If influenza molecular assays are not available and antigen detection tests are used such as rapid influenza diagnostic tests (RIDTs) or immunofluorescence assays, false negative results can occur because RIDTs and immunofluorescence assays have lower sensitivity than molecular assays for detection of influenza viruses. When a higher-than-average number of people who live and work in a health care facility are sick with similar symptoms. 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. Isolating and containing people with the flu is a highly effective measure for curbing an outbreak of the flu, but symptoms typically don’t appear for 2-3 days. Information about influenza testing is available at: https://www.cdc.gov/flu/professionals/diagnosis/index.htm, https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciy866/5251935, influenza diagnostic testing is available online, those who are at high risk for complications of influenza, https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm. Health Care Facility Outbreaks. Bowles SK, Lee W, Simor AE, et al. Influenza outbreaks pose a … Editor's Note: For the latest updates on the 2020 coronavirus outbreak, see our news coverage. For some other, rarer diseases, just 1 case can be considered an outbreak. You will be subject to the destination website's privacy policy when you follow the link. Apr 5, 2012. Baloxavir is not approved for chemoprophylaxis of influenza and is not recommended for chemoprophylaxis of influenza in long term care facility residents. According to outbreak data published by the state, there are 118 nursing home and 137 assisted living outbreaks. Influenza-like illness (ILI): managing outbreaks in care homes ... templates have been published for post-exposure prophylaxis and treatment of flu for adult residents and staff of care homes. Abstract. Fifteen residents of the Marco Polo Aged Care Services in Unanderra, just outside Wollongong, were suffering with flu symptoms after the June long weekend. Commun Dis Intell Q Rep 2004; 28:396–400. 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. 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 high risk for complications of influenza. Approximately 20 residents and 20 staff have presented with flu symptoms, manager Robert O'Shea told AAP on Wednesday. Changing gloves and gowns after each resident encounter and performing hand hygiene. Oseltamivir is the recommended antiviral drug for chemoprophylaxis of influenza in long-term care settings. 2019 Nov;40(11):1309-1312. If you are visiting a facility during an outbreak, consider taking certain precautions. Setting: The Jewish Home and Hospital for Aged, a skilled-care nursing facility. Spread of influenza can occur between and among residents, healthcare personnel and visitors. The CDC defines an outbreak as one confirmed case of the flu in a nursing home, along with other cases of acute respiratory illness. Objective: To describe the sequential occurrence of influenza A and B in a nursing home, and to determine the efficacy of influenza vaccine and/or amantadine treatment with respect to incidence and sequelae. 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