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

Appendix 15: Glossary and List of Abbreviations

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Residential Care Facility
Residential care facilities (RCFs), which include nursing homes and hostels, are considered to be especially high-risk environments for influenza, due to the older age, high prevalence of chronic medical conditions, and close proximity of the residents.

Staff
All persons who carry on activities in the RCF, including but not limited to employees, students, attending physicians, and both health care and non-health care contract workers.

Contract Worker
Contract workers from a supplying agency such as health care workers, maintenance workers (e.g., cleaner, repair, etc.) and other workers who carry on activities in resident care areas or come into contact with residents (e.g., hairdressers).

Visitors
Visitors are relatives or friends of residents who visit usually one (the same) resident occasionally or on a regular basis.

Incubation Period
The time interval between initial contact with an infectious agent and the first appearance of symptoms associated with the infection. For influenza, the incubation period is 1-3 days.

Infection Control Practitioner
A person designated to be responsible for infection control programs in the facility.

List of Abbreviations

RCF residential-care facility
PHU public health unit
AMPPI Australian Management Plan for Pandemic Influenza
DoHA Department of Health and Ageing
CDNA Communicable Diseases Network Australia
NPHP National Public Health Partnership
AHMAC Australian Health Ministers Advisory Council
GBS Guillain-Barre Syndrome
IFA immunofluorescence assay
NPA nasopharyngeal aspirate
OMIT outbreak management and investigation team
PCR polymerase chain reaction
RSV respiratory syncytial virus
TGA Therapeutics Goods Administration
VIDRL Victorian Infectious Diseases Reference Laboratory
WHO World Health Organization

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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