Infection 2015; 43:7381. lf exposed residents on units or wards with influenza cases in the long-term care facility (currently impacted wards) should receive antiviral chemoprophylaxis as soon as an influenza outbreak is determined (https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciy866/5251935). Managers and staff of long-term care settings, including skilled nursing facilities, adult care homes, family care homes, mental health group homes, and intermediate care facilities for individuals with intellectual disabilities, should review the resources and guidance to ensure they have the latest information in how to prepare and . BMJ Open 2016; 6:e011686. Board of Health emergency rules require facilities to follow this guidance. In the majority of seasons, influenza vaccines will become available to long-term care facilities beginning in September, and influenza vaccinationshould be offered by the end of October. Informed consent is required to implement a standing order for vaccination, but this does not necessarily mean a signed consent must be present. Infectious Diseases Society of America (IDSA) 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza. DHS 132, DHS 134, and DHS 145. Deaths, which bottomed at about 60 in June . Staggering delivery of vaccine to HCP in the facility so that personnel from a single department or unit are not all vaccinated at the same time. You can review and change the way we collect information below. 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. Detection and control of influenza outbreaks in well-vaccinated nursing home populations. Bowles SK, Lee W, Simor AE, et al. If you live or work in a Long-term Care (LTC) setting, you can help protect yourself and the people around you by staying up to date with a your COVID-19 vaccines, including boosters as soon as possible. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. HCP include all paid and unpaid persons serving in healthcare settings who have the potential for direct or indirect exposure to patients or infectious materials. PLoS One 2012; 7:e46509. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. All information these cookies collect is aggregated and therefore anonymous. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Based on available data, COVID-19 vaccination is expected to elicit systemic post-vaccination symptoms, such as fever, headache, and myalgias. F) Encourage influenza vaccination for unvaccinated residents and HCP. 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. 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. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. J Am Geriatr Soc 2001; 49:102531. Assisted living facilities: facility providing help with activities of daily living. CDC twenty four seven. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Because some of the symptoms of influenza and COVID-19 are similar, it may be difficult to tell the difference between these two respiratory diseases based on symptoms alone. Centers for Disease Control and Prevention. Containing influenza outbreaks with antiviral use in long-term care facilities in Taiwan, 20082014. Vaccine 2006; 24:66649. Follow CDC Guidelines After COVID Vaccines: Burlington Officials . Residents receiving antiviral medications who do not respond to treatment or who become sick with influenza after starting chemoprophylaxis might have an infection with an antiviral-resistant influenza virus. AHCA has provided a high-level summary of the changes and linked to each guidance for additional information. Outbreaks of 2009 Pandemic Influenza A (H1N1) Among Long-Term Care Facility Residents Three States, 2009. Follow the Centers of Disease Control and Prevention (CDC) Department of Health (DOH) and local health jurisdictions . Mask-Wearing and Social Distance Guidance. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Test any resident with symptoms of COVID-19 or influenza for both viruses. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Less common symptoms can include new or worsening malaise, headache, or new dizziness, nausea, vomiting, diarrhea, and loss of taste or smell. For more information on the antiviral agents see CDCs influenza antiviral medication page for health professionals. *Note that older adults and other long-term care residents, including those who are medically fragile and those with neurological or neurocognitive conditions, may manifest atypical signs and symptoms of influenza virus infection (e.g., behavior change), and may not have fever (https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciy866/5251935). Co-circulation of Influenza Viruses and SARS-CoV-2, Centers for Disease Control and Prevention. It is estimated that 1 to 3 million serious infections occur every year in: CDC is committed to keeping long term care patients safe from infections. Persons receiving chemoprophylaxis who become sick should be switched to treatment dosing. You can review and change the way we collect information below. Recommendations of the Advisory Committee on Immunization Practices (ACIP). These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. C. Indoor Visitation Influenza testing with molecular assays such as RT-PCR may be available at a local or state public health laboratory. Because SARS-CoV-2 and influenza virus co-infection can occur, a positive influenza test result without SARS-CoV-2 testing does not exclude SARS-CoV-2 infection, and a positive SARS-CoV-2 test result without influenza testing does not exclude influenza virus infection. They help us to know which pages are the most and least popular and see how visitors move around the site. