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Effect of A Hospital Campaign for Influenza Vaccination of Healthcare Workers

  • Joon Young Song (a1), Cheong Won Park (a1), Hye Won Jeong (a1), Hee Jin Cheong (a1), Woo Joo Kim (a1) and Sung Ran Kim (a2)...

To identify the factors that inhibit or motivate influenza vaccination among healthcare workers (HCWs).


In March 2000, we prepared 34-item questionnaire for both vaccine recipients and nonrecipients regarding demographic characteristics, factors motivating and inhibiting vaccination, and knowledge and attitudes about influenza vaccination. On the basis of the results of our survey, an aggressive hospital vaccination campaign was undertaken. In April 2004, after the 4-year campaign, the same questionnaire was again administered to HCWs.


In both 2000 and 2004, the main motives for undergoing influenza vaccination were “hospital campaign” and “recommendation by colleagues”; the percentage of respondents who were motivated by the hospital campaign had remarkably increased from 27% in 2000 to 52% in 2004 (P<.001), whereas the percentage who were motivated by recommendation by colleagues had not changed significantly (21% vs 14%). Qverall, the 4 reasons most frequently cited by HCWs for noncompliance with vaccination were insufficient available time, confidence in their health, doubt about vaccine efficacy, and fear of injection. In 2000, vaccination rates were below 30%, irrespective of occupation. After an aggressive vaccination campaign, the increase in the vaccination rate was highest among the nursing staff, increasing from 21% in 2000 to 92% in 2004, whereas the vaccination rate among the physicians was still below 60%.


We conclude that a hospital campaign can markedly improve influenza vaccination rates among HCWs. Both a mobile cart system and free vaccine supply contributed to improving the vaccination rates in our study. In addition, a specifically tailored intervention strategy was required.

Corresponding author
Section of Infectious Disease, Department of Internal Medicine, Korea University Guro Hospital, 97 Guro Dong-Gil, Guro Gu (152-703), Seoul, Republic of Korea (
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1.Thompson, WW, Shay, DK, Weintraub, E, et al. Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA 2003;289:179186.
2.Centers for Disease Control and Prevention. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep 2002; 51(RR-3):131.
3.Korea Center for Disease Control and Prevention. 2003-2004 Korea influenza season summary [in Korean]. Communicable Dis Monthly Rep Korea 2004; 15:178184.
4.Park, SC, Choeng, HJ, Sohn, JW, et al. Efficacy of influenza vaccination among chronic ill patients: retrospective case control study [in Korean]. Infect Chemother 2004; 36:207212.
5.Van Voris, LP, Belshe, RB, Shaffer, JL. Nosocomial influenza B virus infection in the elderly. Ann Intern Med 1982;96:153158.
6.Sepkowitz, KA. Occupationally acquired infections in health care workers, part I. Ann Intern Med 1996; 125:826834.
7.Coles, FB, Balzano, GJ, Morse, DL. An outbreak of influenza A (H3N2) in a well immunized nursing home population. J Am Geriatr Soc 1992; 40:589592.
8.Ikeda, RM, Drabkin, PD. Influenza outbreaks in nursing homes. J Am Geriatr Soc 1992; 40:1288.
9.Centers for Disease Control and Prevention. Outbreak of influenza A in a nursing home: New York, December 1991-January 1992. MMWR Morb Mortal Wkly Rep 1992; 41:129131.
10.Horman, JT, Stetler, HC, Israel, E, Sorley, D, Schipper, MT, Joseph, JM. An outbreak of influenza A in a nursing home. Am J Public Health 1986; 76:501504.
11.Sartor, C, Tissot-Dupont, H, Zandotti, C, Martin, F, Roques, P, Drancourt, M. Use of a mobile cart influenza program for vaccination of hospital employees. Infect Control Hosp Epidemiol 2004; 25:918922.
12.Weinstock, DM, Eagan, J, Malak, SA, et al. Control of influenza A on a bone marrow transplant unit. Infect Control Hosp Epidemiol 2000; 21: 730732.
13.National Quality Forum. Safe practices for better healthcare: a consensus report URL (executive summary). Available at: Accessed December 16, 2005.
14.Carman, WF, Elder, AG, Wallace, LA, et al. Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet 2000; 355:9397.
15.Salgado, CD, Giannetta, ET, Hayden, FG, Farr, BM. Preventing nosocomial influenza by improving the vaccine acceptance rate of clinicians. Infect Control Hosp Epidemiol 2004; 25:923928.
16.Centers for Disease Control and Prevention. Recommendations for prevention and control of influenza: recommendations of the Immunization Practice Advisory Committee. Ann Intern Med 1986; 105:399404.
17.Centers for Disease Control and Prevention. Estimated influenza vaccine coverage among adults and children—United States, September 1,2004— January 31, 2005. MMWR Morb Mortal Wkly Rep 2005; 54:304307.
18.Cheong, HJ, Sohn, JW, Choi, SJ, et al. Factors influencing decision regarding influenza vaccination: a survey of healthcare workers in one hospital [in Korean]. Infect Chemother 2004; 36:213218.
19.Carter, WB, Beach, LR, Inui, TS, Kirscht, JP, Prodzinski, JC. Developing and testing a decision model for predicting influenza vaccination compliance. Health Serv Res 1986; 20:897932.
20.Nichol, KL, Margolis, KL, Wuorenma, J, Von Sternberg, T. The efficacy and cost effectiveness of vaccination against influenza among elderly persons living in the community. N Engl J Med 1994; 331:778784.
21.Frank, JW, Henderson, M, McMurray, L. Influenza vaccination in the elderly, 1: determinants of acceptance. Can Med Assoc J 1985; 132:371375.
22.Weingarten, S, Riedinger, M, Bolton, LB, Miles, P, Ault, M. Barriers to influenza vaccine acceptance: a survey of physicians and nurses. Am J Infect Control 1989; 17: 202207.
23.Pachucki, CT, Lentino, JR, Jackson, GG. Attitudes and behavior of health care personnel regarding the use and efficacy of influenza vaccine. J Infect Dis 1985; 151:11701171.
24.Christian, MA. Influenza and hepatitis B vaccine acceptance: a survey of health care workers. Am J Infect Control 1991; 19:177184.
25.Larson, EB, Olsen, E, Cole, W, Shortell, S. The relationship of health beliefs and a postcard reminder to influenza vaccination. J Fam Pract 1979; 8: 12071211.
26.Fiebach, N, Beckett, W. Prevention of respiratory infections in adults: influenza and pneumococcal vaccines. Arch Intern Med 1994; 154:25452557.
27.Steiner, M, Vermeulen, LC, Mullahy, J, Hayney, MS. Factors influencing decisions regarding influenza vaccination and treatment: a survey of healthcare workers. Infect Control Hosp Epidemiol 2002; 23:625627.
28.Nichol, KL, Hauge, M. Influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 1997; 18:189194.
29.Watanakunakorn, C, Ellis, G, Gemmel, D. Attitude of healthcare personnel regarding influenza immunization. Infect Control Hosp Epidemiol 1993; 14:1720.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
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