Saving Lives, Protecting People, When there is a confirmed or suspected influenza outbreak, Testing and Management Considerations for Nursing Home Residents with Acute Respiratory Illness Symptoms when SARS-CoV-2 and Influenza Viruses are Co-circulating, Recommendations of the Advisory Committee on Immunization Practices United States, 2022-2023 Season, Antiviral Drugs: Information for Healthcare Professionals. Baloxavir is approved for post-exposure antiviral chemoprophylaxis of influenza in persons aged 5 years and older but no data are available from clinical trials of baloxavir chemoprophylaxis of influenza in long term care facility residents. Learn more about COVID-19 Vaccine Access in Long-Term Care Settings. Some patients, such as older adults, children with neuromuscular disorders, and young infants, may have atypical clinical presentations. They help us to know which pages are the most and least popular and see how visitors move around the site. The impact of COVID-19 vaccines on community transmission rates may allow for future changes to the recommendations and requirements in the Safe . You will be subject to the destination website's privacy policy when you follow the link. 2018 Sep;46(9):1077-1079. Inhaled zanamivir is approved for early treatment of influenza in persons aged 7 years and older. B) Residents confirmed with influenza only should be placed in a single room, if available, or housed with other residents with only influenza. Code chs. Limit visitation and exclude ill persons from visiting the facility via posted notices. Vaccine 2006; 24:66649. These cookies may also be used for advertising purposes by these third parties. Facilities should refer to the CDC's Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination, PA-HAN 626, and CMS QSO-20-39-NH for guidance in supporting close contact (including touch) with visitors. Because it can be difficult to anticipate potential for coughs and sneezes, facilities might consider having healthcare personnel routinely wear eye protection for the care of residents with influenza. These cookies may also be used for advertising purposes by these third parties. As part of Standard Precautions, eye protection should be worn if splashes or sprays are anticipated (e.g., the resident is coughing or sneezing). Conduct daily active surveillance until at least 1 week after the last laboratory-confirmed influenza case was identified. For those living in a county listed in the Medium/Yellow category . Examples include: intravenous injections, wound care and catheter care.. Home health agencies. All Residential Care Facilities, Assisted Living Facilities, Intermediate Care Facilities, Skilled Nursing Facilities should follow current Centers for Disease Control and Prevention (CDC) Guidelines related to managing healthcare personnel who have tested positive or an exposure to COVID-19. Flyers to Promote Vaccination (CDC): [All Our Tools] . April 2, 2020 . (https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm). If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Placing ill residents in a private room. Testing Ensure that the laboratory performing influenza testing notifies the facility of tests results promptly. Quality Improvement Organizationsexternal icon. Guidance for Infection Control and Prevention for Nursing Facilities: Revised Guidance- March 9, 2020. C. Indoor Visitation Long-term care facilities are expected to adhere to the infection prevention and control standards, quarantine requirements, and testing . Please contact CDC-INFO at 800-232-4636 for additional support. D) SARS-CoV-2 post-exposure prophylaxis considerations, For recommendations on post-exposure prophylaxis following close exposure to a person with SARS-CoV-2 infection, visit the latest recommendations from the NIH COVID-19 Treatment Guidelines Panel. Influenza Other Respir Viruses 2014; 8:7482. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Hospital Acquired Infections and Multi-Drug Resistant Organisms in LTC (HAI/MDRO) Communicating the MDRO status of patients between healthcare facilities continues to be an issue in Orange County. https://www.cdc.gov/flu/professionals/infectioncontrol/ltc-facility-guidance.htm Last Reviewed: November 22, 2022 Source: Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases (NCIRD) While CDC recommends judicious use of antiviral medications for chemoprophylaxis to reduce the possibility of development and spread of antiviral resistant influenza viruses, chemoprophylaxis may be considered for healthcare personnel, regardless of their influenza vaccination status, if the outbreak is caused by a strain of influenza virus that is not well matched by the vaccine, or based upon other factors (e.g., to reduce the risk of short staffing in facilities and units where clinical staff are limited and to reduce staff reluctance to provide care to residents with suspected or laboratory-confirmed influenza). Effectiveness of post-exposition prophylaxis with oseltamivir in nursing homes: a randomised controlled trial over four seasons. Cookies used to make website functionality more relevant to you. Learn about COVID-19 mask requirements in Massachusetts. Residents and their families can ask a LTC provider about the current COVID-19 vaccination rate among their staff and residents. Test for influenza with a molecular assay in the following: Ill persons who are in the affected unit(s) as well as previously unaffected units in the facility, Persons who develop acute respiratory illness symptoms after beginning antiviral chemoprophylaxis. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. The facility should encourage all individuals to be up to date with all recommended COVID-19 vaccine doses, based upon the latest recommendations. Check where your state stands on nursing home and long-term care visitors. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. They help us to know which pages are the most and least popular and see how visitors move around the site. Older adults are receiving the COVID-19 vaccine first. Effect of antiviral prophylaxis on influenza outbreaks in aged care facilities in three local health districts in New South Wales, Australia, 2014. The following guidance is current for the 2022-2023 influenza season. Specific recommendations are highlighted below. Board of Health emergency rules require facilities to follow this guidance. This care may represent custodial or chronic care management or short-term rehabilitative services. If infection with an antiviral-resistant influenza virus is suspected, the local or state public health department should be notified promptly. 