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. These include: ACIP recommends that LTCF residents be prioritized in the earliest phase of COVID-19 vaccination. To receive email updates about this page, enter your email address: We take your privacy seriously. In addition to monitoring their COVID-19 Community Levels, facilities can consider factors that would indicate heightened risk, including the following: In addition to implementing the recommended prevention steps at each COVID-19 Community Level, congregate settings can consider adopting any of the following enhanced prevention strategies: To receive email updates about COVID-19, enter your email address: We take your privacy seriously. Dosage adjustment may be required for children and persons with certain underlying conditions. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Updated (bivalent) boosters are the best protection from current COVID-19 variants. Check where your state stands on nursing home and long-term care visitors. Thank you for taking the time to confirm your preferences. 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. Isolation and Quarantine Housing. All information these cookies collect is aggregated and therefore anonymous. Facility operators should balance the need for COVID-19 prevention with the impact from reducing access to daily services and programming. Infect Control Hosp Epidemiol. CDC twenty four seven. To receive weekly email updates about Seasonal Flu, enter your email address: We take your privacy seriously. You can review and change the way we collect information below. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. These residents should continue to be cared for using all recommended PPE for the care of a resident with SARS-CoV-2 infection.1. 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. MMWR 2011:60(RR07);1-45, Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization PracticesUnited States, 202223 Influenza Season [523 KB, 32 pages], Seasonal Influenza Vaccination Resources for Health Professionals, Interim Guidance for Routine and Influenza Immunization Services During the COVID-19 Pandemic, Clinical Practice Guidelines by the Infectious Diseases Society of America: 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza, Influenza Antiviral Medications: Summary for Clinicians, Information for Clinicians on Influenza Virus Testing, Influenza virus testing in investigational outbreaks in institutional or other closed settings, Information on Rapid Molecular Assays, RT-PCR, and other Molecular Assays for Diagnosis of Influenza Virus Infection, Healthcare-associated infections and long-term care settings, Prevention Strategies for Seasonal Influenza in Healthcare Settings, CDC. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Childs A, Zullo AR, Joyce NR et al. Skilled nursing facilities should be prioritized among LTCFs as they provide care to the most medically vulnerable residents. 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. Flyers to Promote Vaccination (CDC): [All Our Tools] . CDC Releases Updates to COVID-19 Infection Prevention and Control Guidance Bringing Relief. For newly vaccinated healthcare personnel, antiviral chemoprophylaxis can be considered for up to 2 weeks following inactivated influenza vaccination until vaccine-induced immunity is acquired. Peters PH Jr, Gravenstein S, Norwood P, et al. Isolation and quarantine housing is available for patients who have or who were exposed to COVID-19. COVID-19 Vaccines for Long-term Care Residents, Safe, Easy, Free, and Nearby COVID-19 Vaccination, Centers for Disease Control and Prevention. These considerations will be updated as additional information becomes available. These cookies may also be used for advertising purposes by these third parties. Putting on or removing PPE inappropriately can negate its protective properties. Booy R, Lindley RI, Dwyer DE, et al. Influenza Surveillance Report (FluView), Previous Forecasts for the 2021-2022 Season, Tools to Prepare Your Practice for Flu Season, Multiplex Assays Authorized for Simultaneous Detection of Influenza Viruses and SARS-CoV-2, Information on Collection of Respiratory Specimens for Influenza Virus Testing, Information for Clinicians on Rapid Diagnostic Testing for Influenza, Algorithm: Interpreting Influenza Testing Results When Influenza is Circulating, Algorithm: Interpreting Influenza Testing Results When Influenza is NOT Circulating, Guide: Influenza Diagnostic Testing in Closed Setting Outbreaks, Guidance: Standard-Based Electronic Laboratory Reporting, Guidance: Antiviral and Obstetric Health Care, Guidance: Outbreak Management in Long-Term Care Facilities, Guidance: Use of Mask to Control Influenza Transmission, Guidance: Prevention & Control in Peri- and Postpartum Settings, U.S. Department of Health & Human Services, Infection Prevention and Control Measures, Influenza-related illness and death, especially among people at increased risk for severe influenza complications. COVID-19 Community Levels Update, Mar. While unusual, an influenza outbreak can occur outside of the normal influenza season; therefore, testing for influenza viruses and other respiratory pathogens should also be performed during non-influenza season periods. More information about testing is included below. