Influenza Vaccination Levels and Influenza-Like Illness in Long-Term-Care Facilities for Elderly People in Niigata, Japan, During an Influenza A (H3N2) Epidemic

2000 ◽  
Vol 21 (11) ◽  
pp. 728-730 ◽  
Author(s):  
Hitoshi Oshitani ◽  
Reiko Saito ◽  
Nao Seki ◽  
Naohito Tanabe ◽  
Osamu Yamazaki ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Elderly People ◽  
Influenza A ◽  
Long Term Care ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Influenza Like Illness ◽  
Care Facilities ◽  
Influenza Outbreaks

AbstractSurveys on influenza vaccination and illness in long-term-care facilities in Niigata Prefecture during an influenza A (H3N2) epidemic revealed that >20% of facilities had outbreaks and >10% of residents experienced influenza. Outbreaks and number of cases were significantly reduced by vaccination, which should be strongly recommended for institutionalized elderly people.

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.

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.

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

Economic burden of influenza-like illness in long-term-care facilities

2001 ◽  
Vol 58 (12) ◽  
pp. 1133-1138 ◽  
Author(s):  
Norman V. Carroll ◽  
Jeffrey C. Delafuente ◽  
K. Lynn McClure ◽  
Diane F. Weakley ◽  
Zeba M. Khan ◽  
...  
Keyword(s):  
Economic Burden ◽  
Long Term Care ◽  
Term Care ◽  
Influenza Like Illness ◽  
Care Facilities

Effectiveness and Implementation Aspects of Interventions for Preventing Falls in Elderly People in Long-Term Care Facilities: A Systematic Review of RCTs

2011 ◽  
Vol 12 (6) ◽  
pp. 410-425 ◽  
Author(s):  
Jacques C. Neyens ◽  
Jolanda C. van Haastregt ◽  
Béatrice P. Dijcks ◽  
Mark Martens ◽  
Wim J. van den Heuvel ◽  
...  
Keyword(s):  
Systematic Review ◽  
Elderly People ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Implementation Aspects ◽  
Falls In Elderly

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

scholarly journals Hyponatremia Among the Institutionalized Elderly in 2 Long-Term Care Facilities in Taipei

2006 ◽  
Vol 69 (3) ◽  
pp. 115-119 ◽  
Author(s):  
Liang-Kung Chen ◽  
Ming-Hsien Lin ◽  
Shinn-Jang Hwang ◽  
Tzen-Wen Chen
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Care Facilities
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