Antiviral Chemoprophylaxis Use During Influenza Outbreaks in Rhode Island Long-Term Care Facilities

2020 ◽  
Vol 21 (9) ◽  
pp. 1354-1356
Author(s):  
Joe B. Silva ◽  
Elliott Bosco ◽  
Daniela N. Quilliam ◽  
Stefan Gravenstein ◽  
Andrew R. Zullo
Keyword(s):  
Rhode Island ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Influenza Outbreaks

Building-level analyses to prospectively detect influenza outbreaks in long-term care facilities: New York City, 2013-2014

2015 ◽  
Vol 43 (8) ◽  
pp. 839-843 ◽  
Author(s):  
Alison Levin-Rector ◽  
Beth Nivin ◽  
Alice Yeung ◽  
Annie D. Fine ◽  
Sharon K. Greene
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Influenza Outbreaks ◽  
Building Level

scholarly journals Use of Antiviral Prophylaxis in Influenza Outbreaks in Long Term Care Facilities

2000 ◽  
Vol 11 (4) ◽  
pp. 187-192 ◽  
Author(s):  
Allison McGeer ◽  
Daniel S Sitar ◽  
Susan E Tamblyn ◽  
Faron Kolbe ◽  
Pamela Orr ◽  
...  
Keyword(s):  
Influenza A ◽  
Long Term Care ◽  
The Elderly ◽  
Influenza B ◽  
Antiviral Prophylaxis ◽  
Neuraminidase Inhibitors ◽  
Term Care ◽  
Care Facilities ◽  
Influenza Outbreaks

Influenza is a major cause of illness and death in residents of long term care facilities for the elderly, in part because residents' age and underlying illness increase the risk of serious complications, and in part because institutional living increases the risk of influenza outbreaks. The administration of antiviral medications active against influenza to persons exposed to influenza has been shown to protect them effectively from illness, and mass antiviral prophylaxis of residents is an effective means of terminating influenza A outbreaks in long term care facilities. The only antiviral currently licensed in Canada for influenza prophylaxis is amantadine, a medication active against influenza A but not influenza B. The National Advisory Committee on Immunization recommends that amantadine prophylaxis be offered to residents when influenza A outbreaks occur in long term care facilities. However, there remain a number of unanswered questions about how best to use amantadine for controlling influenza A outbreaks in long term care facilities. In addition, two members of a new class of antivirals called neuraminidase inhibitors have recently been licensed in Canada for the treatment of influenza, and are effective in prophylaxis. Issues in the use of amantadine in the control of outbreaks of influenza A in long term care facilities for the elderly are reviewed, and the potential uses of neuraminidase inhibitors in this setting are discussed.

scholarly journals Guidance for Practitioners on the Use of Antiviral Drugs to Control Influenza Outbreaks in Long-Term Care Facilities in Canada, 2014-2015 Season

2015 ◽  
Vol 26 (1) ◽  
pp. e1-e4 ◽  
Author(s):  
Fred Y Aoki ◽  
Upton D Allen ◽  
H Grant Stiver ◽  
Michel Laverdière ◽  
Danuta Skowronski ◽  
...  
Keyword(s):  
Long Term Care ◽  
Antiviral Drugs ◽  
Term Care ◽  
Care Facilities ◽  
Influenza Outbreaks

Importance of Employee Vaccination against Influenza in Preventing Cases in Long-Term Care Facilities

2011 ◽  
Vol 32 (10) ◽  
pp. 990-997 ◽  
Author(s):  
Aaron M. Wendelboe ◽  
Catherine Avery ◽  
Bernardo Andrade ◽  
Joan Baumbach ◽  
Michael G. Landen
Keyword(s):  
New Mexico ◽  
Vaccination Coverage ◽  
Long Term Care ◽  
Direct Care ◽  
Term Care ◽  
Department Of Health ◽  
Laboratory Confirmation ◽  
Care Facilities ◽  
Influenza Outbreaks

