Surveillance Definitions of Infections in Long-Term Care Facilities: Revisiting the McGeer Criteria

Infection surveillance definitions for long-term care facilities (ie, the McGeer Criteria) have not been updated since 1991. An expert consensus panel modified these definitions on the basis of a structured review of the literature. Significant changes were made to the criteria defining urinary tract and respiratory tract infections. New definitions were added for norovirus gastroenteritis and Clostridum difficile infections. Infect Control Hosp Epidemiol 2012;33(10):965-977

[1]  J. Rownd,et al.  USA: Medical College of Wisconsin, Milwaukee , 2011 .

[2]  A. Simor.  Diagnosis, Management, and Prevention of Clostridium difficile Infection in Long‐Term Care Facilities: A Review , 2010, Journal of the American Geriatrics Society.

[3]  C. Umscheid,et al.  Updating the guideline development methodology of the Healthcare Infection Control Practices Advisory Committee (HICPAC). , 2010, American Journal of Infection Control.

[4]  Sanjay Saint,et al.  Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. , 2010, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[5]  F. Piette,et al.  INFECTIONS IN NURSING HOMES: IS IT TIME TO REVISE THE McGEER CRITERIA? , 2010, Journal of the American Geriatrics Society.

[6]  L. Nicolle.  Symptomatic Urinary Tract Infection in Nursing Home Residents , 2009, Journal of the American Geriatrics Society.

[7]  M. Tinetti,et al.  Clinical Features to Identify Urinary Tract Infection in Nursing Home Residents: A Cohort Study , 2009, Journal of the American Geriatrics Society.

[8]  Philip Smith,et al.  Scabies surveillance, prevention, and control , 2009 .

[9]  D. Mehr,et al.  Clinical practice guideline for the evaluation of fever and infection in older adult residents of long-term care facilities: 2008 update by the Infectious Diseases Society of America. , 2009, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[10]  T. Perl,et al.  Healthcare epidemiology: gastrointestinal flu: norovirus in health care and long-term care facilities. , 2008, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[11]  J. Mylotte.  Surveillance for Clostridium difficile-Associated Diarrhea in Long-Term Care Facilities: What You Get Is Not What You See , 2008, Infection Control & Hospital Epidemiology.

[12]  Margaret A Dudeck,et al.  CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. , 2008, American journal of infection control.

[13]  T. Horan,et al.  Recommendations for Surveillance of Clostridium difficile–Associated Disease , 2007, Infection Control & Hospital Epidemiology.

[14]  R. Glass,et al.  Reevaluation of epidemiological criteria for identifying outbreaks of acute gastroenteritis due to norovirus: United States, 1998-2000. , 2006, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[15]  R. Raz,et al.  Usefulness of blood cultures in the management of febrile patients in long-term care facilities , 2005, European Journal of Clinical Microbiology and Infectious Diseases.

[16]  Philip Smith,et al.  Nursing Home-Acquired Bloodstream Infection , 2005, Infection Control & Hospital Epidemiology.

[17]  Kevin Brazil,et al.  Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections in residents of nursing homes: cluster randomised controlled trial , 2005, BMJ : British Medical Journal.

[18]  Transmission of hepatitis B virus among persons undergoing blood glucose monitoring in long-term-care facilities--Mississippi, North Carolina, and Los Angeles County, California, 2003-2004. , 2005, MMWR. Morbidity and mortality weekly report.

[19]  Transmission of Hepatitis B Virus Among Persons Undergoing Blood Glucose Monitoring in Long-Term – Care Facilities , 2005 .

[20]  J. Sarangi,et al.  Clinical manifestation of norovirus gastroenteritis in health care settings. , 2004, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[21]  S. Laube.  Skin infections and ageing , 2004, Ageing Research Reviews.

[22]  R. Waldron,et al.  DIFFICULTY BREATHING: AGREEMENT OF PARAMEDIC AND EMERGENCY PHYSICIAN DIAGNOSES , 2004 .

[23]  M. Loeb,et al.  Infection Control and Hospital Epidemiology Clostridium Difficile in Long-term–care Facilities for the Elderly Shea Position Paper , 2022 .

[24]  R. D'Agostino,et al.  Clinical findings associated with radiographic pneumonia in nursing home residents. , 2001, The Journal of family practice.

[25]  W. Lim,et al.  A prospective comparison of nursing home acquired pneumonia with community acquired pneumonia. , 2001, The European respiratory journal.

[26]  P. Mackowiak,et al.  The Relationship between Age and Fever Magnitude , 2001, The American journal of the medical sciences.

[27]  M. Loeb,et al.  Development of Minimum Criteria for the Initiation of Antibiotics in Residents of Long-Term–Care Facilities: Results of a Consensus Conference , 2001, Infection Control & Hospital Epidemiology.

[28]  R. Dmochowski,et al.  Effect of bladder management on urological complications in spinal cord injured patients. , 2000, The Journal of urology.

[29]  L. Nicolle,et al.  Febrile urinary infection in the institutionalized elderly. , 1996, The American journal of medicine.

[30]  J. Richardson,et al.  Risk factors for the development of bacteremia in nursing home patients. , 1995, Archives of family medicine.

[31]  J. Schnelle,et al.  Urine Specimen Collection from Incontinent Female Nursing Home Residents , 1995, Journal of the American Geriatrics Society.

[32]  L. Nicolle,et al.  Bacteremia in a long term care facility. , 1994, The Canadian journal of infectious diseases = Journal canadien des maladies infectieuses.

[33]  S. Toledo,et al.  Lowering the temperature criterion improves detection of infections in nursing home residents , 1993 .

[34]  B. Schwartz,et al.  Group A Streptococcal Outbreaks in Nursing Homes , 1992, Infection Control & Hospital Epidemiology.

[35]  M. Jackson,et al.  Definitions of infection for surveillance in long-term care facilities. , 1991, American journal of infection control.

[36]  S K Inouye,et al.  Clarifying confusion: the confusion assessment method. A new method for detection of delirium. , 1990, Annals of internal medicine.

[37]  J. Tenney,et al.  Long-term catheter-associated bacteriuria: species at low concentration. , 1987, Urology.

[38]  H. Greenberg,et al.  Epidemiology of Norwalk gastroenteritis and the role of Norwalk virus in outbreaks of acute nonbacterial gastroenteritis. , 1982, Annals of internal medicine.