{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T20:08:17Z","timestamp":1785787697423,"version":"3.56.0"},"reference-count":123,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","geriatric.theclinics.com","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinics in Geriatric Medicine"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.cger.2025.09.004","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T19:13:13Z","timestamp":1785784393000},"page":"469-490","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Health Care-Associated Infections in Older Adults"],"prefix":"10.1016","volume":"42","author":[{"given":"Brenda L.","family":"Tesini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghinwa","family":"Dumyati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.cger.2025.09.004_bib1","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1177\/003335490712200205","article-title":"Estimating health care-associated infections and deaths in U.S. hospitals, 2002","volume":"122","author":"Klevens","year":"2007","journal-title":"Public Health Rep"},{"issue":"18","key":"10.1016\/j.cger.2025.09.004_bib2","doi-asserted-by":"crossref","first-page":"1732","DOI":"10.1056\/NEJMoa1801550","article-title":"Changes in prevalence of health care-associated infections in U.S. hospitals","volume":"379","author":"Magill","year":"2018","journal-title":"N Engl J Med"},{"issue":"13","key":"10.1016\/j.cger.2025.09.004_bib3","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1056\/NEJMoa1306801","article-title":"Multistate point-prevalence survey of health care-associated infections","volume":"370","author":"Magill","year":"2014","journal-title":"N Engl J Med"},{"key":"10.1016\/j.cger.2025.09.004_bib4","series-title":"National center for health statistics","first-page":"1","article-title":"Mortality in the United States, 2020","volume":"427","author":"Murphy","year":"2021"},{"issue":"7","key":"10.1016\/j.cger.2025.09.004_bib5","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1093\/cid\/cis556","article-title":"Does nonpayment for hospital-acquired catheter-associated urinary tract infections lead to overtesting and increased antimicrobial prescribing?","volume":"55","author":"Morgan","year":"2012","journal-title":"Clin Infect Dis"},{"issue":"2","key":"10.1016\/j.cger.2025.09.004_bib6","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1086\/657912","article-title":"Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs","volume":"32","author":"Umscheid","year":"2011","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.cger.2025.09.004_bib7","series-title":"Demographic turning points for the United States","first-page":"25","author":"Vespa","year":"2020"},{"issue":"15","key":"10.1016\/j.cger.2025.09.004_bib8","doi-asserted-by":"crossref","first-page":"1616","DOI":"10.1001\/jama.2018.2408","article-title":"Trends in post-acute care use among medicare beneficiaries: 2000 to 2015","volume":"319","author":"Werner","year":"2018","journal-title":"Jama"},{"issue":"12","key":"10.1016\/j.cger.2025.09.004_bib9","doi-asserted-by":"crossref","first-page":"2496","DOI":"10.1016\/j.jamda.2021.09.001","article-title":"Trends in post-acute care utilization during the covid-19 pandemic","volume":"22","author":"Werner","year":"2021","journal-title":"J Am Med Directors Assoc"},{"issue":"167","key":"10.1016\/j.cger.2025.09.004_bib10","first-page":"1","article-title":"The National Nursing Home Survey: 2004 overview","volume":"13","author":"Jones","year":"2009","journal-title":"Vital Health Stat"},{"issue":"6","key":"10.1016\/j.cger.2025.09.004_bib11","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1016\/j.bbmt.2018.02.008","article-title":"Effects of Prophylactic Foscarnet on Human Herpesvirus-6 Reactivation and Encephalitis in Cord Blood Transplant Recipients: A Prospective Multicenter Trial with an Historical Control Group","volume":"24","author":"Ogata","year":"2018","journal-title":"Biol Blood Marrow Transplant : J Am Soc Blood Marrow Transplant"},{"issue":"3","key":"10.1016\/j.cger.2025.09.004_bib12","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1001\/jamainternmed.2019.6130","article-title":"Hospital transfer rates among us nursing home residents with advanced illness before and after initiatives to reduce hospitalizations","volume":"180","author":"McCarthy","year":"2020","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.cger.2025.09.004_bib13","unstructured":"Scott RD. The Direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention. National Center for Preparedness, Detection, and Control of Infectious Diseases (U.S.). Division of Healthcare Quality Promotion. 2009."