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Description of an Influenza Vaccination Campaign and Use of a Randomized Survey to Determine Participation Rates

Published online by Cambridge University Press:  02 January 2015

Xuguang (Grant) Tao ,
Janine Giampino ,
Deborah A. Dooley ,
Frances E. Humphrey ,
David M. Baron  and
Edward J. Bernacki
Xuguang (Grant) Tao
Affiliation:
Division of Occupational and Environmental Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Janine Giampino
Affiliation:
Occupational Health Services, Johns Hopkins University School of Medicine, Baltimore, Maryland
Deborah A. Dooley
Affiliation:
Occupational Health Services, Johns Hopkins University School of Medicine, Baltimore, Maryland
Frances E. Humphrey
Affiliation:
Department of Health, Safety and Environment, Johns Hopkins University School of Medicine, Baltimore, Maryland
David M. Baron
Affiliation:
Department of Health, Safety and Environment, Johns Hopkins University School of Medicine, Baltimore, Maryland
Edward J. Bernacki*
Affiliation:
Division of Occupational and Environmental Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
*
Johns Hopkins University, School of Medicine, 600 N Wolfe St, Billings Administration 129, Baltimore, MD 21287-1629, ([email protected])
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Extract

Objectives.

To describe the procedures used during an influenza immunization program and the use of a randomized survey to quantify the vaccination rate among healthcare workers with and without patient contact.

Design.

Influenza immunization vaccination program and a randomized survey.

Setting.

Johns Hopkins University and Health System.

Methods.

The 2008/2009 Johns Hopkins Influenza Immunization Program was administered to 40,000 employees, including 10,763 healthcare workers. A 10% randomized sample (1,084) of individuals were interviewed to evaluate the vaccination rate among healthcare workers with direct patient contact.

Results.

Between September 23, 2008, and April 30, 2009, a total of 16,079 vaccinations were administered. Ninety-four percent (94.5%) of persons who were vaccinated received the vaccine in the first 7 weeks of the campaign. The randomized survey demonstrated an overall vaccination rate of 71.3% (95% confidence interval, 68.6%-74.0%) and a vaccination rate for employees with direct patient contact of 82.8% (95% confidence interval, 80.1%-85.5%). The main reason (25.3%) for declining the program vaccine was because the employee had received documented vaccination elsewhere.

Conclusions.

The methods used to increase participation in the recent immunization program were successful, and a randomized survey to assess participation was found to be an efficient means of evaluating the workforce's level of potential immunity to the influenza virus.

Type
Original Article
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 2 , February 2010 , pp. 151 - 157
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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References

