Influenza in long-term care facilities: preventable, detectable, treatable.
Influenza in long-term care facilities is an ever more challenging problem. Vaccination of residents and health care workers is the most important preventive measure. Although vaccine efficacy has been questioned, the preponderance of data favors vaccination. Antiviral resistance complicates postexposure chemoprophylaxis and treatment. Factors that limit the choice of antiviral agents in this patient population include limited vaccine supplies and impaired dexterity and confusion in long-term care residents.
Mossad
Sherif B
SB
Section of Transplant Infectious Diseases, Department of Infectious Diseases, Medicine Institute, Cleveland Clinic, Cleveland, OH 44195, USA. mossads@ccf.org
D000368:Aged; D000998:Antiviral Agents / Q000627:therapeutic use; D024882:Drug Resistance, Viral; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007252:Influenza Vaccines / Q000627:therapeutic use; D007251:Influenza, Human / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy; D008134:Long-Term Care; D009735:Nursing Homes; D014481:United States
D000998:Antiviral Agents; D007252:Influenza Vaccines