2019 Aug 5;19(1):210. doi: 10.1186/s12877-019-1236-6. The CDC has provided guidance on communal activities and dining based on resident vaccination status. Western Pac Surveill Response J 2016; 7:1420. Baloxavir is approved for early treatment of uncomplicated influenza in people 5 years and older who are otherwise healthy or in people aged 12 years and older who are at higher risk for influenza complications and have been ill for no more than 2 days. Saving Lives, Protecting People, Vaccine Recommendations and Guidelines of the ACIP, Pharmacy Partnership for Long-Term Care Program, National Center for Immunization and Respiratory Diseases, Comprehensive Recommendations and Guidelines, Preventing and Managing Adverse Reactions, Vaccine Recommendations for Emergency Situations, CDC's International Travelers Yellow Book, Clinical Travel Notices, Updates, and Vaccine Shortages, U.S. Department of Health & Human Services, HCP with direct patient contact and thus who are unable to telework, including those who work in inpatient, outpatient, or community settings, who provide services to patients or patients family members, or who handle infectious materials, HCP working in residential care or long-term care facilities, HCP with documented acute SARS-CoV-2 infection in the preceding 90 days may choose to delay vaccination until near the end of the 90 day period in order to facilitate vaccination of those HCP who remain susceptible to infection, as. Therefore, they can add combinations of these enhanced prevention strategies as feasible for a layered approach to increase the level of protection. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Considerations might include: Further considerations on the management of post-COVID-19 vaccination symptoms among healthcare personnel is under development. Emerg Themes Epidemiol 2014; 11:13. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. During an outbreak, once a single laboratory-confirmed case of influenza has been identified in a resident, it is likely there are other cases among exposed persons. Vaccinating long-term care facility residents, staff, and visitors against COVID-19 is a crucial step in preventing the spread of COVID-19 and protecting others. If your loved one is not able to ask questions or otherwise communicate with the LTC staff, heres what to know about consent for getting a COVID-19 vaccine: COVID-19 vaccines are free of charge to all people living in the U.S., regardless of their immigration or health insurance status. Oseltamivir is the recommended antiviral drug for chemoprophylaxis of influenza in long-term care settings. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Droplet Precautions should be implemented for residents with suspected or confirmed influenza for 7 days after illness onset or until 24 hours after the resolution of fever and respiratory symptoms, whichever is longer, while a resident is in a healthcare facility. G) Encourage residents and HCP to remain up to date with recommended COVID-19 vaccine doses. Guidance for Infection Control and Prevention Concerning COVID-19 . Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. If a private room is not available, place (cohort) residents suspected of having influenza residents with one another; Wear a facemask (e.g., surgical or procedure mask) upon entering the residents room. CDC Long-Term Care Facility Vaccine Toolkit; The CDC is continuing to recommend that people who are fully vaccinated defined as two weeks after a final dose still wear well-fitted masks, avoid large gatherings, and physically distance. Initiation of antiviral treatment should not wait for laboratory confirmation of influenza. However, in settings where the initial vaccine supply is insufficient to vaccinate residents of all LTCFs, sub-prioritization of vaccine doses may be necessary. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. CDC guidance for nursing homes generally also applies to other long-term care facilities. The facility should promptly initiate antiviral chemoprophylaxis with oral oseltamivir to all exposed individuals (e.g., roommates) of residents with confirmed influenza. You can review and change the way we collect information below. However, these medications can still help when given after 48 hours to those that are very sick, such as those who are hospitalized, or those who have progressive illness, or those who are at higher risk for complications of influenza. You can review and change the way we collect information below. These Precautions are part of the overall infection control strategy to protect against influenza in healthcare settings and should be used along with other infection control measures, such as isolation or cohorting of ill residents, screening employees and visitors for illness, furloughing ill healthcare personnel, and discouraging ill visitors from entering the facility. They should not be placed in a room with new roommates nor should they be moved to a COVID-19 care unit (if one exists) unless they are confirmed to have COVID-19 by SARS-CoV-2 testing. When at least 2 residents are ill within 72 hours of each other with laboratory-confirmed influenza, the facility should expand antiviral chemoprophylaxis to non-ill residents living on the same unit as the residents with influenza (outbreak affected units), regardless of influenza vaccination status. March 10, 2020. Consent or assent for a COVID-19 vaccine is given by LTC residents (or people appointed to make medical decisions on their behalf called a medical proxy) and documented in their charts per the providers standard practice. LA-HAN Update on the Availability of the State and Commercial COVID-19 Testing. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. How to Acquire PPE All long-term care facilities are instructed to purchase necessary personal protective equipment. Visitors. Guidance for Long-Term Care Providers and Facilities. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. C) Residents with symptoms of acute respiratory illness who are determined to have neither SARS-CoV-2 infection nor influenza should be cared for using Standard Precautions and any additional Transmission-Based Precautions based on their suspected or confirmed diagnosis.8, A) Prescribe antiviral treatment as soon as possible if influenza testing is positive OR prescribe empiric antiviral treatment based upon a clinical suspicion of influenza while test results are pending for symptomatic residents.9-12.
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