Another worry for the hospital epidemiologist

This morning's New York Times has a long piece on long-term acute care hospitals (LTACHs). The article focuses on quality and safety issues in these facilities, many of which are for-profit. From the epidemiologic standpoint, these hospitals pose special problems since patients are admitted there from many acute care hospitals typically after long stays and are colonized or infected with multi-drug resistant organisms (MDROs). The LTACH patients then may require re-admission to the acute care hospital after colonization or infection with other MDROs. So in essence the LTACH serves as an amplifier for MDROs. There's a nice review on the infection control issues associated with LTACHs by Munoz-Price in an issue of CID from last year.


  1. Thanks for mentioning the review. LTACHs are fascinating places.
    Nice blog!


Post a Comment

Thanks for submitting your comment to the Controversies blog. To reduce spam, all comments will be reviewed by the blog moderator prior to publishing. However, all legitimate comments will be published, whether they agree with or oppose the content of the post.

Most Read Posts (Last 30 Days)