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Measurement of Influenza Vaccination Coverage among Healthcare Personnel in US Hospitals

Published online by Cambridge University Press:  02 January 2015

Megan C. Lindley ,
Juliet Yonek ,
Faruque Ahmed ,
Joseph F. Perz  and
Gretchen Williams Torres
Megan C. Lindley*
Affiliation:
National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Juliet Yonek
Affiliation:
Health Research and Educational Trust, American Hospital Association, Chicago, Illinois
Faruque Ahmed
Affiliation:
National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Joseph F. Perz
Affiliation:
National Center for Preparedness, Detection, and Control of Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Gretchen Williams Torres
Affiliation:
Health Research and Educational Trust, American Hospital Association, Chicago, Illinois Harris School of Public Policy Studies, University of Chicago, Chicago, Illinois
*
National Center for Immunization and Respiratory Diseases, CDC, 1600 Clifton Road, NE, Mail-stop E-52, Atlanta, GA 30333 (MLindley@cdc.gov)
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Abstract

Objective.

To characterize practices related to measuring influenza vaccination rates among healthcare personnel in US hospitals.

Design.

Descriptive survey.

Setting.

Nonfederal, short-stay hospitals that provide general medical and surgical services, identified by use of the 2004 American Hospital Association Annual Survey Database.

Participants.

Healthcare personnel from 996 randomly sampled US hospitals stratified by region and bed size.

Methods.

A self-administered questionnaire was distributed in 2006 to infection control coordinators to gather data on policies and practices related to the provision of the influenza vaccine and on the measurement and reporting of influenza vaccination rates. Descriptive statistics and associations were calculated, and logistic regression was conducted.

Results.

The response rate was 56% (ie, 555 of 996 US hospitals responded to the questionnaire). Weighting accounted for sampling design and nonresponse. Most hospitals provided the influenza vaccine to employees (100%), credentialed medical staff (ie, independent practitioners; 94%), volunteers (86%), and contract staff (83%); provision for students and residents was less frequent (58%). Only 69% of hospitals measured vaccination rates (mean coverage rate, 55%). Most hospitals that measured coverage included employees (98%) in the vaccination rates, whereas contract staff (53%), credentialed medical staff (56%), volunteers (56%), and students and residents (30%) were less commonly included. Among hospitals measuring coverage, 44% included persons for which vaccine was contraindicated, and 51% included persons who refused vaccination. After adjustment for region and size, hospitals with vaccination plans written into policy (odds ratio, 2.0 [95% confidence interval, 1.22–7.67]) or that addressed internally reporting coverage (odds ratio, 4.8 [95% confidence interval, 2.97–7.66]) were more likely to measure coverage than were hospitals without such plans.

Conclusions.