},{"issue":"6","key":"10.1016\/j.cger.2025.09.004_bib14","first-page":"553","article-title":"Study on the Efficacy of Nosocomial Infection Control (SENIC Project): Results and Implications for the Future","volume":"34","author":"Hughes","year":"1988","journal-title":"Chemotherapy"},{"issue":"2","key":"10.1016\/j.cger.2025.09.004_bib15","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1093\/oxfordjournals.aje.a113990","article-title":"The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals","volume":"121","author":"Haley","year":"1985","journal-title":"Am J Epidemiol"},{"issue":"Suppl 2","key":"10.1016\/j.cger.2025.09.004_bib16","first-page":"44","article-title":"Benchmarking for prevention: the Centers for Disease Control and Prevention\u2019s National Nosocomial Infections Surveillance (NNIS) system experience","volume":"31","author":"Jarvis","year":"2003","journal-title":"Infection"},{"issue":"3b","key":"10.1016\/j.cger.2025.09.004_bib17","doi-asserted-by":"crossref","first-page":"289s","DOI":"10.1016\/0002-9343(91)90384-A","article-title":"Nosocomial infections in elderly patients in the United States, 1986-1990. National Nosocomial Infections Surveillance System","volume":"91","author":"Emori","year":"1991","journal-title":"Am J Med"},{"key":"10.1016\/j.cger.2025.09.004_bib18","series-title":"Point prevalence survey of healthcare-associated infections and antimicrobial use in European long-term care facilities","year":"2014"},{"issue":"46","key":"10.1016\/j.cger.2025.09.004_bib19","doi-asserted-by":"crossref","first-page":"1800516","DOI":"10.2807\/1560-7917.ES.2018.23.46.1800516","article-title":"Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017","volume":"23","author":"Suetens","year":"2018","journal-title":"Euro Surveill"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib21","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1017\/ice.2021.362","article-title":"The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: A summary of data reported to the National Healthcare Safety Network","volume":"43","author":"Weiner-Lastinger","year":"2022","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.cger.2025.09.004_bib22","first-page":"1","article-title":"Continued increases in the incidence of healthcare-associated infection (HAI) during the second year of the coronavirus disease 2019 (COVID-19) pandemic","author":"Lastinger","year":"2022","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib23","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/20477724.2019.1632070","article-title":"Point prevalence surveys of health-care-associated infections: a systematic review","volume":"113","author":"Saleem","year":"2019","journal-title":"Pathog Glob Health"},{"issue":"9761","key":"10.1016\/j.cger.2025.09.004_bib24","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/S0140-6736(10)61458-4","article-title":"Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis","volume":"377","author":"Allegranzi","year":"2011","journal-title":"Lancet (London, England)"},{"issue":"8","key":"10.1016\/j.cger.2025.09.004_bib25","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1086\/660871","article-title":"The prevalence of health care-associated infection in older people in acute care hospitals","volume":"32","author":"Cairns","year":"2011","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"6","key":"10.1016\/j.cger.2025.09.004_bib26","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1093\/cid\/ciab696","article-title":"Mortality, Length of Stay, and Healthcare Costs Associated With Multidrug-Resistant Bacterial Infections Among Elderly Hospitalized Patients in the United States","volume":"74","author":"Nelson","year":"2022","journal-title":"Clin Infect Dis"},{"issue":"S1","key":"10.1016\/j.cger.2025.09.004_bib27","doi-asserted-by":"crossref","first-page":"s45","DOI":"10.1017\/ice.2020.528","article-title":"Prevalence and Epidemiology of Healthcare-Associated Infections (HAI) in US Nursing Homes (NH), 2017","volume":"41","author":"Thompson","year":"2020","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"7","key":"10.1016\/j.cger.2025.09.004_bib28","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1016\/j.jamda.2017.04.003","article-title":"Infection Trends in US Nursing Homes, 2006-2013","volume":"18","author":"Herzig","year":"2017","journal-title":"J Am Med Dir Assoc"},{"issue":"13","key":"10.1016\/j.cger.2025.09.004_bib29","doi-asserted-by":"crossref","first-page":"1286","DOI":"10.1001\/jama.2021.2900","article-title":"Antimicrobial Use in a Cohort of US Nursing Homes, 2017","volume":"325","author":"Thompson","year":"2021","journal-title":"JAMA"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib31","doi-asserted-by":"crossref","DOI":"10.1073\/pnas.2015455118","article-title":"Nursing home staff networks and COVID-19","volume":"118","author":"Chen","year":"2021","journal-title":"Proc Natl Acad Sci"},{"issue":"2","key":"10.1016\/j.cger.2025.09.004_bib32","doi-asserted-by":"crossref","first-page":"236","DOI":"10.3947\/ic.2022.0008","article-title":"Candida auris: An Overview of the Emerging Drug-Resistant Fungal Infection","volume":"54","author":"Sanyaolu","year":"2022","journal-title":"Infect Chemother"},{"issue":"3","key":"10.1016\/j.cger.2025.09.004_bib33","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1046\/j.1532-5415.2002.50128.x","article-title":"Infections in residents of long-term care facilities: an agenda for research. Report of an expert panel","volume":"50","author":"Richards","year":"2002","journal-title":"J