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. Spread of influenza can occur between and among residents, healthcare personnel and visitors. their vaccination status or to show proof of vaccination. Ensure that the laboratory performing influenza testing notifies the facility of tests results promptly. 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. You can review and change the way we collect information below. You can review and change the way we collect information below. You will be subject to the destination website's privacy policy when you follow the link. Centers for Disease Control and Prevention. In addition to monitoring their COVID-19 Community Levels, facilities can consider factors that would indicate heightened risk, including the following: In addition to implementing the recommended prevention steps at each COVID-19 Community Level, congregate settings can consider adopting any of the following enhanced prevention strategies: To receive email updates about COVID-19, enter your email address: We take your privacy seriously. The Centers for Disease Control and Prevention on May 13 loosened indoor mask-wearing guidance for fully vaccinated people after previously easing restrictions in outdoor settings. More information is available, Travel requirements to enter the United States are changing, starting November 8, 2021. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. This would include medically-necessary care that can only be provided by skilled or licensed medical personnel. Emerg Themes Epidemiol 2014; 11:13. Guidance for Long-Term Care Providers and Facilities. To receive email updates about COVID-19, enter your email address: We take your privacy seriously. This is at the providers discretion; written consent is not required by federal law for COVID-19 vaccination in the United States (U.S.). 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. 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. Cookies used to make website functionality more relevant to you. COVID-19 Long-Term Care Facility Guidance . Bush KA, McAnulty J, McPhie K, et al; Southern New South Wales Public Health Unit. It is estimated that 1 to 3 million serious infections occur every year in: CDC is committed to keeping long term care patients safe from infections. CDC guidance for nursing homes generally also applies to other long-term care facilities. State of Oregon: COVID-19 - COVID-19 Information for Long-Term Care Residents found to have SARS-CoV-2 and influenza virus co-infection should be placed in a single room or housed with other co-infected residents. Residents and their families can ask a LTC provider about the current COVID-19 vaccination rate among their staff and residents. *Patients with illness associated with influenza virus infection often have fever or feverishness with cough, chills, headache, myalgias, sore throat, or runny nose. Standard Precautions are intended to be applied to the care of all patients in all healthcare settings, regardless of the suspected or confirmed presence of an infectious agent. Because it can be difficult to anticipate potential for coughs and sneezes, facilities might consider having healthcare personnel routinely wear eye protection for the care of residents with influenza. However, in settings where the initial vaccine supply is insufficient to vaccinate residents of all LTCFs, sub-prioritization of vaccine doses may be necessary. C) For adult patients with suspected community-acquired pneumonia who do not require hospitalization, see antibiotic treatment recommendations from the American Thoracic Society-Infectious Diseases Society of America Adult Community-acquired Pneumonia Guidelines.13 Consent or assent for a COVID-19 vaccine is given by LTC residents (or people appointed to make medical decisions on their behalf called a medical proxy) and documented in their charts per the providers standard practice. Because residents with influenza may continue to shed influenza viruses while on antiviral treatment, infection control measures to reduce transmission, including following Standard and Droplet Precautions, should continue while the resident is taking antiviral therapy. Long-Term Care Facilities | NC COVID-19 - NCDHHS This latest guidance comes as more . J Hosp Infect 2008; 68:837. Persons receiving chemoprophylaxis who become sick should be switched to treatment dosing. Residents often live in their own room or apartment within a building or group of buildings. 1. 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 higher risk for complications of influenza. To limit the potential transmission of antiviral drug-resistant influenza virus, whether in chronic or acute-care settings or other closed settings, measures should be taken to reduce contact between ill persons taking antiviral drugs for treatment and other persons, including those receiving antiviral chemoprophylaxis. CDC twenty four seven. 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. AHCA has provided a high-level summary of the changes and linked to each guidance for additional information. F) Encourage influenza vaccination for unvaccinated residents and HCP. Specific recommendations are highlighted below. 3721.01 the following: 1. As part of Standard Precautions, eye protection should be worn if splashes or sprays are anticipated (e.g., the resident is coughing or sneezing). Board of Health emergency rules require facilities to follow this guidance. 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. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Information for Long-term Care Administrators and Managers, Information for Jurisdictions (State and Local Immunization Programs). 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. Restrict healthcare personnel movement from areas of the facility having illness to areas not affected by the outbreak. Long-Term Care Facilities & Assisted Living Guidance for long-term care facilities including visitation guidance, infection prevention and control measures, and outbreak management. Persons whose need for antiviral chemoprophylaxis is attributed to potential exposure to a person with laboratory-confirmed influenza should receive oral oseltamivir or inhaled zanamivir. Long-Term Care Facilities | Department of Health Considerations might include: Further considerations on the management of post-COVID-19 vaccination symptoms among healthcare personnel is under development. Email AHS.VDHEpiCOVID19Program@Vermont.gov (monitored during business hours). Please also refer to the Infectious Diseases Society of America (IDSA) 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza. In the majority of seasons, influenza vaccines will become available to long-term care facilities beginning in September, and influenza vaccinationshould be offered by the end of October. Check where your state stands on nursing home and long-term care visitors. lf exposed residents on units or wards with influenza cases in the long-term care facility (currently impacted wards) should receive antiviral chemoprophylaxis as soon as an influenza outbreak is determined (https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciy866/5251935). Cookies used to make website functionality more relevant to you. The agency defers to states that may have local guidance restricting the size of gatherings. Influenza outbreak control practices and the effectiveness of interventions in long-term care facilities: a systematic review. Use of oseltamivir during an outbreak of influenza A in a long-term care facility in Taiwan. Avoid new admissions or transfers to wards with symptomatic residents. Because SARS-CoV-2 and influenza virus co-infection can occur, a positive influenza test result without SARS-CoV-2 testing does not exclude SARS-CoV-2 infection, and a positive SARS-CoV-2 test result without influenza testing does not exclude influenza virus infection. Planning for personnel to have time away from work if they develop systemic symptoms following COVID-19 vaccination. The Quarantine and Isolation Intake Call Center is open 7 days a week from 8am-8pm: 833-596-1009. Centers for Disease Control and Prevention. Residents with only influenza should be placed in Droplet Precautions, in addition to Standard Precautions. Murti M, Fung CK, Chan K, Bigham M. Duration of influenza outbreaks in long-term care facilities after antiviral prophylaxis initiation: Fraser Health, British Columbia, 2014-2017. Long term care facilities provide a variety of services, both medical and personal care, to people who are unable to live independently. Facility operators should balance the need for COVID-19 prevention with the impact from reducing access to daily services and programming. https://www.cdc.gov/flu/professionals/infectioncontrol/ltc-facility-guidance.htm Last Reviewed: November 22, 2022 Source: Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases (NCIRD) COVID-19 Nebraska Guidance Documents - Nebraska Department of Health The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. When should a facility choose to implement quarantine? PLoS One 2012; 7:e46509. Testing The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Follow the Centers of Disease Control and Prevention (CDC) Department of Health (DOH) and local health jurisdictions . Below are resources to support nursing homes, assisted living facilities, and adult day services with new requirements for visitation, testing, vaccination, and service delivery. 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 higher risk for complications of influenza, https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm.