id author title date pages extension mime words sentences flesch summary cache txt cord-297239-or6h6p9p Ridgway, Jessica P. Influenza Among Afebrile and Vaccinated Healthcare Workers 2015-06-01 .txt text/plain 2674 145 46 To prevent transmission of influenza from healthcare workers (HCWs) to patients, many hospitals exclude febrile HCWs from working, but allow afebrile HCWs with respiratory symptoms to have contact with patients. During the 2013–2014 influenza season at our hospital, an influenza-positive HCW with respiratory symptoms but no fever was linked to a case of possible healthcare-associated influenza in a patient. In accordance with the CDC's guidelines, our hospital's routine sick policy at the time prohibited febrile HCWs from working, but not those with respiratory symptoms in the absence of fever. Given the risk of influenza transmission to patients from afebrile employees with influenza, we implemented a temporary mandatory influenza-testing policy for all HCWs with respiratory symptoms. To prevent healthcare-associated influenza, hospitals should consider more stringent infection control measures for HCWs with respiratory symptoms, even if no fever is present. ./cache/cord-297239-or6h6p9p.txt ./txt/cord-297239-or6h6p9p.txt