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Improving Influenza Immunization Rates Among Healthcare Workers Caring for High-Risk Pediatric Patients

  • Kristina A. Bryant (a1), Beth Stover (a2), Linda Cain (a3), Gail L. Levine (a4), Jane Siegel (a5) and William R. Jarvis (a6)...
Abstract
AbstractObjective:

To assess influenza vaccination rates of healthcare workers (HCWs) in neonatal intensive care units (NICUs), pediatric intensive care units (PICUs), and oncology units in Pediatric Prevention Network (PPN) hospitals.

Participants:

Infection control practitioners and HCWs in NICUs, PICUs, and oncology units.

Methods:

In November 2000, posters, electronic copies of a slide presentation, and an influenza fact sheet were distributed to 32 of 76 PPN hospitals. In January 2001, a survey was distributed to PPN hospital participants to obtain information about the immunization campaigns. On February 7, 2001, a survey of influenza immunization was conducted among HCWs in NICU, PICU, and oncology units at participating hospitals.

Results:

Infection control practitioners from 19 (25%) of the 76 PPN hospitals completed the surveys. The median influenza immunization rate was 43% (range, 12% to 63%), with 7 hospitals exceeding 50%. HCWs (n = 1,123) at 15 PPN hospitals completed a survey; 53% of HCWs reported receiving influenza immunization. Immunization rates varied by work site: 52% in NICUs and PICUs compared with 60% in oncology units. Mobile carts and PPN educational fact cards were associated with higher rates among these subpopulations (P < .001) (361 [63%] of 575 vs 236 [44%] of 541 for mobile carts; 378 [60%] of 633 vs 219 [45%] of 483 for fact cards).

Conclusion:

Despite delayed distribution of influenza vaccine during the 2000–2001 season, immunization rates at 7 hospitals and among HCWs in high-risk units exceeded the National Association of Children's Hospitals and Related Institutions goal of 50%.

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2. KJ Lui , AP Kendal . Impact of influenza epidemics on mortality in the United States from October 1972 to May 1985. Am J Public Health 1987;77:712716.

4. DR Thomas , B Winsted , C Koontz . Improving neglected influenza vaccination among healthcare workers in long-term care. J Am Geriatr Soc 1993;41:928930.

5. G Meiklejohn , R Hoffman , P Graves . Effectiveness of influenza vaccine when given during an outbreak of influenza A/H3N2 in a nursing home. J Am Geriatr Soc 1989;37:407410.

6. S Weingarten , M Friedlander , D Rascon , M Ault , M Morgan , RD Meyer . Influenza surveillance in an acute-care hospital. Arch Intern Med 1988;148:113116.

7. ME Evans , KL Hall , SE Berry . Influenza control in acute care hospitals. Am J Infect Control 1997;25:357362.

8. J Needleman , P Buerhaus , S Mattke , M Stewart , K Zelevinsky . Nurse-staffing levels and the quality of care in hospitals. N Engl J Med 2002;346:17151722.

10. B Boersma , T Rhames , JM Keegan . Additional cost savings of an effective employee influenza program on prevention of nosocomial influenza. Am J Infect Control 1999;27:177178.

11. JA Wilde , JA McMillan , J Serwint , J Butta , MA O'Riordan , MC Steinhoff . Effectiveness of influenza vaccine in health care professionals: a randomized trial. JAMA 1999;281:908913.

12. H Saxen , M Virtanen . Randomized, placebo-controlled double blind study on the efficacy of influenza immunization on absenteeism of health care workers. Pediatr Infect Dis J 1999;18:779783.

15. L Eisenfeld , T Perl , G Burke , et al. Lack of compliance with influenza immunization for caretakers of neonatal intensive care unit patients. Am J Infect Control 1994;22:307311.

16. FM Munoz , JR Campbell , RL Atmar , et al. Influenza A virus outbreak in a neonatal intensive care unit. Pediatr Infect Dis J 1999;18:811815.

17. X Sagrera , G Ginovart , F Raspall , et al. Outbreaks of influenza A virus infection in neonatal intensive care units. Pediatr Infect Dis J 2002;21:196200.

19. S Girouard , G Levine , K Goodrich , et al. Pediatric Prevention Network: a multicenter collaboration to improve health care outcomes. Am J Infect Control 2001;29:158161.

21. E Whimbey , RE Champlin , RB Couch , et al. Community respiratory virus infections among hospitalized adult bone marrow transplant recipients. Clin Infect Dis 1996;22:778782.

22. P Ljungman , J Andersson , J Aschan , et al. Influenza A in immunocompromised patients. Clin Infect Dis 1993;17:244247.

24. KL Nichol , M Hauge . Influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 1997;18:189194.

25. S Weingarten , M Reidinger , LB Bolton , P Miles , M Ault . Barriers to influenza vaccine acceptance: a survey of physicians and nurses. Am J Infect Control 1989;17:202207.

26. CT Pachucki , SA Pappas , GF Fuller , SL Krause , JR Lentino , DM Schaaff . Influenza A among hospital personnel and patients: implications for recognition, prevention, and control. Arch Intern Med 1989;149:7780.

27. C Watanakunakorn , G Ellis , D Gemmel . Attitude of healthcare personnel regarding influenza immunization. Infect Control Hosp Epidemiol 1993;14:1720.

30. KA Adal , RH Flowers , AM Anglim , et al. Prevention of nosocomial influenza. Infect Control Hosp Epidemiol 1996;17:641648.

31. S Harbarth , CA Siegrist , JC Schira , W Wunderli , D Pittet . Influenza immunization: improving compliance of healthcare workers. Infect Control Hosp Epidemiol 1998;19:337342.

32. WF Carman , AG Elder , LA Wallace , 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.

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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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