1.Thompson, WW, Shay, DK, Weintraub, E, et al.Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA 2003;289(2):179–186.CrossRefGoogle ScholarPubMed
2.Molinari, NA, Ortega-Sanchez, IR, Messonnier, ML, et al.The annual impact of seasonal influenza in the US: measuring disease burden and costs. Vacane 2007;25(27):5086–5096.Google Scholar
3.Hjalmarsson, A, Blomqvist, P, Brytting, M, Linde, A, Skoldenberg, B. Encephalitis after influenza in Sweden 1987-1998: a rare complication of a common infection. Eur Neurol 2009;61(5):289–294.CrossRefGoogle ScholarPubMed
4.Toovey, S. Influenza-associated central nervous system dysfunction: a literature review. Travel Med Infect Dis 2008;6(3):114–124.CrossRefGoogle ScholarPubMed
5.Mizuguchi, M, Yamanouchi, H, Ichiyama, T, Shiomi, M. Acute encephalopathy associated with influenza and other viral infections. Acta Neurol Scand 2007;115(4 Suppl):45–56.Google Scholar
6.Newland, JG, Laurich, VM, Rosenquist, AW, et al.Neurologic complications in children hospitalized with influenza: characteristics, incidence, and risk factors. J Pediatr 2007;150(3):306–310.Google Scholar
7.Schanzer, DL, Langley, JM, Tarn, TW. Co-morbidities associated with influenza-attributed mortality, 1994-2000, Canada. Vaccine 2008;26(36): 4697–4703.Google Scholar
8.Song, JY, Cheong, HJ, Ha, SH, et al.Clinical impact of influenza immunization in patients with liver cirrhosis. J Clin Virol 2007;39(3):159–163.CrossRefGoogle ScholarPubMed
9.Looijmans-Van den Akker, I, Verheij, TJ, Buskens, E, Nichol, KL, Ruteen, GE, Hak, E. Clinical effectiveness of first and repeat influenza vaccination in adult and elderly diabetic patients. Diabetes Care 2006;29(8):1771–1776.Google Scholar
10.Fiore, AE, Shay, DK, Haber, P, et al.Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2007. MMWR Recomm Rep 2007;56(RR-6):1–54.Google Scholar
11.Brewer, NT, Hallman, WK. Subjective and objective risk as predictors of influenza vaccination during the vaccine shortage of 2004-2005. Clin Infect Dis 2006;43(11):1379–1386.CrossRefGoogle ScholarPubMed
12.Centers for Disease Prevention and Control. Racial/ethnic disparities in influenza and pneumococcal vaccination levels among persons aged > or =65 years—United States, 1989-2001. MMWR Morb Mortal Wkly Rep 2003;52(40):958–962.+or+=65+years—United+States,+1989-2001.+MMWR+Morb+Mortal+Wkly+Rep2003;52(40):958–962.>Google Scholar
13.Fiore, AE, Shay, DK, Broder, K, et al.Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2008. MMWR Recomm Rep 2008;57(RR-7):1–60.Google Scholar
14.Dash, GP, Fauerbach, L, Pfeiffer, J, et al.APIC position paper: improving health care worker influenza immunization rates. Am J Infect Control 2004;32(3):123–125.Google Scholar
15.Pearson, ML, Bridges, CB, Harper, SA. Influenza vaccination of healthcare personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2006;55(RR-2):1–16.Google Scholar
16.Baltimore City Health Department. Regulation on reporting of influenza vaccination rates. Baltimore, MD: Baltimore City Health Department, 2008.Google Scholar
17.Nicholson, MR, Hayes, DM, Bennett, AM. Partnering with nursing service improves health care worker influenza vaccination rates. Am J Infect Control 2009;37:484–489.Google Scholar
18.Nowalk, MP, Lin, CJ, Zimmerman, RK, et al.Self-reported influenza vaccination rates among health care workers in a large health system. Am J Infect Control 2008;36(8):574–581.Google Scholar
19.Lu, P, Bridges, CB, Euler, GL, Singleton, JA. Influenza vaccination of recommended adult populations, U.S., 1989-2005. Vaccine 2008;26(14): 1786–1793.Google Scholar
20.Samms, D, Reed, K, Lee, T, Barili, S, Branham, D. Achieving a corporate goal for influenza vaccination using nurse champions. Am J Infect Control 2004;32(3):E7–E8.Google Scholar
21.Munford, C, Finnigan, S. Influenza campaign 2006 and 2007: a residential care success story. Can J Infect Control 2008;23(4):222–225, 227.Google ScholarPubMed
22.Goldstein, AO, Kincade, JE, Resnick, JE, Gamble, G, Bearman, RS. Policies to increase influenza and pneumococcal immunizations in chronically ill and institutionalized settings. Am J Infea Control 2005;33(8):463–468.Google Scholar
23.Simeonsson, K, Summers-Bean, C, Connolly, A. Influenza vaccination of healthcare workers: institutional strategies for improving rates. N C Med J 2004;65(6):323–329.Google ScholarPubMed
24.Gemeinhart, N, Carroll, C, Gavwiner, C, et al.Development of a best practice for healthcare worker influenza vaccination. Am J Infect Control 2004;32(3):E97.Google Scholar
25.Quan, K, Dickey, L, Potter, J, Koeblitz, D. Improving Staff Influenza Vaccination Campaign (IVC) participation through electronic intranet tracking at a university based hospital. Am J Infect Control 2004;32(5):E112.Google Scholar
26.Hogg, R, Tanis, EA. Probability and statistical inference. 2nd ed. New York: MacMillan Publishing, 1983.Google Scholar
27.Stott, DJ, Kerr, G, Carman, WF. Nosocomial transmission of influenza. Occup Med (bond) 2002;52(5):249–253.CrossRefGoogle ScholarPubMed
28.Harper, SA, Fukuda, K, Uyeki, TM, Cox, NJ, Bridges, CB. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2004;53(RR-6): 1–40.Google Scholar
29.Saigado, CD, Giannetta, ET, Hayden, FG, Farr, BM. Preventing nosocomial influenza by improving the vaccine acceptance rate of clinicians. Infect Control Hosp Epidemiol 2004;25(11):923–928.CrossRefGoogle Scholar
30.Wilde, JA, McMillan, JA, Serwint, J, Butta, J, O'Riordan, MA, Steinhoff, MC. Effectiveness of influenza vaccine in health care professionals: a randomized trial. JAMA 1999;281(10):908–913.CrossRefGoogle ScholarPubMed
31.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(11):839–844.Google Scholar
32.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(4):202–207.Google Scholar
33.Pearson, ML, Bridges, CB, Harper, SA. Influenza vaccination of healthcare personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2006;55(RR-2):1–16.Google Scholar
34.Pradas-Velasco, R, Antonanzas-Villar, F, Martinez-Zarate, MP. Dynamic modelling of infectious diseases: an application to the economic evaluation of influenza vaccination. Pharmacoeconomics 2008;26(1):45–56.CrossRefGoogle Scholar
35.Poland, GA, Tosh, P, Jacobson, RM. Requiring influenza vaccination for health care workers: seven truths we must accept. Vaccine 2005;23(17-18):2251–2255.Google Scholar
36.Anikeeva, O, Braunack-Mayer, A, Rogers, W. Requiring influenza vaccination for health care workers. Am J Public Health 2009;99(1):24–29.Google Scholar
37.Isaacs, D, Leask, J. Should influenza immunisation be mandatory for healthcare workers? No. BMJ 2008;337:a2140.CrossRefGoogle ScholarPubMed
38.Helms, CM, Polgreen, PM. Should influenza immunisation be mandatory for healthcare workers? Yes. BMJ 2008;337:a2142.Google Scholar
39.Tilburt, JC, Mueller, PS, Ottenberg, AL, Poland, GA, Koenig, BA. Facing the challenges of influenza in healthcare settings: the ethical rationale for mandatory seasonal influenza vaccination and its implications for future pandemics. Vacane 2008;26(Suppl 4):D27–30.Google ScholarPubMed
40.van Delden, JJ, Ashcroft, R, Dawson, A, Marckmann, G, Upshur, R, Verweij, MF. The ethics of mandatory vaccination against influenza for health care workers. Vaccine 2008;26(44):5562–5566.Google Scholar
41.Talbot, TR. Improving rates of influenza vaccination among healthcare workers: educate; motivate; mandate? Infect Control Hosp Epidemiol 2008;29(2):107–110.CrossRefGoogle ScholarPubMed