Am Geriatr Soc"},{"issue":"6","key":"10.1016\/j.cger.2025.09.004_bib34","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.ajic.2009.12.009","article-title":"Nursing home-associated infections in Department of Veterans Affairs community living centers","volume":"38","author":"Tsan","year":"2010","journal-title":"Am J Infect Control"},{"issue":"3","key":"10.1016\/j.cger.2025.09.004_bib35","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.ajic.2007.06.008","article-title":"Prevalence of nursing home-associated infections in the Department of Veterans Affairs nursing home care units","volume":"36","author":"Tsan","year":"2008","journal-title":"Am J Infect Control"},{"issue":"3","key":"10.1016\/j.cger.2025.09.004_bib36","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1111\/jgs.12153","article-title":"Infections in Long-Term Care Populations in the United States","volume":"61","author":"Dwyer","year":"2013","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.cger.2025.09.004_bib37","series-title":"Prevalence of Long Term Care Healthcare-Associated Infections in U.S","author":"Danko","year":"2013"},{"issue":"5","key":"10.1016\/j.cger.2025.09.004_bib38","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1017\/ice.2016.7","article-title":"Infections in Australian Aged-Care Facilities: Evaluating the Impact of Revised McGeer Criteria for Surveillance of Urinary Tract Infections","volume":"37","author":"Bennett","year":"2016","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.cger.2025.09.004_bib39","doi-asserted-by":"crossref","first-page":"2247","DOI":"10.3389\/fimmu.2019.02247","article-title":"Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention","volume":"10","author":"Aiello","year":"2019","journal-title":"Front Immunol"},{"issue":"9","key":"10.1016\/j.cger.2025.09.004_bib40","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1038\/s41569-018-0064-2","article-title":"Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty","volume":"15","author":"Ferrucci","year":"2018","journal-title":"Nat Rev Cardiol"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib41","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s12603-014-0001-y","article-title":"Patterns of chronic co-morbid medical conditions in older residents of U.S. nursing homes: differences between the sexes and across the agespan","volume":"18","author":"Moore","year":"2014","journal-title":"J Nutr Health Aging"},{"key":"10.1016\/j.cger.2025.09.004_bib42","first-page":"1","article-title":"Post-acute and long-term care providers and services users in the United States, 2017\u20132018","volume":"47","author":"Sengupta","year":"2022","journal-title":"Vital Health Stat 3"},{"issue":"11","key":"10.1016\/j.cger.2025.09.004_bib43","doi-asserted-by":"crossref","first-page":"6215","DOI":"10.1007\/s10072-022-06280-9","article-title":"Infectious diseases and cognition: do we have to worry?","volume":"43","author":"Hernandez-Ruiz","year":"2022","journal-title":"Neurol Sci"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib44","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/j.idc.2017.07.017","article-title":"Influence of aging and environment on presentation of infection in older adults","volume":"31","author":"El Chakhtoura","year":"2017","journal-title":"Infect Dis Clin North Am"},{"issue":"9868","key":"10.1016\/j.cger.2025.09.004_bib45","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1016\/S0140-6736(12)62167-9","article-title":"Frailty in elderly people","volume":"381","author":"Clegg","year":"2013","journal-title":"Lancet"},{"issue":"8","key":"10.1016\/j.cger.2025.09.004_bib46","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1016\/j.ajic.2020.12.001","article-title":"The utility of frailty indices in predicting the risk of health care associated infections: a systematic review","volume":"49","author":"Cosentino","year":"2021","journal-title":"Am J Infect Control"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib47","doi-asserted-by":"crossref","first-page":"37","DOI":"10.7326\/0003-4819-144-1-200601030-00008","article-title":"Meta-analysis: protein and energy supplementation in older people","volume":"144","author":"Milne","year":"2006","journal-title":"Ann Intern Med"},{"issue":"11","key":"10.1016\/j.cger.2025.09.004_bib48","doi-asserted-by":"crossref","first-page":"850","DOI":"10.7326\/0003-4819-123-11-199512010-00008","article-title":"Nutritional issues in nursing home care","volume":"123","author":"Morley","year":"1995","journal-title":"Ann Intern Med"},{"issue":"8","key":"10.1016\/j.cger.2025.09.004_bib49","doi-asserted-by":"crossref","first-page":"2764","DOI":"10.3390\/nu13082764","article-title":"Malnutrition in older adults\u2014recent advances and remaining challenges","volume":"13","author":"Norman","year":"2021","journal-title":"Nutrients"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib50","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1038\/sj.ejcn.1602096","article-title":"Low staffing level is associated with malnutrition in long-term residential care