Table A16 Antiviral prophylaxis in residential care facilities decision tool Considerations for Prophylaxis Weaker Stronger Current epidemiology Outbreak: Few Multiple in your or territory Hospitalisation: Few Frequent Deaths: None Several Outbreak Attack Rate: Low High characteristics Epi curve: Flat Steep Morbidity: Low High Outbreak progress Last case onset: > 48 hours ago < 48 hours ago Epidemic peak: > 5 days ago < 5 days ago case: > 10 days ago < 10 days ago Facility characteristics Staff vaccination Good Poor coverage: Single Shared Room setup: Minimal Shared Mixing of communal areas residents: Clinical resources Number of GPs: Large Small GP engagement: Low Supportive RCF care staff: Unfamiliar with Supportive dosing & precautions Oseltamivir supply Time to obtain: > 24 hours < 24 hours Outbreak Mgt
Table A16 Antiviral prophylaxis in residential care facilities decision tool Considerations for Prophylaxis Weaker Stronger Current epidemiology in your or territory Outbreak: Hospitalisation: Deaths: Few Few None Multiple Frequent Several Outbreak characteristics Attack Rate: Epi curve: Morbidity: Low Flat Low High Steep High Outbreak progress Last case onset: Epidemic peak: case: > 48 hours ago > 5 days ago > 10 days ago < 48 hours ago < 5 days ago < 10 days ago Facility characteristics Staff vaccination coverage: Room setup: Mixing of residents: Good Single Minimal Poor Shared Shared communal areas Clinical resources Number of GPs: GP engagement: RCF care staff: Large Low Unfamiliar with dosing & precautions Small Supportive Supportive Oseltamivir supply Time to obtain: > 24 hours < 24 hours Outbreak Mgt
wRCF_Guidelines.docx