Hospitals vary in terms of the groups of individuals included in influenza vaccination coverage measurements. Standardized measures may improve comparability of hospital-reported vaccination rates. Measuring coverage in a manner that facilitates identification of occupational groups with low vaccination rates may inform development of targeted interventions.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 12 , December 2009 , pp. 1150 - 1157
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.Thompson, WW, Shay, DK, Weintraub, E, et al.Influenza-associated hospitalizations in the United States. JAMA 2004;292:1333–1340.CrossRefGoogle ScholarPubMed
2.Thompson, WW, Shay, DK, Weintraub, E, et al.Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA 2003;289:179–186.Google Scholar
3.Molinari, NM, Ortega-Sanchez, IR, Messonnier, ML, et al.The annual impact of seasonal influenza in the US: measuring disease burden and costs. Vacane 2007;25:5086–5096.Google ScholarPubMed
4.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;355:93–97.Google Scholar
5.Association for Professionals in Infection Control and Epidemiology (APIC). APIC position paper: influenza immunization of healthcare personnel. 2008. Available at: http://www.apic.org/AM/Template.cfm?Section=Homel&TEMPLATE=/CM/ContentDisplay.cfm8cCONTENTFILEID=11049. Accessed December 15, 2008.Google Scholar
6.Bridges, CB, Kuehnert, MJ, Hall, CB. Transmission of influenza: implications for control in health care settings. Clin Infect Dis 2003;37:1094–1101.Google Scholar
7.Wilde, JA, McMillan, JA, Serwint, J, et al.Effectiveness of influenza vaccine in healthcare professionals: a randomized trial. JAMA 1999;281:908–913.CrossRefGoogle ScholarPubMed
8.Sartor, C, Zandotti, C, Romain, F, et al.Disruption of services in an internal medicine unit due to a nosocomial influenza outbreak. Infect Control Hosp Epidemiol 2002;23:615–619.Google Scholar
9.Horcajada, JP, Pumarola, T, Martinez, JA, et al.A nosocomial outbreak of influenza during a period without influenza epidemic activity. Eur RespirJ 2003;21:303–307.Google Scholar
10.Salgado, CD, Giannetta, ET, Hayden, FG, Farr, BM. Preventing nosocomial influenza by improving the vaccine acceptance rate of clinicians. Infect Control Hosp Epidemiol 2004;25:923–928.Google Scholar
11.Potter, J, Stott, DJ, Roberts, MA, et al.Influenza vaccination of healthcare workers in long-term-care hospitals reduces the mortality of elderly patients. J Infect Dis 1997;175:1–6.Google Scholar
12.Hayward, AC, Harling, R, Wetten, S, et al.Effectiveness of an influenza vaccine programme for care home staff to prevent death, morbidity, and health service use among residents: cluster randomised controlled trial. BMJ 2006;333:1241–1246.Google Scholar
13.Saxen, H, Virtanen, M. Randomized, placebo-controlled double blind study on the efficacy of influenza immunization on absenteeism of healthcare workers. Pediatr Infect Dis J 1999;18:779–783.Google Scholar
14.Nichol, K, Lind, A, Margolis, K, et al.The effectiveness of vaccination against influenza in healthy working adults. N Engl J Med 1995;333:889–893.Google Scholar
15.Walker, FJ, Singleton, JA, Lu, P, Wooten, KG, Strikas, RA. Influenza vaccination of healthcare workers in the United States, 1989-2002. Infect Control Hosp Epidemiol 2006;27:257–265.Google Scholar
16.Pearson, ML, Bridges, CB, Harper, SA; Healthcare Infection Control Practices Advisory Committee (HICPAC); Advisory Committee on Immunization Practices (ACIP). Influenza vaccination of health-care personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP) (published correction appears in MMWR Recomm Rep 2006;55:252). MMWR Recomm Rep 2006;55(RR-2):1–16.Google Scholar
17.Lester, RT, McGeer, A, Tomlinson, G, Detsky, AS. Use of, effectiveness of, and attitudes regarding influenza vaccine among house staff. Infect Control Hosp Epidemiol 2003;24:839–844.CrossRefGoogle ScholarPubMed
18.McKibben, L, Horan, T, Tokars, JI, et al.Guidance on public reporting of healthcare-associated infections: recommendations of the Healthcare Infection Control Practices Advisory Committee. Am J Infect Control 2005;33:217–226.Google Scholar
19.New infection control requirement for offering influenza vaccination to staff and licensed independent practitioners. Jt Comm Perspect 2006;26:10–11.Google Scholar
20.National Quality Forum (NQF). National voluntary consensus standards for influenza and pneumococcal immunizations. A consensus report. Executive summary. Available at: http://www.qualityforum.org/Publications/2008/12/Executive_Summary_for_Immunizations_Report.aspx. Accessed October 9, 2009.Google Scholar
21.National Foundation for Infectious Diseases. Improving influenza vaccination rates in health care workers: strategies to increase protection for workers and patients. Bethesda, MD. 2004. Available at: http://www.nfid.org/pdf/publications/hcwmonograph.pdf. Accessed February 2, 2009.Google Scholar
22.Talbot, TR, Bradley, SF, Cosgrove, SE, Ruef, C, Siegel, JD, Weber, DJ. Influenza vaccination of healthcare workers and vaccine allocation for healthcare workers during vaccine shortages. Infect Control Hosp Epidemiol 2005;26:882–890.Google Scholar
23.Bearman, G, Fuentes, L, Vorenkamp, JVL, Drusin, LM. Vaccination without documentation: influenza immunization among medical residents at a tertiary-care medical center. Infect Control Hosp Epidemiol 2003;24:626–628.CrossRefGoogle Scholar
24.US Department of Health and Human Services. Healthy people 2010. Available at http://www.health.gov/healthypeople. Accessed February 3, 2009.Google Scholar
25.Centers for Disease Control and Prevention. State immunization laws for healthcare workers and patients. Last updated May 28, 2009. Available at: http://www2a.cdc.gov/nip/StateVaccApp/statevaccsApp/default.asp. Accessed July 8, 2009.Google Scholar
26.Melia, M, O'Neill, S, Calderon, S, et al.Development of a flexible, computerized database to prioritize, record, and report influenza vaccination rates for healthcare personnel. Infect Control Hosp Epidemiol 2009;30:361–369.Google Scholar
27.Centers for Disease Control and Prevention. National Healthcare Safety Network (NHSN). About NHSN. Last updated April 7, 2009. Available at: http://www.cdc.gov/nhsn/about.html. Accessed July 8, 2009.Google Scholar