Influenza
Influenza, commonly known as the flu, is a seasonal viral illness that disproportionately affects older adults in post-acute and long-term care (PALTC) settings.
Strategies for Influenza Prevention and Management in PALTC
- Vaccination: Annual influenza vaccination remains the most effective preventive measure. Ensuring high vaccination rates among both residents and healthcare workers is crucial. Newer high-dose vaccines or adjuvant vaccines, designed specifically for older adults, offer enhanced protection.
- Rapid Diagnosis: Utilizing rapid influenza diagnostic tests can assist in swift identification, leading to timely patient management and outbreak containment.
- Antiviral Treatment: Antiviral medications, when administered early, can reduce the severity and duration of illness. They can also play a role in prophylaxis during outbreaks.
- Infection Control Measures: Implementing strict hand hygiene, respiratory etiquette, usage of personal protective equipment, and isolation of affected individuals are key components of halting transmission.
- Surveillance: Regular monitoring for influenza-like illness, coupled with lab confirmations, can help in early outbreak identification.
- Education: Continuous education of staff, residents, and visitors regarding the importance of vaccination, symptom recognition, and preventive measures is vital.
- Environmental Controls: Ensuring adequate ventilation, frequent disinfection of high-touch surfaces, and avoiding overcrowding can reduce viral spread.
Resources
- Summary: ‘Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP)—United States, 2023-24’
- Fact Sheets (developed by AMDA, GAPNA, and GSA)
- CDC: Influenza Vaccination Laws for Healthcare Workers (HCWs) in Long-Term Care Facilities
- AMDA's Policy Statement on Influenza Vaccination of Health Care Personnel