Starting on October 28, 2009, the New York State Department of Health (NYSDOH) assisted a 368-bed LTCF
that had an outbreak of ILI among residents and staff members.
The literature review showed that screening detected carriage rates of <10% among LTCF
residents, with 2 exceptions, for which carriage rates were 20% and 16%.
Of the 215 cases that were not confirmed, 159 (74%) occurred in persons who had an LTCF
stay or hospitalization during the preceding 3 months, 50 (23%) occurred in persons
This report summarizes results of the investigation, which underscore the importance of providing pneumococcal polysaccharide vaccine (PPV) to elderly residents of long-term care facilities (LTCFs
These additional isolates were obtained during the time of the outbreak in the same regions of New York and Connecticut and showed pattern JEGX01.0004/NYS-W, but were not epidemiologically linked to the LTCF
at the time of the outbreak (Table).
Eligibility criteria for the elderly participants were 1) being institutionalized and 2) being present at the LTCF
during the data collection period.
There was a small number (n=13) of responses, and results are focused in the geriatric population in LTCF
settings and may not be generalizable to other fields of medicine.
Retrieved from http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap p ltcf
A systematic review of literature to weigh benefits, costs, and harms of clinical practices in LTCF
and thereby inform decisions of infection prevention coordinators in this setting would be useful (Mullen & Ramirez, 2006).
Ultimately, both patients and LTCF
will benefit through increased collaboration between LTC pharmacists and other members of the facility healthcare team.