Center for Infectious Diseases and Long Term Care
The Division of Infectious Diseases (ID) collaborates with short-term post-acute, rehabilitation, skilled nursing, and long-term care (LTC) facilities to provide guidance and expertise on the effective management of antibiotics (Antibiotic Stewardship). ID team members consist of physicians and nurse practitioners that travel to the long term care facilities to conduct initial evaluations/chart reviews on geriatric patients and work with respective medical management teams at each facility to make recommendations on usage and prescription changes of antibiotics. Additionally, in-service training sessions are provided to the staff to ensure effective long term practice changes.
Currently, ID has relationships with regional LTC networks to develop clinical support and antimicrobial management tools. Along with direct evaluation of the residents within the facilities, ID team members also work closely with facility leadership in the development of medication guidelines for commonly prescribed antibiotic medications. Development of such guidelines helps long term facilities to identify medications needing to be discontinued and is an effective means of reducing overall patient care expense.
Future LTC collaborations are planned to evaluate and identify technological platforms for tracking and evaluating patient outcomes and expense in long term care facilities. This is an essential need as quality data (e.g. accuracy of patient information, treatment effectiveness) becomes increasingly important in acute and long term care facilities.
Jonathan Zenilman, MD
Jonathan Zenilman, MD is a Professor of Medicine; Dermatology; and Obstetrics & Gynecology at the Johns Hopkins University School of Medicine. He also has joint appointments in Population, Family and Reproductive Health; International Health; and Epidemiology at the Johns Hopkins University Bloomberg School of Public Health. Since 2003, he has served as the Chief of the Division of Infectious Diseases at Johns Hopkins Bayview Medical Center.
Dr. Zenilman is known internationally for his work in infectious disease epidemiology, sexually transmitted infections, chronic wounds, and non-tuberculosis mycobacteria (NTM) infections. Zenilman Research Dashboard and Publications
Morgan Katz, MD, MHS
Morgan Katz, MD, MHS is an Assistant Professor of Medicine. Her research interests lie in infection control and antibiotic stewardship in long-term care facilities. She has research support from the Agency for Healthcare Research and Quality (AHRQ) to implement antibiotic stewardship in nursing homes using a comprehensive safety-based approach that includes front-line staff. Katz Research Dashboard and Publications