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Preface
Contributors
I Principles of Aging, Long-Term Care, and Infection
1 Demographics and Economics of Long-Term Care 1
2 Evaluation of Infections in Long-Term Care Facilities Versus Acute Care Hospitals 15
3 Epidemiology and Special Aspects of Infectious Diseases in Aging 27
4 Impact of Age and Chronic Illness-Related Immune Dysfunction on Risk of Infections 33
5 Nutrition and Infection 51
6 Clinical Manifestations of Infections 71
7 Ethical Issues of Infectious Disease Interventions 79
8 Nursing Management of Infections 99
9 Establishing an Infection Control Program 115
10 Epidemiologic Investigation of Infectious Disease Outbreaks 133
11 An Approach to Antimicrobial Therapy 155
II Special Infectious Disease Problems
12 Urinary Tract Infection 173
13 Influenza and Other Respiratory Viruses 197
14 Pneumonia and Bronchitis 223
15 Tuberculosis 245
16 Infected Pressure Ulcers 257
17 Herpes Zoster, Cellulitis, and Scabies 283
18 Infectious Diarrhea 305
19 Hepatitis 313
20 Vaccinations 337
III Emerging and Drug-Resistant Pathogens
21 Pathogenesis and Molecular Mechanisms of Antibiotic Resistance 363
22 Methicillin-Resistant Staphylococcus aureus 383
23 Vancomycin (Glycopeptide)-Resistant Enterococci 411
24 Gram-Negative Bacteria 429
25 Candida and Other Fungi 449
App. A Definitions of Common Infections in Long-Term Care Facilities 473
App. B Guide to Evaluating Fever and Infection in a Long-Term Care Setting 477
Index 481