Med Director Report March 2024
COVID Vaccine boosters for > 65 recommended by CDC. Special situation for people ages 65 years and older: People ages 65 years and older should receive 1 additional dose of…
UTI Information for LTC – Urine is NOT sterile
The bladder is not sterile! (1) Many of us were taught that the bladder is a sterile environment, but this is not the case. There is a urobiome with commonly…
Candida auris | Candida auris | Fungal Diseases | CDC
https://www.cdc.gov/fungal/candida-auris/
COVID-19 vaccination after recovery
Question: When can a person who just recovered from COVID-19 safely get the updated vaccine? Answer: If a patient recently had COVID, recovered, and currently has no symptoms the COVID-19…
Urine PCR Testing
Summary Recommendation: Do NOT use Urine PCR testing. Stick to CBC, UA with C&S. I have serious concerns that Urine PCR testing will lead to increased inappropriate use of antibiotics.…
Antimicrobial Stewardship in Long-Term Care Facilities | Department of Public Health & Environment (colorado.gov)
Antimicrobial Stewardship in Long-Term Care Facilities | Department of Public Health & Environment (colorado.gov)
Med Director Report November 2023
El Paso County Ethics Meeting Please bring us a case or two every year. The purpose of the committee is to provide LTC facilities with an avenue for peer review…
Aspiration Pneumonia
Not all aspiration events need to be treated with antibiotics. If the patient is stable without signs of hypoxia, hypotension, or serious sequalae from the event, supportive care can be…
RSV Vaccines and LTC
CDC recommends that adults 60 years of age and older may receive a single dose of RSV vaccine using shared clinical decision-making (SCDM). This means that health care providers and…