homes","volume":"59","author":"Woo","year":"2005","journal-title":"Eur J Clin Nutr"},{"issue":"9","key":"10.1016\/j.cger.2025.09.004_bib51","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1017\/ice.2015.119","article-title":"Transmission of methicillin-resistant staphylococcus aureus (mrsa) to healthcare worker gowns and gloves during care of nursing home residents","volume":"36","author":"Roghmann","year":"2015","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"12","key":"10.1016\/j.cger.2025.09.004_bib52","doi-asserted-by":"crossref","first-page":"1921","DOI":"10.1111\/j.1532-5415.2007.01468.x","article-title":"Indwelling device use and antibiotic resistance in nursing homes: identifying a high-risk group","volume":"55","author":"Mody","year":"2007","journal-title":"J Am Geriatr Soc"},{"issue":"12","key":"10.1016\/j.cger.2025.09.004_bib53","first-page":"28","article-title":"Incontinence-related skin damage: essential knowledge","volume":"53","author":"Gray","year":"2007","journal-title":"Ostomy\/wound Manag"},{"issue":"3","key":"10.1016\/j.cger.2025.09.004_bib54","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/j.cger.2016.03.002","article-title":"Urinary Tract Infections in the Older Adult","volume":"32","author":"Nicolle","year":"2016","journal-title":"Clin Geriatr Med"},{"issue":"16","key":"10.1016\/j.cger.2025.09.004_bib55","doi-asserted-by":"crossref","first-page":"1782","DOI":"10.1001\/jama.2011.1556","article-title":"Hospitalization-associated disability: \"She was probably able to ambulate, but I\u2019m not sure\"","volume":"306","author":"Covinsky","year":"2011","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib56","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1016\/j.idc.2017.07.004","article-title":"Breaking the chain of infection in older adults: a review of risk factors and strategies for preventing device-related infections","volume":"31","author":"Schrank","year":"2017","journal-title":"Infect Dis Clin North Am"},{"issue":"8","key":"10.1016\/j.cger.2025.09.004_bib57","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1017\/ice.2021.239","article-title":"Nonventilator hospital-acquired pneumonia: A call to action: Recommendations from the National Organization to Prevent Hospital-Acquired Pneumonia (NOHAP) among nonventilated patients","volume":"42","author":"Munro","year":"2021","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"5","key":"10.1016\/j.cger.2025.09.004_bib58","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jamda.2010.12.099","article-title":"Risk Factors for Aspiration Pneumonia in Frail Older People: A Systematic Literature Review","volume":"12","author":"van der Maarel-Wierink","year":"2011","journal-title":"J Am Med Directors Assoc"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib59","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1016\/j.pmr.2008.07.001","article-title":"Dysphagia in stroke and neurologic disease","volume":"19","author":"Gonz\u00e1lez-Fern\u00e1ndez","year":"2008","journal-title":"Phys Med Rehabil Clin"},{"key":"10.1016\/j.cger.2025.09.004_bib60","first-page":"e223680","article-title":"Perioperative gabapentin use and in-hospital adverse clinical events among older adults after major surgery","author":"Park","year":"2022","journal-title":"JAMA Intern Med"},{"issue":"6","key":"10.1016\/j.cger.2025.09.004_bib61","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1017\/ice.2022.88","article-title":"Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update","volume":"43","author":"Klompas","year":"2022","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"7","key":"10.1016\/j.cger.2025.09.004_bib62","first-page":"881","article-title":"Interventions to Mobilize Elderly Patients and Reduce Length of Hospital Stay","volume":"34","author":"Surkan","year":"2018","journal-title":"Can J Cardiol"},{"issue":"3","key":"10.1016\/j.cger.2025.09.004_bib63","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s00408-011-9297-0","article-title":"Association between pneumonia and oral care in nursing home residents","volume":"189","author":"El-Solh","year":"2011","journal-title":"Lung"},{"issue":"2","key":"10.1016\/j.cger.2025.09.004_bib64","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.archger.2006.04.004","article-title":"Colonization of dental plaque by respiratory pathogens in dependent elderly","volume":"44","author":"Sumi","year":"2007","journal-title":"Arch Gerontol Geriatr"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib65","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/prd.12301","article-title":"Oral-lung microbiome interactions in lung diseases","volume":"83","author":"Mammen","year":"2020","journal-title":"Periodontol 2000"},{"key":"10.1016\/j.cger.2025.09.004_bib66","doi-asserted-by":"crossref","first-page":"g2197","DOI":"10.1136\/bmj.g2197","article-title":"Selective digestive or oropharyngeal decontamination and topical oropharyngeal chlorhexidine for prevention of death in general intensive care: systematic review and network meta-analysis","volume":"348","author":"Price","year":"2014","journal-title":"BMJ : Br Med J"},{"issue":"8","key":"10.1016\/j.cger.2025.09.004_bib67","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1017\/ice.2015.77","article-title":"Prevention of healthcare-associated pneumonia with oral care in individuals without mechanical ventilation: a systematic review and meta-analysis of randomized controlled trials","volume":"36","author":"Kaneoka","year":"2015","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"6","key":"10.1016\/j.cger.2025.09.004_bib68","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1093\/cid\/ciu935","article-title":"A cluster-randomized controlled trial of a multicomponent intervention protocol for pneumonia prevention among nursing home elders","volume":"60","author":"Juthani-Mehta","year":"2015","journal-title":"Clin Infect Dis"},{"issue":"6","key":"10.1016\/j.cger.2025.09.004_bib69","doi-asserted-by":"crossref","first-page":"e204321","DOI":"10.1001\/jamanetworkopen.2020.4321","article-title":"Effectiveness of a mouth care program provided by nursing home staff vs standard care on reducing pneumonia incidence: a cluster randomized trial","volume":"3","author":"Zimmerman","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib70","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.eurger.2015.03.007","article-title":"Interventions to prevent non-critical care hospital acquired pneumonia\u2013a systematic review","volume":"6","author":"McAuley","year":"2015","journal-title":"Eur Geriatr Med"},{"issue":"5s","key":"10.1016\/j.cger.2025.09.004_bib71","doi-asserted-by":"crossref","first-page":"A23","DOI":"10.1016\/j.ajic.2020.03.006","article-title":"Non-ventilator health care-associated pneumonia (NV-HAP): Best practices for prevention of NV-HAP","volume":"48","author":"Quinn","year":"2020","journal-title":"Am J Infect Control"},{"issue":"7","key":"10.1016\/j.cger.2025.09.004_bib72","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1111\/j.1532-5415.2008.01775.x","article-title":"Long-term care facilities: a cornucopia of viral pathogens","volume":"56","author":"Falsey","year":"2008","journal-title":"J Am Geriatr Soc"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib73","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/j.idc.2017.07.006","article-title":"Respiratory syncytial virus and other noninfluenza respiratory viruses in older adults","volume":"31","author":"Kodama","year":"2017","journal-title":"Infect Dis Clin North Am"},{"issue":"3","key":"10.1016\/j.cger.2025.09.004_bib74","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1093\/infdis\/jit190","article-title":"Bacterial complications of respiratory tract viral illness: a comprehensive evaluation","volume":"208","author":"Falsey","year":"2013","journal-title":"J Infect Dis"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib75","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1111\/irv.12850","article-title":"The immunogenicity and safety of respiratory syncytial virus vaccines in development: A systematic review","volume":"15","author":"Shan","year":"2021","journal-title":"Influenza other Respir viruses"},{"issue":"6","key":"10.1016\/j.cger.2025.09.004_bib76","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1093\/cid\/ciy866","article-title":"Clinical practice guidelines by the infectious diseases society of america: 2018 update on diagnosis, treatment, chemoprophylaxis, and institutional outbreak management of seasonal influenzaa","volume":"68","author":"Uyeki","year":"2018","journal-title":"Clin Infect Dis"},{"issue":"12","key":"10.1016\/j.cger.2025.09.004_bib77","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1017\/ice.2017.232","article-title":"Preventing respiratory viral transmission in long-term care: knowledge, attitudes, and practices of healthcare personnel","volume":"38","author":"O\u2019Neil","year":"2017","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"11","key":"10.1016\/j.cger.2025.09.004_bib78","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1017\/ice.2019.207","article-title":"Respiratory viral surveillance of healthcare personnel and patients at an adult long-term care facility","volume":"40","author":"O\u2019Neil","year":"2019","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.cger.2025.09.004_bib79","first-page":"129","article-title":"Urinary tract infections in patients with type 2 diabetes mellitus: review of prevalence, diagnosis, and management","volume":"8","author":"Nitzan","year":"2015","journal-title":"Diabetes Metab Syndr Obes"},{"issue":"12","key":"10.1016\/j.cger.2025.09.004_bib80","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1016\/j.amjmed.2004.07.045","article-title":"Predictors of urinary tract infection after menopause: A prospective study","volume":"117","author":"Jackson","year":"2004","journal-title":"Am J Med"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib81","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1086\/313596","article-title":"Recurrent urinary tract infections in postmenopausal women","volume":"30","author":"Raz","year":"2000","journal-title":"Clin Infect Dis"},{"issue":"2","key":"10.1016\/j.cger.2025.09.004_bib82","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/S0891-5520(03)00011-4","article-title":"Biofilms and catheter-associated urinary tract infections","volume":"17","author":"Saint","year":"2003","journal-title":"Infect Dis Clin North Am"},{"issue":"6","key":"10.1016\/j.cger.2025.09.004_bib83","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1017\/S0195941700056599","article-title":"An evaluation of daily bacteriologic monitoring to identify preventable episodes of catheter-associated urinary tract infection","volume":"3","author":"Garibaldi","year":"1982","journal-title":"Infect Control : IC."