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. Examples include: intravenous injections, wound care and catheter care.. It is important to protect people who are disproportionately affected by COVID-19especially residents in long-term care (LTC) settings. CDC. They help us to know which pages are the most and least popular and see how visitors move around the site. You can review and change the way we collect information below. A)Obtain respiratory specimens for influenza and SARS-CoV-2 testing2. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. The facility should encourage all individuals to be up to date with all recommended COVID-19 vaccine doses, based upon the latest recommendations. Saving Lives, Protecting People, LTC partners and retail pharmacy partners, COVID-19 Vaccine Access in Long-Term Care Settings, stay up to date with recommended COVID-19 vaccines, including boosters, different recommendations for COVID-19 vaccines, Interim Clinical Considerations for Use of COVID-19 Vaccines, Long-term Care Administrators and Managers: Options for Coordinating Access to COVID-19 Vaccines, How Jurisdictions Can Ensure COVID-19 Vaccine Access for Staff and Residents in Long-term Care Settings, COVID-19 Vaccines for Long-term Care Residents, National Center for Immunization and Respiratory Diseases, Use of COVID-19 Vaccines in the U.S.: Appendices, FAQs for the Interim Clinical Considerations, Myocarditis and Pericarditis Considerations, Jurisdictions: Vaccinating Older Adults and People with Disabilities, Vaccination Sites: Vaccinating Older Adults and People with Disabilities, Vaccinating Patients upon Discharge from Hospitals, Emergency Departments & Urgent Care Facilities, Vaccines for Children Program vs. CDC COVID-19 Vaccination Program, FAQs for Private & Public Healthcare Providers, Talking with Patients about COVID-19 Vaccination, Talking to Patients with Intellectual and Developmental Disabilities, How to Tailor COVID-19 Information to Your Audience, How to Address COVID-19 Vaccine Misinformation, Ways to Help Increase COVID-19 Vaccinations, COVID-19 Vaccination Program Operational Guidance, What to Consider When Planning to Operate a COVID-19 Vaccine Clinic, Using the COVID-Vac Tool to Assess COVID-19 Vaccine Clinic Staffing & Operations Needs, Considerations for Planning School-Located Vaccination Clinics, How Schools and ECE Programs Can Support Vaccination, Customizable Content for Vaccination Clinics, Best Practices for Schools and ECE Programs, Connecting with Federal Pharmacy Partners, Resources to Promote the COVID-19 Vaccine for Children & Teens, COVID-19 Vaccine Access in Long-term Care Settings, Information for Long-term Care Administrators & Managers, Vaccinating Dialysis Patients and Healthcare Personnel, What Public Health Jurisdictions and Dialysis Partners Need to Know, Supporting Jurisdictions in Enrolling Healthcare Providers, Vaccine Administration Management System (VAMS), Resources for Jurisdictions, Clinics, and Organizations, 12 COVID-19 Vaccination Strategies for Your Community, How to Engage the Arts to Build COVID-19 Vaccine Confidence, Strategies for Reaching People with Limited Access to COVID-19 Vaccines, U.S. Department of Health & Human Services, Coordinating with state and local health departments. CDC Long-Term Care Facility Vaccine Toolkit; 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. Goriek Miksi N, Uri T, Simonovi Z, et al. Saving Lives, Protecting People, symptoms of influenza and COVID-19 are similar, healthcare-associated infection program in your state health department, National Institutes of Health COVID-19 Treatment Guidelines Panel, latest recommendations on treatment of nonhospitalized persons with mild-to-moderate COVID-19, Therapeutic Management of Nonhospitalized Adults With COVID-19, Medicare Monoclonal Antibody COVID-19 Infusion Program Instruction, https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html, https://www.cdc.gov/coronavirus/2019-nCoV/lab/guidelines-clinical-specimens.html, https://www.cdc.gov/flu/professionals/diagnosis/table-flu-covid19-detection.html, https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/vitro-diagnostics-euas#individual-molecular, https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/vitro-diagnostics-euas#individual-antigenhttps://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/vitro-diagnostics-euas#individual-antigen, https://www.cdc.gov/flu/professionals/diagnosis/table-nucleic-acid-detection.html, https://www.cdc.gov/flu/professionals/diagnosis/table-ridt.html, https://www.cdc.gov/infectioncontrol/guidelines/isolation/appendix/type-duration-precautions.html, https://academic.oup.com/cid/article/68/6/895/5369363, https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm, https://www.cdc.gov/flu/highrisk/index.htm, https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html, https://www.covid19treatmentguidelines.nih.gov/special-populations/influenza/, https://www.atsjournals.org/doi/10.1164/rccm.201908-1581ST, https://www.cdc.gov/flu/professionals/infectioncontrol/ltc-facility-guidance.htm, Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases (NCIRD), Reconstruction of the 1918 Influenza Pandemic Virus, 2022-2023 Preliminary In-Season Burden Estimate, Who is at Higher Risk of Flu Complications, Flu