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Influenza in long-term care facilities: preventable, detectable, treatable
1Section of Transplant Infectious Diseases, Department of Infectious Diseases, Medicine Institute, Cleveland Clinic, Cleveland, OH 44195, USA. mossads@ccf.org
Cleveland Clinic Journal of Medicine
|September 4, 2009
Summary
Influenza vaccination is crucial for long-term care facilities despite efficacy questions. Antiviral resistance and resident factors complicate prevention and treatment strategies for influenza.
Area of Science:
- Geriatrics
- Infectious Diseases
- Public Health
Background:
- Influenza poses significant challenges in long-term care (LTC) settings.
- Preventive measures are essential for vulnerable residents and healthcare workers.
Purpose of the Study:
- To review the importance of influenza vaccination in LTC facilities.
- To discuss challenges in influenza prevention and treatment, including antiviral resistance and resident-specific factors.
Main Methods:
- Literature review on influenza in LTC facilities.
- Analysis of vaccination efficacy and antiviral resistance data.
- Consideration of factors impacting treatment choices in this population.
Main Results:
- The majority of evidence supports influenza vaccination for LTC residents and staff.
- Antiviral resistance presents a complication for post-exposure prophylaxis and treatment.
- Limited vaccine availability and resident cognitive/physical impairments hinder optimal management.
Conclusions:
- Influenza vaccination remains the primary preventive strategy in LTC facilities.
- Addressing antiviral resistance and patient-specific challenges is critical for effective influenza control.
- Continued research and improved strategies are needed to combat influenza in this setting.
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