{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T14:39:59Z","timestamp":1778855999059,"version":"3.51.4"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,2,17]],"date-time":"2017-02-17T00:00:00Z","timestamp":1487289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["R01NR013687"],"award-info":[{"award-number":["R01NR013687"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["F31 NR015176"],"award-info":[{"award-number":["F31 NR015176"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,3]]},"abstract":"\n Objectives<\/jats:title>\n \n To examine factors associated with isolation precaution use in nursing home (\n NH<\/jats:styled-content>\n ) residents with multidrug\u2010resistant organism (\n MDRO<\/jats:styled-content>\n ) infection.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective, cross\u2010sectional analysis.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Nursing homes with Centers for Medicare and Medicaid Services\u2019 certification from October 2010 to December 2013.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Elderly, long\u2010stay\n NH<\/jats:styled-content>\n residents with positive\n MDRO<\/jats:styled-content>\n infection assessments.\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Data were obtained from the Minimum Data Set (\n MDS<\/jats:styled-content>\n ) 3.0, Certification and Survey Provider Enhanced Reporting, and Area Health Resource File. Multivariable regression with facility fixed effects was conducted.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The sample included 191,816 assessments of residents with\n MDRO<\/jats:styled-content>\n infection, of which isolation use was recorded in 12.8%. Of the\n NH<\/jats:styled-content>\n s reporting\n MDRO<\/jats:styled-content>\n infection in the past year, 31% used isolation at least once among residents with\n MDRO<\/jats:styled-content>\n infection. Resident characteristics positively associated with isolation use included locomotion (23.6%,\n P<\/jats:italic>\n < .001) and eating (17.9%,\n P<\/jats:italic>\n < .001) support. Isolation use was 14.3% lower in those with\n MDRO<\/jats:styled-content>\n history (\n P<\/jats:italic>\n < .001). Residents in\n NH<\/jats:styled-content>\n s that had received an infection control\u2013related citation in the past year had a greater probability of isolation use (3.4%,\n P<\/jats:italic>\n = .02); those in\n NH<\/jats:styled-content>\n s that had received a quality\u2010of\u2010care citation had lower probability of isolation use (\u22123.3%,\n P<\/jats:italic>\n = .03).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n This is the first study to examine the new\n MDS<\/jats:styled-content>\n 3.0 isolation and\n MDRO<\/jats:styled-content>\n items. Isolation was infrequently used, and the proportion of isolated\n MDRO<\/jats:styled-content>\n infections varied between facilities. Inspection citations were related to isolation use in the following year. Further research is needed to determine whether and when isolation should be used to best decrease risk of\n MDRO<\/jats:styled-content>\n transmission and improve quality of care.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.14740","type":"journal-article","created":{"date-parts":[[2017,2,17]],"date-time":"2017-02-17T07:48:12Z","timestamp":1487317692000},"page":"483-489","source":"Crossref","is-referenced-by-count":7,"title":["Isolation Precautions Use for Multidrug\u2010Resistant Organism Infection in Nursing Homes"],"prefix":"10.1111","volume":"65","author":[{"given":"Catherine C.","family":"Cohen","sequence":"first","affiliation":[{"name":"Center for Health Policy Columbia University School of Nursing New York City New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Dick","sequence":"additional","affiliation":[{"name":"The RAND Corporation Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia W.","family":"Stone","sequence":"additional","affiliation":[{"name":"Center for Health Policy Columbia University School of Nursing New York City New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,17]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Centers for Disease Control and Prevention.Antibiotic Resistance Threats in the United States 2013[on\u2010line]. 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