The fact sheet explains the risks and. What can be done to help keep people in a facility safe from COVID-19? C) Test for influenza by rapid influenza nucleic acid detection assay6; if a rapid influenza nucleic acid detection assay is not available, perform rapid influenza antigen detection assay.9Because of lower sensitivities to detect influenza viruses, confirm negative rapid influenza antigen detection test results in a symptomatic person by influenza nucleic acid detection assay. Residents with only influenza should be placed in Droplet Precautions, in addition to Standard Precautions. 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 CDC Resources for Nursing Homes CDC Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spre COVID-19 Community Transmission Level COVID-19 Vaccines for People who are Moderately or Severely Immunocompromised Stay Up to Date with Your COVID-19 Vaccines CMS Resources for Nursing Homes This guidance is for assisted living residences and group homes for people with intellectual and developmental disabilities that are not regulated by the Centers for Medicare and Medicaid Services (CMS). You will be subject to the destination website's privacy policy when you follow the link. Active surveillance for additional cases should be implemented as soon as possible once one case of laboratory-confirmed influenza is identified in a facility. The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) are issuing new recommendations to State and local governments and long-term care facilities (also known as nursing homes) to help mitigate the spread of the 2019 Novel Coronavirus When at least 2 residents are ill within 72 hours of each other with laboratory-confirmed influenza, the facility should expand antiviral chemoprophylaxis to non-ill residents living on the same unit as the residents with influenza (outbreak affected units), regardless of influenza vaccination status. All information these cookies collect is aggregated and therefore anonymous. Placing ill residents in a private room. You will be subject to the destination website's privacy policy when you follow the link. In Thank you for taking the time to confirm your preferences. J Am Geriatr Soc 2002; 50:60816. The recommended dosing and duration of antiviral treatment is twice daily for 5 days for neuraminidase inhibitors (oseltamivir and zanamivir), and one dose for intravenous peramivir. Please contact CDC-INFO at 800-232-4636 for additional support. Respiratory viral surveillance of healthcare personnel and patients at an adult long-term care facility. This is at the providers discretion; written consent is not required by federal law for COVID-19 vaccination in the United States (U.S.). Below are resources to support nursing homes, assisted living facilities, and adult day services with new requirements for visitation, testing, vaccination, and service delivery. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Influenza Other Respir Viruses 2018; 12:28792. 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. LTCFspdf icon provide a spectrum of medical and non-medical services to frail or older adults unable to reside independently in the community. The CDC has provided guidance on communal activities and dining based on resident vaccination status. People are protected best from COVID-19 when they stay up to date with recommended COVID-19 vaccines, including boosters. The impact of COVID-19 vaccines on community transmission rates may allow for future changes to the recommendations and requirements in the Safe . These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Infect Control Hosp Epidemiol. CDC recommends everyone stay up to date with COVID-19 vaccines for their age group: People who are moderately or severely immunocompromised have. Guidance for Long-Term Care Providers and Facilities. CDC. While you can reunite with your family once everyone has been vaccinated, safety precautions will still need to be taken. Healthcare personnel, and visitors who are identified with any illness symptoms should be excluded from the facility until their illness has resolved. Active COVID-19 spread occurring in the facility. 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. Residents in the facility who develop symptoms of acute illness consistent with influenza or COVID-19 should be moved to a single room, if available, or remain in current room, pending results of viral testing. 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. Assisted living facilities: facility providing help with activities of daily living. CDC twenty four seven. More information is available, Recommendations for Fully Vaccinated People, CDCs Infection Prevention and Control Recommendations, more likely to get very sick from COVID-19, characteristics that might accelerate spread, National Center for Immunization and Respiratory Diseases (NCIRD), CDC COVID-19 Response Health Equity Strategy, Upper-Room Ultraviolet Germicidal Irradiation (UVGI), Guidance for Schools & Child Care Programs, Ventilation in Schools and Child Care Programs, Homeless Service Sites & Correctional Facilities, COVID-19 Childrens Eagle Book Coloring Storybook, U.S. Department of Health & Human Services, Facilities that serve unrelated people who live in close proximity and share at least one common room (e.g., group or personal care homes and assisted living facilities) should apply prevention strategies based on, Healthcare services delivered in these settings should be informed by. Cookies used to make website functionality more relevant to you. CDC and the Advisory Committee on Immunization Practices (ACIP), recommend that all U.S. healthcare personnel get vaccinated annually against influenza. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Infectious Diseases Society of America (IDSA) 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza. Influenza Surveillance Report (FluView), Previous Forecasts for the 2021-2022 Season, Tools to Prepare Your Practice for Flu Season, Information for Clinicians on Influenza Virus Testing, 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, Information on Rapid Molecular Assays, RT-PCR, and other Molecular Assays for Diagnosis of Influenza Virus Infection, 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. Cookies used to make website functionality more relevant to you. G) Encourage residents and HCP to remain up to date with recommended COVID-19 vaccine doses. Fact sheets, guidelines, reports, and resources, Fact sheet, patient safety and other information, Checklists, fact sheet, toolkits, and additional links, Specialized training and resources for nursing home staff, How facilities are keeping residents safe from infections, State-developed resources and information, The Core Elements of Antibiotic Stewardship for Nursing Homes, The Department of Health and Human Services has developed a strategy to address infections in Long-term Care Facilities in Phase 3 of the National Action Plan to Prevent Health Care-Associated Infections: Road Map to Eliminationexternal icon. Influenza testing with molecular assays such as RT-PCR may be available at a local or state public health laboratory. When there is influenza activity in the local community, active daily surveillance (defined below) for influenza illness should be conducted among all new and current residents, healthcare personnel, and visitors of long-term care facilities, and continued until the end of influenza season. Residents and their families can ask a LTC provider about the current COVID-19 vaccination rate among their staff and residents. 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. March 10, 2020. Conduct daily active surveillance until at least 1 week after the last laboratory-confirmed influenza case was identified. 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. Saving Lives, Protecting People, Vaccine Recommendations and Guidelines of the ACIP, Pharmacy Partnership for Long-Term Care Program, National Center for Immunization and Respiratory Diseases, Comprehensive Recommendations and Guidelines, Preventing and Managing Adverse Reactions, Vaccine Recommendations for Emergency Situations, CDC's International Travelers Yellow Book, Clinical Travel Notices, Updates, and Vaccine Shortages, U.S. Department of Health & Human Services, HCP with direct patient contact and thus who are unable to telework, including those who work in inpatient, outpatient, or community settings, who provide services to patients or patients family members, or who handle infectious materials, HCP working in residential care or long-term care facilities, HCP with documented acute SARS-CoV-2 infection in the preceding 90 days may choose to delay vaccination until near the end of the 90 day period in order to facilitate vaccination of those HCP who remain susceptible to infection, as. Considerations for sub-prioritization include: Partners supporting the Pharmacy Partnership for Long-Term Care Programshould follow all Emergency Use Authorization Conditions of Use for COVID-19 vaccines when vaccinating LTCF residents, including provision of fact sheets. An emphasis on close monitoring and early initiation of antiviral treatment is an alternative to chemoprophylaxis in managing certain persons who have had a suspected exposure to influenza virus. Interim Guidance for Influenza Outbreak Management in Long-term Care Facilities [153 KB, 7 pages]. Centers for Disease Control and Prevention. 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. Inhaled zanamivir is approved for early treatment of influenza in persons aged 7 years and older. Baloxavir is not recommended for pregnant women, severely immunosuppressed persons, those with severe disease, or hospitalized influenza patients. Please also refer to the Infectious Diseases Society of America (IDSA) 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza. Have symptomatic residents stay in their own rooms as much as possible, including restricting them from common activities, and have their meals served in their rooms when possible. Cookies used to make website functionality more relevant to you. Examples include: intravenous injections, wound care and catheter care.. CDC has updated select ways to operate healthcare systems effectively in response to COVID-19 vaccination. B) Residents confirmed with influenza only should be placed in a single room, if available, or housed with other residents with only influenza. COVID-19 vaccines, including boosters, are effective at protecting people from getting seriously ill, being hospitalized, and dying. People who are moderately or severely immunocompromised have different recommendations for COVID-19 vaccines. See thelatest recommendations on treatment of nonhospitalized persons with mild-to-moderate COVID-19, andTherapeutic Management of Nonhospitalized Adults With COVID-19. QSO: Guidance for Infection Control and Prevention of Coronavirus Disease 2019. Additionally, CDC has developed guidance to implement facility-wide testing in nursing homes and updated the interim testing guidance to integrate testing with other core prevention strategies. Centers for Disease Control and Prevention. The following guidance is current for the 2022-2023 influenza season. Residents (or their medical proxies) get a. Considerations might include: Further considerations on the management of post-COVID-19 vaccination symptoms among healthcare personnel is under development. 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).