},{"issue":"2","key":"10.1016\/j.cger.2025.09.004_bib84","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.jhin.2018.07.027","article-title":"Indwelling urethral versus suprapubic catheters in nursing home residents: determining the safest option for long-term use","volume":"102","author":"Gibson","year":"2019","journal-title":"J Hosp Infect"},{"issue":"7","key":"10.1016\/j.cger.2025.09.004_bib85","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1111\/j.1532-5415.2006.00785.x","article-title":"Condom versus indwelling urinary catheters: a randomized trial","volume":"54","author":"Saint","year":"2006","journal-title":"J Am Geriatr Soc"},{"issue":"12","key":"10.1016\/j.cger.2025.09.004_bib86","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1111\/j.1532-5415.1987.tb04922.x","article-title":"External catheter use and urinary tract infections among incontinent male nursing home patients","volume":"35","author":"Ouslander","year":"1987","journal-title":"J Am Geriatr Soc"},{"issue":"5","key":"10.1016\/j.cger.2025.09.004_bib87","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1017\/ice.2020.1259","article-title":"Effect of an external urinary collection device for women on institutional catheter utilization and catheter-associated urinary tract infections","volume":"42","author":"Rearigh","year":"2021","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib88","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.idh.2022.05.005","article-title":"Effect of external urinary collection device implementation on female surgical patients","volume":"27","author":"Lem","year":"2022","journal-title":"Infect Dis Health"},{"issue":"8","key":"10.1016\/j.cger.2025.09.004_bib89","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1001\/jamainternmed.2017.1689","article-title":"A national implem entation project to prevent catheter-associated urinary tract infection in nursing home residents","volume":"177","author":"Mody","year":"2017","journal-title":"JAMA Intern Med"},{"issue":"11","key":"10.1016\/j.cger.2025.09.004_bib90","doi-asserted-by":"crossref","first-page":"2204","DOI":"10.1111\/jgs.14464","article-title":"Use of indwelling urinary catheters in nursing homes: implications for quality improvement efforts","volume":"64","author":"Gurwitz","year":"2016","journal-title":"J Am Geriatr Soc"},{"issue":"5","key":"10.1016\/j.cger.2025.09.004_bib91","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1001\/jamainternmed.2015.132","article-title":"A targeted infection prevention intervention in nursing home residents with indwelling devices: a randomized clinical trial","volume":"175","author":"Mody","year":"2015","journal-title":"JAMA Intern Med"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib92","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.jamda.2019.11.004","article-title":"Diagnosis, treatment, and prevention of urinary tract infections in post-acute and long-term care settings: a consensus statement from AMDA\u2019s infection advisory subcommittee","volume":"21","author":"Ashraf","year":"2020","journal-title":"J Am Med Dir Assoc"},{"issue":"18","key":"10.1016\/j.cger.2025.09.004_bib93","doi-asserted-by":"crossref","first-page":"1879","DOI":"10.1001\/jama.2016.16141","article-title":"Effect of cranberry capsules on bacteriuria plus pyuria among older women in nursing homes: a randomized clinical trial","volume":"316","author":"Juthani-Mehta","year":"2016","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib94","first-page":"Cd009534","article-title":"Antibiotics for asymptomatic bacteriuria","volume":"4","author":"Zalmanovici Trestioreanu","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib95","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.euf.2018.07.034","article-title":"Vaccine development for urinary tract infections: where do we stand?","volume":"5","author":"Magistro","year":"2019","journal-title":"Eur Urol Focus"},{"issue":"14","key":"10.1016\/j.cger.2025.09.004_bib96","doi-asserted-by":"crossref","first-page":"1320","DOI":"10.1056\/NEJMoa1910215","article-title":"Trends in U.S. burden of Clostridioides difficile infection and outcomes","volume":"382","author":"Guh","year":"2020","journal-title":"N Engl J Med"},{"issue":"2","key":"10.1016\/j.cger.2025.09.004_bib97","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1089\/wound.2016.0697","article-title":"Review of the current management of pressure