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Influenza Vaccination Rates and Motivators Among Healthcare Worker Groups

Published online by Cambridge University Press:  02 January 2015

Amanda Banks Christini ,
Kathleen A. Shutt  and
Karin E. Byers
Amanda Banks Christini
Affiliation:
University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Kathleen A. Shutt
Affiliation:
University of Pittsburgh Medical Center, Department of Medicine, Division of Infectious Diseases, Pittsburgh, Pennsylvania
Karin E. Byers*
Affiliation:
University of Pittsburgh Medical Center, Department of Medicine, Division of Infectious Diseases, Pittsburgh, Pennsylvania
*
University of Pittsburgh Medical Center, Division of Infectious Diseases, Falk Medical Building, Suite 3-A, 3601 Fifth Avenue, Pittsburgh, PA 15213 ([email protected])
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Abstract

Background.

The rate of influenza vaccination among healthcare workers (HCWs) is approximately 40%. Differences in vaccination rates among HCW groups and reasons for accepting or rejecting vaccination are poorly understood.

Objectives.

To determine vaccination rates and motivators among different HCW groups during the 2004-2005 influenza season.

Design.

Cross-sectional survey conducted between July 10 and September 30, 2005.

Setting.

Two tertiary care teaching hospitals in an urban center.

Participants.

Physicians, nurses, nursing aides, and other staff. Surveys were collected from 1,042 HCWs (response rate, 42%).

Results.

Sixty-nine percent of physicians (n = 282) and 63% of medical students (n = 145) were vaccinated, compared with 46% of nurses (n = 336), 42% of nursing aides (n = 135), and 29% of administrative personnel (n = 144). Physicians and medical students were significantly more likely to be vaccinated than all other groups (P < .0001). Pediatricians (84%) were more likely than internists (69%) and surgeons (43%) to be vaccinated (P < .0001). Among the HCWs who were vaccinated, 33.4% received the live attenuated influenza vaccine (LAIV) and 66.6% received trivalent inactivated influenza vaccine (TIV). Vaccinated HCWs were less likely than unvaccinated HCWs to report an influenza-like illness (P = .03). Vaccination with LAIV resulted in fewer episodes of influenza-like illness than did receiving no vaccine (P = .03). The most common reason for rejecting vaccination was a concern about availability. Understanding that HCWs may transmit the virus to patients correlated with vaccine acceptance (P = .0004).

Conclusions.

Significant differences in vaccination exist among physician specialties and employee groups, and there are inadequate vaccination rates among those with the greatest amount of patient contact, potentially providing a basis for group-specific interventions.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 2 , February 2007 , pp. 171 - 177
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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References

1.Pearson, M, Bridges, C, Harper, S. Influenza vaccination of health-care 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 ScholarPubMed
2.Berg, H, Van Gendt, J, Rimmelzwaan, G, Peeters, M, Van Kuelen, P. Nosocomial influenza infection among post-influenza vaccinated patients with severe pulmonary disease. J Infect 2003;46:129–132.Google Scholar
3.Maltezou, H, Drancourt, M. Nosocomial influenza in children. J Hosp Infect 2003;55:83–91.Google Scholar
4.Cunney, RJ, Bialachowski, A, Thornley, D, Smaill, FM, Pennie, RA. An outbreak of influenza A in a neonatal intensive care unit. Infect Control Hosp Epidemiol 2000;21:449–454.Google Scholar
5.Saigado, D, Farr, B, Hall, K, Hayden, F. Influenza in the acute hospital setting. Lancet Infect Dis 2002:2;145–155.Google Scholar
6.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
7.Saldago, CD, Giannetta, ET, Hayden, FG, Farr, BM. Preventing nosocomial influenza by improving the vaccine acceptance rates of clinicians. Infect Control Hosp Epidemiol 2004;25:923–928.Google Scholar
8.Simonsen, L, Reichert, T, Viboud, C, Blackweider, W, Taylor, R, Miller, M. Impact of influenza vaccination on seasonal mortality in the US elderly population. Arch Intern Med 2005;165:265–272.Google Scholar
9.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;281:908–913.Google Scholar
10.Nichol, KL, Mendelman, PM, Mallon, KP, Jackson, LA, Gorse, GJ, Belshe, RB, Glezen, WP, Wittes, J. Effectiveness of live, attenuated intranasal influenza virus vaccine in healthy, working adults: a randomized controlled trial. JAMA 1999;282:137–144.CrossRefGoogle ScholarPubMed
11.Bridges, CB, Thompson, WW, Meitzer, MI, et al. Effectiveness and cost-benefit of influenza vaccination of healthy working adults: a randomized controlled trial. JAMA 2000;284:1655–1663.Google Scholar
12.LaVela, S, Smith, B, Weaver, F, Legro, M, Goldstein, B, Nichol, K. Attitudes and practices regarding influenza vaccination among healthcare workers providing services to individuals with spinal cord injuries and disorders. Infect Control Hosp Epidemiol 2004;25:933–940.Google Scholar
13.Wodi, A, Samy, S, Ezeanolue, E, et al. Influenza vaccine: immunization rates, knowledge, and attitudes of resident physicians in an urban teaching hospital. Infect Control Hosp Epidemiol 2005;26:867–873.Google Scholar
14.Tapiainen, T, Bär, G, Schaad, U, Heininger, U. Influenza vaccination among healthcare workers in a university children's hospital. Infect Control Hosp Epidemiol 2005;26:855–858.CrossRefGoogle Scholar
15.Doebbeling, B, Edmond, M, Davis, C, Woodin, J, Zeitler, R. Influenza vaccination of health care workers: evaluation of factors that are important in acceptance. Prev Med 1997;26:68–77.Google Scholar
16.Mah, M, Hagen, N, Pauling-Shepard, K. Understanding influenza vaccination attitudes at a Canadian cancer center. Am J Infect Control 2005;33:243–250.Google Scholar
17.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;25:918–922.Google Scholar
18.Qureshi, AM, Hughes, NJ, Murphy, E, Primrose, WR. Factors influencing uptake of influenza vaccination among hospital-based health care workers. Occup Med (Lond) 2004;54:197–201.Google Scholar
19.Centers for Disease Control and Prevention. 2004-2005 U.S. influenza season summary update. Available at: http://www.cdc.gov/flu/weeklyarchives2004-2005/04-05summary.htm. Accessed January 9, 2007.Google Scholar