Prevention and Control of Vaccine-Preventable Diseases in Long-Term Care Facilities

By Sneller, Vishnu-Priya

Book Id: WPLBN0000168662
Format Type: PDF eBook
File Size: 0.5 MB
Reproduction Date: 2005

Title:	Prevention and Control of Vaccine-Preventable Diseases in Long-Term Care Facilities
Author:	Sneller, Vishnu-Priya
Volume:
Language:	English
Subject:	Health., Medical research, Medical reports
Collections:	Medical Library Collection
Historic Publication Date:
Publisher:	Centers for Disease Control and Prevention


Citation APA MLA Chicago Sneller, M. B. B. S, V. P. (n.d.). Prevention and Control of Vaccine-Preventable Diseases in Long-Term Care Facilities. Retrieved from http://gutenberg.cc/

Excerpt
Preface: This document contains information that long-term care facilities (nursing facilities) can use to: Establish and maintain a sustainable immunization program for patients and staff. Establish a surveillance program to monitor acute respiratory illnesses. Why formalize an immunization program? The immunization program for residents of long-term care facilities, as outlined in this document, emphasizes vaccination against influenza and pneumococcal disease because these diseases pose the greatest risk to the elderly. Since an effective immunization program employs a comprehensive set of policies and procedures to assure that all recommended vaccines are delivered to all eligible residents and employees, information pertaining to diphtheria and tetanus boosters is included, where appropriate.

Table of Contents
Table of Contents Page Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 References cited in the Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Part I. Developing and Implementing an Immunization Program in Long-term care Facilities . . . . . . . . . . . . . . . . . . . 5 A. Establish a Leadership Team for Planning and Implementation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 B. Define roles and responsibilities for team members. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 C. Define the Program and Document the Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Step 1. Develop the policy statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Step 2. Develop the implementation manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 D. Implement the Immunization Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Step 1. Train staff members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Step 2. Train personal physicians and Medical Directors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Step 3. Collect and record baseline vaccination rates for current residents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Step 4. Vaccinate current residents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Step 5. Vaccinate new arrivals (including transfers from hospitals). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Step 6. Bill Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 E. Evaluate the Immunization Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Step 1. Compile evaluation measures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 F. Plan and Implement the Facility’s Annual Influenza Immunization Campaign. . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Step 1. Plan the campaign. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Step 2. Conduct the campaign. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Step 3. Evaluate the campaign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Part II. Developing and Maintaining a Surveillance Program for Influenza and Pneumococcal Disease and Controlling Outbreaks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 A. Define the Disease Surveillance and Control Program and Document the Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 B. Implement Surveillance for Acute Febrile Respiratory Illnesses and Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . 25 1. Derive normal (baseline) estimates of AFRI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .