Several Roads Lead to Rome: Operationalizing Antibiotic Stewardship Programs in Nursing Homes

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153068/1/jgs16279_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153068/2/jgs16279.pd

Evolution of Geriatric Medicine: Midcareer Faculty Continuing the Dialogue

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/137692/1/jgs14842_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/137692/2/jgs14842.pd

Coronavirus disease 2019 (COVID-19) research agenda for healthcare epidemiology

This SHEA white paper identifies knowledge gaps and challenges in healthcare epidemiology research related to coronavirus disease 2019 (COVID-19) with a focus on core principles of healthcare epidemiology. These gaps, revealed during the worst phases of the COVID-19 pandemic, are described in 10 sections: epidemiology, outbreak investigation, surveillance, isolation precaution practices, personal protective equipment (PPE), environmental contamination and disinfection, drug and supply shortages, antimicrobial stewardship, healthcare personnel (HCP) occupational safety, and return to work policies. Each section highlights three critical healthcare epidemiology research questions with detailed description provided in supplementary materials. This research agenda calls for translational studies from laboratory-based basic science research to well-designed, large-scale studies and health outcomes research. Research gaps and challenges related to nursing homes and social disparities are included. Collaborations across various disciplines, expertise and across diverse geographic locations will be critical

Contamination of Common Area and Rehabilitation Gym Environment with Multidrug‐Resistant Organisms

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154343/1/jgs16284.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154343/2/jgs16284_am.pd

Introduction of a Waterless Alcohol-based Hand Rub in a Long-term Care Facility

OBJECTIVE: To examine the impact of introduction of an alcohol-based hand rub on hand hygiene knowledge and compliance and hand colonization of healthcare workers (HCWs) in a long-term-care facility (LTCF). METHODS: Two floors of an LTCF participated. Ward A used the hand rub as an adjunct to soap and water; ward B was the control. HCWs\u27 hands were cultured using the bag-broth technique for Staphylococcus aureus, gram-negative bacilli (GNB), Candida, and vancomycin-resistant enterococci (VRE). HCWs completed a questionnaire at baseline and after an educational intervention and introduction of rub. RESULTS: Hand hygiene practices, knowledge, and opinions did not change after the educational or rub intervention. Ward A HCWs thought that the rub was faster (P = .002) and less drying (P = .04) than soap. Hand hygiene frequency did not differ at baseline between the two floors, but increased on ward A by the end of the study (P = .04). HCWs were colonized frequently with GNB (66%), Candida (41%), S. aureus (20%), and VRE (9%). Although colonization did not change from baseline on either ward, the rub was more effective in clearing GNB P =.03) and S. aureus (P = .003). Nosocomial infection rates did not change. CONCLUSION: The alcohol-based hand rub was a faster, more convenient, less drying method of hand hygiene for HCWs in an LTCF, and it improved compliance. Although microbial colonization did not change, the rub was more efficacious in removing pathogens already present on the hands of HCWs

Leadership Lessons: Building and Nurturing a High‐Performing Clinical Research Team

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145296/1/jgs15352_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/145296/2/jgs15352.pd

Role of Post‐Acute Care in Readmissions for Preexisting Healthcare‐Associated Infections

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153607/1/jgs16208.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153607/2/jgs16208_am.pd

Leadership Lessons: Developing Mentoring Infrastructure for GEMSSTAR Scholars

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/149305/1/jgs15787_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/149305/2/jgs15787.pd

COVID‐19 Preparedness in Nursing Homes in the Midst of the Pandemic

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/155887/1/jgs16520.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155887/2/jgs16520_am.pd