ulcers","volume":"7","author":"Boyko","year":"2018","journal-title":"Adv Wound Care"},{"issue":"4","key":"10.1016\/j.cger.2025.09.004_bib98","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1016\/j.idc.2017.07.010","article-title":"Sepsis in older adults","volume":"31","author":"Rowe","year":"2017","journal-title":"Infect Dis Clin North Am"},{"key":"10.1016\/j.cger.2025.09.004_bib99","doi-asserted-by":"crossref","first-page":"118","DOI":"10.3389\/fmed.2019.00118","article-title":"Infections in the Elderly Critically-Ill Patients","volume":"6","author":"Esme","year":"2019","journal-title":"Front Med"},{"issue":"9","key":"10.1016\/j.cger.2025.09.004_bib100","doi-asserted-by":"crossref","first-page":"1894","DOI":"10.1111\/jgs.13600","article-title":"Peripherally inserted central catheter use in skilled nursing facilities: a pilot study","volume":"63","author":"Chopra","year":"2015","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.cger.2025.09.004_bib101","doi-asserted-by":"crossref","first-page":"39","DOI":"10.21037\/ales.2020.02.05","article-title":"Enhanced recovery after surgery in elderly and high-risk patients","volume":"5","author":"Millan","year":"2020","journal-title":"Ann Laparosc Endoscopic Surg"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib102","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.jhin.2019.09.015","article-title":"Association of malnutrition with surgical site infection following spinal surgery: systematic review and meta-analysis","volume":"104","author":"Tsantes","year":"2020","journal-title":"J Hosp Infect"},{"issue":"3","key":"10.1016\/j.cger.2025.09.004_bib103","doi-asserted-by":"crossref","first-page":"e0229911","DOI":"10.1371\/journal.pone.0229911","article-title":"A systematic review on the causes of the transmission and control measures of outbreaks in long-term care facilities: Back to basics of infection control","volume":"15","author":"Lee","year":"2020","journal-title":"PLoS One"},{"issue":"12","key":"10.1016\/j.cger.2025.09.004_bib104","doi-asserted-by":"crossref","first-page":"e279","DOI":"10.1111\/jgs.14505","article-title":"A Cluster of Group A Streptococcal Infections in a Skilled Nursing Facility-the Potential Role of Healthcare Worker Presenteeism","volume":"64","author":"Kobayashi","year":"2016","journal-title":"J Am Geriatr Soc"},{"issue":"11","key":"10.1016\/j.cger.2025.09.004_bib105","doi-asserted-by":"crossref","first-page":"e3656","DOI":"10.1093\/cid\/ciaa1405","article-title":"Association Between Hospital Outbreaks and Hand Hygiene: Insights from Electronic Monitoring","volume":"73","author":"Kovacs-Litman","year":"2020","journal-title":"Clin Infect Dis"},{"issue":"32","key":"10.1016\/j.cger.2025.09.004_bib106","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.15585\/mmwr.mm6932e5","article-title":"Facility-Wide Testing for SARS-CoV-2 in Nursing Homes - Seven U.S. Jurisdictions, March-June 2020","volume":"69","author":"Hatfield","year":"2020","journal-title":"MMWR Morbidity mortality weekly Rep"},{"key":"10.1016\/j.cger.2025.09.004_bib107","doi-asserted-by":"crossref","first-page":"106564","DOI":"10.1016\/j.ypmed.2021.106564","article-title":"Multifaceted strategies for the control of COVID-19 outbreaks in long-term care facilities in Ontario, Canada","volume":"148","author":"Vilches","year":"2021","journal-title":"Prev Med"},{"issue":"11","key":"10.1016\/j.cger.2025.09.004_bib108","doi-asserted-by":"crossref","first-page":"1562","DOI":"10.1093\/cid\/cit558","article-title":"Investigation of a prolonged Group A Streptococcal outbreak among residents of a skilled nursing facility, Georgia, 2009-2012","volume":"57","author":"Dooling","year":"2013","journal-title":"Clin Infect"},{"issue":"18","key":"10.1016\/j.cger.2025.09.004_bib109","doi-asserted-by":"crossref","first-page":"1732","DOI":"10.1056\/NEJMoa1801550","article-title":"Changes in Prevalence of Health Care\u2013Associated Infections in U.S. Hospitals","volume":"379","author":"Magill","year":"2018","journal-title":"N Engl J Med"},{"key":"10.1016\/j.cger.2025.09.004_bib110","series-title":"CDC. Facility Guidance for control of carbapenemase-resistant Enterobacteriaceae","year":"2019"},{"issue":"6","key":"10.1016\/j.cger.2025.09.004_bib111","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1086\/520992","article-title":"Group a streptococcal disease in long-term care facilities: descriptive epidemiology and potential control measures","volume":"45","author":"Jordan","year":"2007","journal-title":"Clin Infect Dis : official Publ Infect Dis Soc America"},{"issue":"S1","key":"10.1016\/j.cger.2025.09.004_bib112","doi-asserted-by":"crossref","first-page":"s80","DOI":"10.1017\/ice.2020.572","article-title":"The Burden of Infection in Transfers from Nursing Homes to Hospitals","volume":"41","author":"Dick","year":"2020","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"2","key":"10.1016\/j.cger.2025.09.004_bib113","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1111\/jgs.16208","article-title":"Role of Post-Acute Care in Readmissions for Preexisting Healthcare-Associated