Infections occur frequently in nursing home residents. The most common
infections are pneumonia, urinary tract infection, and skin and soft
tissue infection. Aging-associated physiologic and pathologic changes,
functional disability institutionalization, and invasive devices all
contribute to the high occurrence of infection. Antimicrobial agent us
e in nursing homes is intense and usually empiric. All of these factor
s contribute to the increasing frequency of antimicrobial agent-resist
ant organisms in nursing homes. Programs that will limit the emergence
and impact of antimicrobial resistance and infections in nursing home
s need to be developed.