More than 1.5 million residents reside in U.S. nursing homes. In recent years, the acuity of illness of nursing home residents has increased. LTCF residents have a risk of developing HAI that approaches that seen in acute care hospital patients. This position paper reviews the literature on infections and infection control programs in the LTCF. Recommendations are developed for long-term care infection control programs based on interpretation of currently available evidence. The recommendations cover the structure and function of the infection control program, including surveillance, isolation precautions, outbreak control, resident care, and employee health. Infection control resources are also presented.

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