Infections","volume":"68","author":"Hoffman","year":"2020","journal-title":"J Am Geriatr Soc"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib114","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.ajic.2017.08.036","article-title":"Hospital Acquired Pneumonia Prevention Initiative-2: Incidence of nonventilator hospital-acquired pneumonia in the United States","volume":"46","author":"Baker","year":"2018","journal-title":"Am J Infect Control"},{"issue":"2","key":"10.1016\/j.cger.2025.09.004_bib115","doi-asserted-by":"crossref","first-page":"e2144959","DOI":"10.1001\/jamanetworkopen.2021.44959","article-title":"Association of Exposure to High-risk Antibiotics in Acute Care Hospitals With Multidrug-Resistant Organism Burden in Nursing Homes","volume":"5","author":"Gontjes","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib116","doi-asserted-by":"crossref","first-page":"ofv196","DOI":"10.1093\/ofid\/ofv196","article-title":"Burden of Nursing Home-Onset Clostridium difficile Infection in the United States: Estimates of Incidence and Patient Outcomes","volume":"3","author":"Hunter","year":"2016","journal-title":"Open Forum Infect Dis"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib117","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1093\/cid\/civ777","article-title":"Risk Factors for Invasive Methicillin-Resistant Staphylococcus aureus Infection After Recent Discharge From an Acute-Care Hospitalization, 2011-2013","volume":"62","author":"Epstein","year":"2016","journal-title":"Clin Infect Dis : official Publ Infect Dis Soc America"},{"issue":"8","key":"10.1016\/j.cger.2025.09.004_bib118","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1093\/cid\/ciab457","article-title":"Regional Spread of blaNDM-1-Containing Klebsiella pneumoniae ST147 in Post-Acute Care Facilities","volume":"73","author":"Lapp","year":"2021","journal-title":"Clin Infect Dis"},{"issue":"10","key":"10.1016\/j.cger.2025.09.004_bib119","doi-asserted-by":"crossref","first-page":"1816","DOI":"10.3201\/eid2410.180649","article-title":"Candida auris in Healthcare Facilities, New York, USA, 2013-2017","volume":"24","author":"Adams","year":"2018","journal-title":"Emerg Infect Dis"},{"key":"10.1016\/j.cger.2025.09.004_bib120","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1159\/000504481","article-title":"Vaccination against Nosocomial Infections in Elderly Adults","volume":"43","author":"Anderson","year":"2020","journal-title":"Interdiscip Top Gerontol Geriatr"},{"issue":"7","key":"10.1016\/j.cger.2025.09.004_bib121","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1086\/368197","article-title":"Infectious Disease Outbreaks in Nursing Homes: An Unappreciated Hazard for Frail Elderly Persons","volume":"36","author":"Strausbaugh","year":"2003","journal-title":"Clin Infect Dis"},{"issue":"11","key":"10.1016\/j.cger.2025.09.004_bib123","doi-asserted-by":"crossref","first-page":"e753","DOI":"10.1093\/cid\/ciaa1462","article-title":"Factors Associated With Candida auris Colonization and Transmission in Skilled Nursing Facilities With Ventilator Units, New York, 2016\u20132018","volume":"72","author":"Rossow","year":"2020","journal-title":"Clin Infect Dis"},{"issue":"1","key":"10.1016\/j.cger.2025.09.004_bib124","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1093\/cid\/ciab808","article-title":"Norovirus Outbreaks in Long-term Care Facilities in the United States, 2009\u20132018: A Decade of Surveillance","volume":"74","author":"Calderwood","year":"2021","journal-title":"Clin Infect Dis"},{"issue":"8","key":"10.1016\/j.cger.2025.09.004_bib125","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1016\/S1473-3099(18)30347-5","article-title":"Scabies outbreaks in ten care homes for elderly people: a prospective study of clinical features, epidemiology, and treatment outcomes","volume":"18","author":"Cassell","year":"2018","journal-title":"Lancet Infect Dis"},{"issue":"5","key":"10.1016\/j.cger.2025.09.004_bib126","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1017\/ice.2022.87","article-title":"Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update","volume":"43","author":"Buetti","year":"2022","journal-title":"Infect Control Hosp Epidemiol"}],"container-title":["Clinics in Geriatric Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749069025000898?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749069025000898?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T19:14:10Z","timestamp":1785784450000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0749069025000898"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":123,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S0749069025000898"],"URL":"https:\/\/doi.org\/10.1016\/j.cger.2025.09.004","relation":{},"ISSN":["0749-0690"],"issn-type":[{"value":"0749-0690","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Health Care-Associated Infections in Older Adults","name":"articletitle","label":"Article Title"},{"value":"Clinics in Geriatric Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cger.2025.09.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}