Influenza in the nursing home.
Influenza in the nursing home.
复制标题
疗养院里的流感。
DOI：
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发表时间：
2002
影响因子：
4
通讯作者：
Charles V Wright
中科院分区：
文献类型：
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作者：
Brian J Kingston;Charles V Wright
虽然流感影响所有年龄段的人，但疾病控制和预防中心已经确定了几个并发症风险增加的群体。其中一个群体是养老院或其他长期护理机构的居民。在流感流行期间，养老院居民的死亡率通常超过5%。为了减轻这种感染的影响，建议将流感疫苗作为预防该疾病及其并发症的主要方法。许多研究表明，养老院居民和工作人员的疫苗接种可以显着降低住院率，肺炎和相关死亡率。当养老院发生流感爆发时，治疗医生可以实施几项措施。治疗和预防可以使用抗病毒药物，如金刚烷胺，金刚乙胺和奥司他韦。抗病毒药物扎那米韦可用于治疗流感，但不能用于预防。一旦确定爆发，可以实施控制措施，包括为未接种疫苗的居民和雇员接种疫苗，以及限制居民的行动和访问。
Although influenza affects persons of all ages, the Centers for Disease Control and Prevention has identified several groups who are at increased risk for complications. One such group is residents of nursing homes or other long-term care facilities. During influenza epidemics, mortality rates among nursing home residents often exceed 5 percent. To lessen the impact of this infection, the influenza vaccine is recommended as the primary way of preventing the illness and its complications. Many studies have shown that vaccination of nursing home residents and staff can significantly decrease rates of hospitalization, pneumonia, and related mortality. When an influenza outbreak occurs in a nursing home, several measures can be implemented by the treating physician. Treatment and prophylaxis can be accomplished using antiviral medications such as amantadine, rimantadine, and oseltamivir. The antiviral medication zanamivir can be used in the treatment of influenza, but not for prophylaxis. Once an outbreak has been established, control measures, including vaccination of unvaccinated residents and employees, and limitations on resident movement and visits, can be implemented.