and COVID-19 Vaccine Coadministration, Who Should & Who Should NOT Get Vaccinated, Live Attenuated Influenza Vaccine (LAIV)/Nasal Spray Vaccine, Selecting Viruses for the Seasonal Influenza Vaccine, Flu Vaccine and People with Egg Allergies, Frequently Asked Questions on Vaccine Supply, Historical Reference of Vaccine Doses Distributed, Investigating Respiratory Viruses in the Acutely Ill (IVY), Respiratory Virus Transmission Network (RVTN), Randomized Assessment of Influenza Vaccine Efficacy Network (RAIVEN), Hospitalized Adult Influenza Vaccine Effectiveness Network (HAIVEN), How Vaccine Effectiveness and Efficacy are Measured, What People with a Staph Infection Should Know about Flu, Resources for Hosting a Vaccination Clinic, Overview of Influenza Surveillance in the United States, Influenza Hospitalization Surveillance Network (FluSurv-NET), Weekly U.S. Healthcare personnel who have occupational exposures can be counseled about the early signs and symptoms of influenza and advised to contact their health-care provider immediately for evaluation and possible early initiation of antiviral treatment if clinical signs or symptoms develop. COVID-19 Community Levels Update, Mar. Baloxavir is approved for early treatment of uncomplicated influenza in people 5 years and older who are otherwise healthy or in people aged 12 years and older who are at higher risk for influenza complications and have been ill for no more than 2 days. The local public health and state health departments should be notified of every suspected or confirmed influenza outbreak in a long-term care facility, especially if a resident develops influenza while on or after receiving antiviral chemoprophylaxis. Published: September 23, 2022. covid19@ahca.org. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Co-circulation of Influenza Viruses and SARS-CoV-2, Centers for Disease Control and Prevention. Peters PH Jr, Gravenstein S, Norwood P, et al. The facilities identified in this Order must either: (1) verify visitors are fully vaccinated, or (2) for unvaccinated or incompletely vaccinated visitors, verify documentation of a negative SARS-CoV-2 test. 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. C. Indoor Visitation These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Deaths, which bottomed at about 60 in June . Residents who receive a COVID-19 vaccine (or their medical proxy) also receive a fact sheet before vaccination. 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 . PLoS One 2012; 7:e46509. BMC Geriatr. , "facilities should ensure that physical distancing can still be maintained during peak times of visitation," and "facilities should avoid large gatherings (e.g., parties, events)." This means that facilities, residents, and visitors should refrain from having large gatherings where physical distancing cannot be maintained in the facility. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. ONeil CA, Kim L, Prill MM et al. COVID-19 vaccines can help keep you from getting seriously ill if you do get COVID-19. Family and friends. F) Encourage influenza vaccination for unvaccinated residents and HCP. B) Residents confirmed with influenza only should be placed in a single room, if available, or housed with other residents with only influenza. Healthcare-Associated Infections Program Licensing and Certification Center for Health Statistics and Informatics End of Life Option Act Medical Marijuana Identification Card Program Vital Records Vital Records Data and Statistics Center for Infectious Diseases HIV/AIDS Binational Border Health Communicable Disease Control Zanamivir should be used when persons require chemoprophylaxis as a result of exposure to influenza virus strains that are suspected or known to be oseltamivir-resistant. However, in settings where the initial vaccine supply is insufficient to vaccinate all HCP, sub-prioritization of vaccine doses may be necessary. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. 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. All information these cookies collect is aggregated and therefore anonymous. Residents (or their medical proxies) get a. The following influenza tests are recommended: molecular assays, including rapid molecular assays, other molecular tests, or reverse transcription polymerase chain reaction (RT-PCR). Thank you for taking the time to confirm your preferences. To find COVID-19 vaccine locations near you:Searchvaccines.gov, text your ZIP code to 438829, or call 1-800-232-0233. While CDC recommends judicious use of antiviral medications for chemoprophylaxis to reduce the possibility of development and spread of antiviral resistant influenza viruses, chemoprophylaxis may be considered for healthcare personnel, regardless of their influenza vaccination status, if the outbreak is caused by a strain of influenza virus that is not well matched by the vaccine, or based upon other factors (e.g., to reduce the risk of short staffing in facilities and units where clinical staff are limited and to reduce staff reluctance to provide care to residents with suspected or laboratory-confirmed influenza). Respiratory viral surveillance of healthcare personnel and patients at an adult long-term care facility. Detection and control of influenza outbreaks in well-vaccinated nursing home populations. Centers for Disease Control and Prevention. 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). COVID-19 vaccines are safe and effective especially against becoming seriously ill, being hospitalized and dyingand very important for older adults. While the incidence and timing of post-vaccination symptoms will be further informed by phase III clinical trial data, strategies are needed to mitigate possible HCP absenteeism and resulting personnel shortages due to the occurrence of these symptoms. Flyers to Promote Vaccination (CDC): [All Our Tools] . Guidance for Infection Control and Prevention Concerning COVID-19 . The Quarantine and Isolation Intake Call Center is open 7 days a week from 8am-8pm: 833-596-1009. These residents should continue to be cared for using all recommended PPE for the care of a resident with SARS-CoV-2 infection.1. Regardless, visitors should physically distance from other residents and staff in the facility. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Essential Caregiver Guidance This interim guidance provides guidelines for nursing homes and other long-term care (LTC) facilities on the appropriate use of essential caregivers (ECs) to provide companionship and assist residents with activities of daily living. COVID-19 vaccines do not guarantee complete immunity to the virus. Infection 2015; 43:7381. Saving Lives, Protecting People, Nursing Homes and Assisted Living (Long-term Care Facilities [LTCFs]), Nursing Homes and Long-term Care Facilities, National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination, Tracking Infections in LTCFs Using the NHSN, Other Influenza Resources for Healthcare Providers, Tuberculosis Infection Control in Healthcare, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP), U.S. Department of Health & Human Services. Email AHS.VDHEpiCOVID19Program@Vermont.gov (monitored during business hours). Expand All Sections. While these considerations are specific to care of residents residing in nursing homes, some practices could be adapted for use in other long-term care settings (e.g. Residents with only influenza should be placed in Droplet Precautions, in addition to Standard Precautions. Monto AS, Rotthoff J, Teich E, et al. New Testing and Management Considerations for Nursing Home Residents with Acute Respiratory Illness Symptoms when SARS-CoV-2 and Influenza Viruses are Co-circulating. Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2 was released on Dec. 23. Facility operators should balance the need for COVID-19 prevention with the impact from reducing access to daily services and programming. Effective July 1, 2022, the Department of Public Health advises that individuals should wear a mask or face covering when indoors (and not in your own home) if you have a weakened immune system, or if you are at increased risk for severe disease because of your age or an underlying medical condition, or if someone in your household has a . (For more information seeRecommended Dosage and Duration of Treatment or Chemoprophylaxis for Influenza Antiviral Medicationsand (https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciy866/5251935). The latest CDC antiviral recommendations are available on CDCs influenza antiviral drugs page for health professionals. Childs A, Zullo AR, Joyce NR et al. 1, New SARS-CoV-2 infection identified in HCP or nursing home-onset infection in a resident should prompt additional testing in the facility.1. QSO: Guidance for Infection Control and Prevention of Coronavirus Disease 2019. Remove the facemask when leaving the residents room and dispose of the facemask in a waste container. 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. Residents often live in their own room or apartment within a building or group of buildings. They help us to know which pages are the most and least popular and see how visitors move around the site. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. 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. As part of Standard Precautions, eye protection should be worn if splashes or sprays are anticipated (e.g., the resident is coughing or sneezing). COVID-19 vaccines may be administered along with and on the same day as other vaccines, such as the flu vaccine. 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. In the event that a new patient or resident is admitted after the influenza vaccination program has concluded in the facility, the benefits of vaccination should be discussed, educational materials should be provided, and an opportunity for vaccination should be offered to the new resident as soon as possible after admission to the facility. This guidance applies at all large facilities - nursing, assisted living and residential care. CDC has updated select ways to operate healthcare systems effectively in response to COVID-19 vaccination. See thelatest recommendations on treatment of nonhospitalized persons with mild-to-moderate COVID-19, andTherapeutic Management of Nonhospitalized Adults With COVID-19. Antiviral chemoprophylaxis is meant for residents who are not exhibiting influenza-like illness but who may be exposed or who may have been exposed to an ill person with influenza, to prevent transmission. To receive weekly email updates about Seasonal Flu, enter your email address: We take your privacy seriously.