Objective.Employees of long-term care facilities (LTCFs) who have contact with residents should be vaccinated against influenza annually to reduce influenza incidence among residents. This investigation estimated the magnitude of the benefit of this recommendation.Methods.The New Mexico Department of Health implemented active surveillance in all of its 75 LTCFs during influenza seasons 2006-2007 and 2007-2008. Information about the number of laboratory-confirmed cases of influenza and the proportion vaccinated of both residents and direct-care employees in each facility was collected monthly. LTCFs reporting at least 1 case of influenza (defined alternately by laboratory confirmation or symptoms of influenza-like illness [ILI]) among residents were compared with LTCFs reporting no cases of influenza. Regression modeling was used to obtain adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for the association between employee vaccination coverage and the occurrence of influenza outbreaks. Covariates included vaccination coverage among residents, the staff-to-resident ratio, and the proportion of filled beds.Results.Seventeen influenza outbreaks were reported during this 2-year period of surveillance. Eleven of these were laboratory confirmed (n = 21 residents) and 6 were defined by ILI (n = 40 residents). Mean influenza vaccination coverage among direct-care employees was 51% in facilities reporting outbreaks and 60% in facilities not reporting outbreaks (P = .12). Increased vaccination coverage among direct-care employees was associated with fewer reported outbreaks of laboratory-confirmed influenza (aOR, 0.97 [95% CI, 0.95-0.99]) and ILI (aOR, 0.98 [95% CI, 0.96-1.00]).Conclusions.High vaccination coverage among direct-care employees helps to prevent influenza in LTCFs.

Antimicrobial Stewardship in Rhode Island Long-Term Care Facilities: Current Standings and Future Opportunities

2016 ◽  
Vol 37 (8) ◽  
pp. 979-982 ◽  
Author(s):  
Haley J. Morrill ◽  
Leonard A. Mermel ◽  
Rosa R. Baier ◽  
Nicole Alexander-Scott ◽  
David Dosa ◽  
...  
Keyword(s):  
Rhode Island ◽  
Antimicrobial Stewardship ◽  
Long Term Care ◽  
Antibiotic Use ◽  
Infect Control Hosp ◽  
Term Care ◽  
Care Facilities ◽  
Infection Preventionists

Our survey of antimicrobial stewardship practices among Rhode Island long-term care facilities demonstrated opportunities to develop formal programs. Results suggest infection preventionists are largely responsible for ensuring appropriate antibiotic use in long-term care facilities and there is a need for increased interdisciplinary access to individuals with antimicrobial stewardship expertise.Infect Control Hosp Epidemiol 2016;37:979–982

Prevention of Influenza in Long-Term–Care Facilities

1999 ◽  
Vol 20 (9) ◽  
pp. 629-637 ◽  
Author(s):  
Suzanne F. Bradley ◽  
Keyword(s):  
Older Adults ◽  
Influenza A ◽  
Long Term Care ◽  
Influenza B ◽  
Case Definitions ◽  
Term Care ◽  
Standard Case ◽  
Care Facilities ◽  
Influenza Outbreaks

AbstractInfluenza is a frequent cause of epidemic and endemic respiratory illness in long-term-care facilities (LTCFs), resulting in considerable morbidity and mortality. Detection of influenza outbreaks in this setting can be difficult, because the clinical presentation in older adults is atypical and other pathogens also cause influenza-like illness (ILI) during the influenza season. Use of the standard case definition for influenza has not been effective in detecting episodes in residents of LTCFs. Alternative case-definitions that reflect the atypical presentation of influenza in this population have been recommended but not validated. The use of rapid tests for the detection of influenza in conjunction with more sensitive case definitions of ILI may lead to the earlier detection of influenza outbreaks in LTCFs, earlier initiation of infection control measures, and reduction in transmission.The definition of outbreak, eg, the number of episodes of ILI or episodes of confirmed influenza A that would result in the initiation of antiviral chemoprophylaxis, remains controversial in this setting. The use of newer antivirals could limit the side effects seen in older adults in LTCFs. However, annual vaccination of residents and staff remains the most effective way to prevent the introduction of influenza A or influenza B into LTCFs. In addition, vaccination of LTCF residents reduces rates of illness and pneumonia due to influenza, as well as cardiopulmonary exacerbation, hospitalization, and death.

scholarly journals Keys to Control Influenza Outbreaks in Long-Term Care Facilities

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Kunio Kawabata ◽  
Masahiro Ishikane ◽  
Takuya Yamagishi ◽  
Norio Ohmagari ◽  
Yuko Sugiki ◽  
...  
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Influenza Outbreaks

scholarly journals Survey of Antimicrobial Stewardship (AMS) Practices in Rhode Island (RI) Long-Term Care Facilities (LTCFs)

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Haley Morrill ◽  
Nicole Alexander-Scott ◽  
Rosa Baier ◽  
Sara Kavoosifar ◽  
Leonard Mermel ◽  
...  
Keyword(s):  
Rhode Island ◽  
Antimicrobial Stewardship ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities
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