Definition of an influenza outbreak in long-term care (LTC) facilities:
If there is one laboratory-confirmed influenza positive case along with other cases of respiratory infection in a unit of a long-term care facility, an influenza outbreak might be occurring.
1. If you suspect an outbreak of influenza-like illness is occurring, please contact local public health , your field epidemiologist, or the Center for Acute Disease Epidemiology (CADE) at 800-362-2736. The field epidemiologist or the CADE staff will help facilitate outbreak investigation and control and enter cases into the outbreak database maintained by CADE staff.
2. Collect specimens for patients with influenza-like illness, without other apparent cause and submit specimens to the State Hygienic Laboratory at the University of Iowa (SHL)
3. Administer antiviral prophylaxis to residents and health care personnel in accordance with current CDC recommendations during influenza outbreaks.
4. Vaccinate all unvaccinated residents and staff with the current season influenza vaccine unless medically contraindicated.
5. Reinforce respiratory hygiene/cough etiquette in long-term care facilities.
6. Implement droplet precautions during the care of a resident with suspected or confirmed influenza.
7. Cohort and/or isolate ill residents as appropriate.
8. Restrict ill personnel from patient care. Restrict personnel movement from areas of the facility having outbreaks to areas without patients with influenza.
9. Limit visitation, exclude ill visitors. Consider restricting visitation of all visitors via posted notices.
10. Limit new admissions.