In a long-term-care facility outbreak of influenza A H1N1, what is recommended for residents?

In a long-term-care facility outbreak of influenza A H1N1, what is recommended for residents?

• A. Chemoprophylaxis with appropriate medications for all residents
• B. Only treat symptomatic residents
• C. Vaccination only
• D. Isolate symptomatic individuals only

Answer: (A)

When influenza hits a long-term-care facility, stopping transmission quickly in a highly vulnerable population is the priority. Giving antiviral prophylaxis to all residents after exposure markedly reduces the number who become ill and helps prevent a larger outbreak, which is especially important in settings where vaccine protection may be incomplete or take time to develop. Relying only on treating those who become symptomatic misses people who are exposed or presymptomatic and can still spread the virus, and isolating only symptomatic individuals leaves others at risk. Using an appropriate antiviral for every resident during the outbreak (and continuing as recommended) is the most effective way to blunt transmission and protect this high-risk group.

When influenza hits a long-term-care facility, stopping transmission quickly in a highly vulnerable population is the priority. Giving antiviral prophylaxis to all residents after exposure markedly reduces the number who become ill and helps prevent a larger outbreak, which is especially important in settings where vaccine protection may be incomplete or take time to develop. Relying only on treating those who become symptomatic misses people who are exposed or presymptomatic and can still spread the virus, and isolating only symptomatic individuals leaves others at risk. Using an appropriate antiviral for every resident during the outbreak (and continuing as recommended) is the most effective way to blunt transmission and protect this high-risk group.