers found is that chronic constipation is not well controlled in nursing homes, even though it’s very common. Almost 3/4 of all residents had chronic constipation, and half of those exhibited signs of fecal impaction. Part of the problem is that laxatives are not as effective in the older population as they are in others, and if a patient is given a laxative, there is no follow up to see if it worked. The researchers cite other studies done outside of Spain, some in the US, which suggest these results can be generalized to nursing homes elsewhere. The full study can be found here.