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Guidelines for the Prevention and Control of Influenza Outbreaks in Residential Care Facilities for Public Health Units in Australia

Appendix 13: Respiratory illness/Influenza outbreak alert letter to RCF Manager

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Please note the attached letters are a guide and a resource which the Public Health Unit may modify to fit local circumstances
NOTE – Please print this text onto a Public Health Unit letterhead


Manager’s name and title\RCF Address

Dear

I am writing in response to recent reports of respiratory infections/influenza affecting some residents at your facility. To help determine the cause and prevent the spread of respiratory infections at your facility, the following immediate measures are recommended:

Implement appropriate infection control precautions (see attached “Respiratory Outbreak Control Measures” chart)

Arrange for nose and throat swabs to be taken from residents and staff that have developed symptoms of respiratory illness within the previous 48 hours. These swabs should be submitted for laboratory testing for common respiratory pathogens such as influenzavirus, parainfluenzavirus, rhinovirus, respiratory syncytial virus and human metapneumovirus (see attached “Guidelines for Taking Nasal and Throat Swabs”. Please contact us if you need to discuss arrangements for swab collection with you.

Record the status of the symptoms, influenza and pneumococcal vaccination, antiviral therapy / prophylaxis, and clinical outcomes for each resident and staff member who are or have been at the facility on the attached “Respiratory Outbreak Line Listing” Forms.

Notify all staff members (including attending doctors) of the outbreak, including the response measures recommended in the attached chart “Respiratory Outbreak Control Measures”. Attached is a draft letter that can be used to inform health care providers about the outbreak.

Notify the families of ill residents to advise them about the outbreak and visiting restrictions.

If the laboratory results indicate an outbreak of influenza, antiviral therapy or prophylaxis for residents and/or staff may be recommended. Also any residents and staff who have not received influenza vaccination this year should immediately be offered vaccination. Please note that antiviral therapy should be prescribed for each patient by their attending medical practitioner according to the recommendations in the Product Information.

For more information or advice, please contact: _____________ (b/h) or _____________ (a/h)

Yours sincerely


Director
Public Health Unit

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Table of Contents
Guidelines for the Prevention and Control of Influenza Outbreaks in Residential Care Facilities for Public Health Units in Australia
  Disclaimer
  Acknowledgements
  Preface
  How to use this document
  Summary Flow Chart
  Chapter 1: Introduction
   1.1 Influenza
   1.2 Linkages with other documents and the internet
  Chapter 2: Preventing Outbreaks
   2.1 Vaccination
   2.2 Infection Control Precautions
  Chapter 3: Outbreak and Case Definitions
   3.1 Introduction
   3.2 Respiratory Disease Outbreak Definition
   3.3 Case definition
   3.4 Outcome definitions
  Chapter 4: Investigation and Management of Outbreaks
   4.1 Assess the Suspected Outbreak
   4.2 Outbreak Investigation and Management Team
   4.3 The Investigation
   4.4 Diagnostic tests
   4.5 Documents for communication with the facility
   4.6 Outbreak control measures
   4.7 Monitoring the outbreak
   4.8 Declare that the outbreak is over
   4.9 Debriefing
  Chapter 5: References
  Appendices
   Appendix 1: Environmental Cleaning
   Appendix 2: Respiratory Outbreak Control Measures
   Appendix 3: Checklist for Public Health Unit for Investigation and Management of Outbreaks
   Appendix 4: Respiratory Outbreak Line Listing - Residents ONLY
   Appendix 5: Part A Respiratory Outbreak Line Listing Form - Staff ONLY
   Appendix 6: Influenza & Pneumococcal Immunisation Survey
   Appendix 7: Sample Collection Guide*
   Appendix 8: Guidelines for Taking Nasal and Throat Swabs
   Appendix 9: Respiratory outbreak transfer notification
   Appendix 10: Visitor Restriction Sign - Facility
   Appendix 11: Visitor Restriction Sign - Room
   Appendix 12: Antiviral medications for treatment and prophylaxis of influenza
   Appendix 13: Respiratory illness/Influenza outbreak alert letter to RCF Manager
   Appendix 14: Respiratory illness/Influenza outbreak alert letter to medical practitioner
   Appendix 15: Glossary and List of Abbreviations