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Can we achieve high uptakes of influenza vaccination of healthcare workers in hospitals? A cross-sectional survey of acute NHS trusts in England

  • M. EDELSTEIN (a1) and R. PEBODY (a2)

It is unknown which intervention strategies are used or effective to increase influenza vaccine uptake by healthcare workers (HCWs) in acute hospitals in England. We undertook a survey in acute hospitals, described strategies employed from 2008 to 2012 and used multivariable binomial regression to identify those effective. Eighty out of 166 trusts responded and reported 25 strategies. Every intervention showed increased use: peer vaccination from 3·8% to 38·8% (+921%); educational DVDs from 3·8% to 22·5% (+492%); Twitter from 2·5% to 12·5% (+400%) and Facebook from 1·3% to 6·3% (+384%). Peer vaccination increased uptake by 7·3% [95% confidence interval (CI) 1·1–13·6, P = 0·02] overall; educational DVDs by 9·7% overall (95% CI 1·8–17·6, P = 0·02), 11·9% in non-doctor, non-nurse HCWs (95% CI 0·9–22·8, P = 0·03). For doctors, using a champion doctor increased uptake by 17·8% (95% CI 7·6–28·0, P < 0·01). No intervention increased uptake by nurses. Increasing uptake requires multi-intervention strategies targeted at different HCW groups.

Corresponding author
* Author for correspondence: Dr R. Pebody, Respiratory Diseases Department, Public Health England, 61 Colindale Avenue, London NW9 5EQ. (Email:
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10. MJ Butteri , Flu in 15: a novel 15-minute education program to promote acceptance of the influenza vaccine among health care workers. Journal of the American Medical Directors Association 2010; 11: 523537.

14. AC Kimura , The effectiveness of vaccine day and educational interventions on influenza vaccine uptake among health care workers at long-term care facilities. American Journal of Public Health 2007; 97: 684690.

16. K Leitmeyer , Influenza vaccination in German health care workers: effects and findings after two rounds of a nationwide awareness campaign. Vaccine 2006; 24: 4748.

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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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