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Older adults and other long-term care residents, including those who are medically fragile and those with neurological or neurocognitive conditions, may manifest atypical signs and symptoms of influenza virus infection (e.g., behavior change), and may not have fever. Use of oseltamivir during an outbreak of influenza A in a long-term care facility in Taiwan. Initiation of antiviral treatment should not wait for laboratory confirmation of influenza. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Even if its not influenza season, influenza testing should occur when any resident has signs and symptoms of acute respiratory illness or influenza-like illness. Facilities can also assess the unique risks of their setting and the populations they serve and use enhanced COVID-19 prevention strategies, described below, to help reduce the impact of COVID-19. According to requirements, each resident is to be vaccinated unless contraindicated medically, the resident or legal representative refuses vaccination, or the vaccine is not available because of shortage. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. As of September 27, 2021, all nursing home staff must be vaccinated with at least one dose of vaccine. Use of antiviral drugs for chemoprophylaxis of influenza is a key component of influenza outbreak control in institutions that house residents at higher risk of influenza complications. You will be subject to the destination website's privacy policy when you follow the link. Thank you for taking the time to confirm your preferences. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. See thelatest recommendations on treatment of nonhospitalized persons with mild-to-moderate COVID-19, andTherapeutic Management of Nonhospitalized Adults With COVID-19. Administer each injection in a different injection site. To receive email updates about COVID-19, enter your email address: We take your privacy seriously. Perform hand hygiene before and after touching the resident, after touching the residents environment, or after touching the residents respiratory secretions, whether or not gloves are worn. Given the predominance of women of child-bearing potential among the healthcare workforce, a substantial number of HCP are estimated to be pregnant or breastfeeding at any given time. Stay connected with the healthcare-associated infection program in your state health department, as well as your local health department, and their notification requirements. Influenza can be introduced into a long-term care facility by newly admitted residents, healthcare personnel and by visitors. 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. Determine if influenza virus is the causative agent by performing influenza testing on upper respiratory tract specimens (i.e., nasopharyngeal swab, nasal swabs, nasopharyngeal or nasal aspirates, or combined nasal and throat swabs) of ill residents with recent onset of signs and symptoms suggestive of influenza or acute respiratory illness. Standard Precautions are intended to be applied to the care of all patients in all healthcare settings, regardless of the suspected or confirmed presence of an infectious agent. Long-term use of oseltamivir for the prophylaxis of influenza in a vaccinated frail older population. In the setting of an influenza outbreak, empiric antiviral treatment should be given as soon as possible to residents with suspected influenza without waiting for influenza testing results, especially if results will not be available on the day of specimen collection. More information is available, Recommendations for Fully Vaccinated People, Children and teens ages 6 months-17 years, different recommendations for COVID-19 vaccines, Older adults and people with certain health conditions, stay up to date with all recommended COVID-19 vaccines, What to Expect after Your COVID-19 Vaccine, Frequently Asked Questions about COVID-19 Vaccination, Information about Medicare and COVID-19 Vaccine, Talking with Patients about COVID-19 Vaccination, National Center for Immunization and Respiratory Diseases (NCIRD), Possibility of COVID-19 Illness after Vaccination, Investigating Long-Term Effects of Myocarditis, How and Why CDC Measures Vaccine Effectiveness, Monitoring COVID-19 Cases, Hospitalizations, and Deaths by Vaccination Status, Monitoring COVID-19 Vaccine Effectiveness, U.S. Department of Health & Human Services. 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) CDC Resources for Nursing Homes CDC Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spre COVID-19 Community Transmission Level COVID-19 Vaccines for People who are Moderately or Severely Immunocompromised Stay Up to Date with Your COVID-19 Vaccines CMS Resources for Nursing Homes Viral culture should be performed at a public health laboratory if additional information on influenza viruses, such as influenza A virus subtype, antigenic characterization to compare with influenza vaccine strains, or antiviral resistance data, are needed.
March 14, 2023