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Relationship of Influenza Vaccination Declination Statements and Influenza Vaccination Rates for Healthcare Workers in 22 US Hospitals

  • Philip M. Polgreen (a1) (a2), Edward J. Septimus (a3), Michael F. Parry (a4), Susan E. Beekmann (a1), Joseph E. Cavanaugh (a5), Arjun Srinivasan (a6) and Thomas R. Talbot (a7)...

Abstract

The use of declination statements was associated with a mean increase of 11.6% in influenza vaccination rates among healthcare workers at 22 hospitals. In most hospitals, there were no negative consequences for healthcare workers who refused to sign the forms, and most policies were implemented along with other interventions designed to increase vaccination rates.

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Corresponding author

University of Iowa Department of Internal Medicine, 200 Hawkins Drive, Iowa City, IA 52242 (philip-polgreen@uiowa.edu)

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1. Advisory Committee on Immunization Practices, Smith, NM, Bresee, JS, et al. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2006;55(RR-10):142.
2.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):116.
3.Agerton, TB, Mahoney, FJ, Polish, LB, Shapiro, CN. Impact of the bloodborne pathogens standard on vaccination of healthcare workers with hepatitis B vaccine. Infect Control Hosp Epidemiol 1995;16:287291.
4.Mahoney, FJ, Stewart, K, Hu, H, Coleman, P, Alter, MJ. Progress toward the elimination of hepatitis B virus transmission among health care workers in the United States. Arch Intern Med 1997;157:26012605.
5.Polgreen, PM, Chen, YY, Beekmann, SE, et al. Elements of influenza vaccination programs that predict higher vaccination rates: results of an Emerging Infections Network survey. Clin Infect Dis (in press).
6.Berlin, M, Scarpelli, M, Proctor, AW, et al. Novel use of the intranet to document health care personnel participation in a mandatory influenza vaccination reporting program. Am J Infect Control 2007;35:3337.

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