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Use Of A Mobile Cart Influenza Program For Vaccination Of Hospital Employees

Published online by Cambridge University Press:  02 January 2015

Catherine Sartor ,
Herve Tissot-Dupont ,
Christine Zandotti ,
Francoise Martin ,
Pierre Roques  and
Michel Drancourt
Catherine Sartor
Affiliation:
Comité de Lutte contre les Infections Nosocomiales, Hòpital de la Conception, Marseille, France
Herve Tissot-Dupont
Affiliation:
Service des Maladies Infectieuses, Hòpital de la Conception, Marseille, France
Christine Zandotti
Affiliation:
Comité de Lutte contre les Infections Nosocomiales, Hòpital de la Conception, Marseille, France
Francoise Martin
Affiliation:
Service de Médecine du Travail, Hòpital de la Timone, Assistance Publique Hòpitaux de Marseille, Marseille, France
Pierre Roques
Affiliation:
Service de Médecine du Travail, Hòpital de la Conception, Marseille, France
Michel Drancourt*
Affiliation:
Comité de Lutte contre les Infections Nosocomiales, Hòpital de la Conception, Marseille, France
*
Laboratoire de Bactériologie, Hygiéne et Epidémiologic Hospitaliére, Hòpital Timone, rue Saint-Pierre, 13005 Marseille, France
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Abstract

Objective:

Rates of annual influenza vaccination of healthcare workers (HCWs) remained low in our university hospital. This study was conducted to evaluate the impact of a mobile cart influenza vaccination program on HCW vaccination.

Methods:

From 2000 to 2002, the employee health service continued its annual influenza vaccination program and the mobile cart program was implemented throughout the institution. This program offered influenza vaccination to all employees directly on the units. Each employee completed a questionnaire. Vaccination rates were analyzed using the Mantel–Haenszel test.

Results:

The program proposed vaccination to 50% to 56% of the employees. Among the nonvaccinated employees, 52% to 53% agreed to be vaccinated. The compliance with vaccination varied from 61% to 77% among physicians and medical students and from 38% to 55% among nurses and other employees. Vaccination of the chief or associate professor of the unit was associated with a higher vaccination rate of the medical staff (P < .01). Altogether, the vaccination program led to an increase in influenza vaccination among employees from 6% in 1998 and 7% in 1999 before the mobile cart program to 32% in 2000, 35% in 2001, and 32% in 2002 (P < .001).

Conclusions:

The mobile cart program was associated with a significantly increased vaccination acceptance. Our study was able to identify HCW groups for which the mobile cart was effective and highlight the role of the unit head in its success.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 25 , Issue 11 , November 2004 , pp. 918 - 922
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

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References

1. Salgado, CD, Farr, BM, Hall, KK, Hayden, FG. Influenza in the acute hospital setting. Lancet Infect Dis 2002;2:145–155.Google Scholar
2. Maltezou, H, Drancourt, M. Nosocomial influenza in children. J Hosp Infect 2003;55:83–91.Google Scholar
3. Bauer, CR, Elie, K, Spence, L, Stern, L. Hong Kong influenza in a neonatal unit. JAMA 1973;223:1233–1235.CrossRefGoogle Scholar
4. Hall, CB, Douglas, RG. Nosocomial influenza infection as a cause of intercurrent fevers in infants. Pediatrics 1975;55:673–677.CrossRefGoogle ScholarPubMed
5. Malavaud, S, Malavaud, B, Sandres, K, et al. Nosocomial outbreak of influenza virus A (H3N2) infection in a solid organ transplant department. Transplantation 2001;72:535–537.Google Scholar
6. Munoz, FM, Campbell, JR, Atmar, RL, et al. Influenza A virus outbreak in a neonatal intensive care unit. Pediatr Infect Dis J 1999;18:811–815.Google Scholar
7. 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
8. Kapila, R, Lintz, DI, Tecson, FT, Ziskin, L, Louria, DB. A nosocomial outbreak of influenza A. Chest 1977;71:576–579.Google Scholar
9. Weinstock, DM, Eagan, J, Malak, SA, et al. Control of influenza A on a bone marrow transplant unit. Infect Control Hosp Epidemiol 2000;21:730–732.Google Scholar
10. Van Voris, LP, Belshe, RB, Shaffer, JL. Nosocomial influenza B virus infection in the elderly. Ann Intern Med 1982;96:153–158.Google Scholar
11. Sartor, C, Zandotti, C, Romain, F, et al. Nosocomial influenza outbreak: disruption of services in an internal medicine unit. Infect Control Hosp Epidemiol 2002;23:615–619.Google Scholar
12. Sartor, C, Levy, PY, Fournier, PE, et al. Outbreak of influenza among vaccinated residents in a nursing home. Presented at the 4th Decennial International Conference on Nosocomial and Healthcare-Associated Infections; March 5-9, 2000; Atlanta, GA.Google Scholar
13. Centers for Disease Control and Prevention. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2003;52(RR-8):1–36.Google Scholar
14. Elder, AG, O'Donnell, B, McCruden, EAB, Symington, IA, Carman, WF. Incidence and recall of influenza in a cohort of Glasgow HCWs during the 1993-4 epidemic: results of serum testing and questionnaire. BMJ 1996;313:1241–1242.Google Scholar
15. Weingarten, S, Reidinger, M, Bolton, L, Miles, P, Ault, M. Barriers to influenza vaccine acceptance: a survey of physicians and nurses. Am J Infect Control 1989;17:201–207.CrossRefGoogle ScholarPubMed
16. Pachucki, CT, Pappas, SA, Fuller, GF, Krause, SL, Lentino, JR, Schaaff, DM. Influenza A among hospital personnel and patients: implications for recognition, prevention and control. Arch Intern Med 1989; 149:77–80.CrossRefGoogle ScholarPubMed
17. Bridges, CB, Kuehnert, M, Hall, CB. Transmission of influenza: implications for control in health care settings. Clin Infect Dis 2003;37:1094–1101.Google Scholar
18. Centers for Disease Control and Prevention. Guidelines for prevention of nosocomial pneumonia: recommendations of the Hospital Infection Control Practices Advisory Committee. MMWR 1997;46:1–79.Google Scholar
19. Wilde, JA, McMillan, JA, Serwint, J, Butta, J, MA, O'Riordan, Steinhoff, MC. Effectiveness of influenza vaccine in health care professionals. JAMA 1999;10:908–913.Google Scholar
20. 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
21. Potter, J, Stott, DJ, Roberts, MA, et al. Influenza vaccination of health care workers in long-term care hospitals reduces the mortality of elderly patients. J Infect Dis 1997;175:1–6.Google Scholar
22. French National Committee for Hygiene. Vaccination calendar 2000. Weekly Epidemiology Bulletin 2002;6:1–6.Google Scholar
23. Adal, KA, Flowers, RH, Anglim, AM, et al. Prevention of nosocomial influenza. Infect Control Hosp Epidemiol 1996;17:641–648.Google Scholar
24. Harrison, J, Abbott, P. Vaccination against influenza: UK health care workers not on-message. Occup Med 2002;52:277–279.Google Scholar
25. Doebbeling, BN, Edmond, MB, Davis, CS, Woodin, JR, Zeitler, RR. Influenza vaccination of health care workers: evaluation of factors that are important in acceptance. Prev Med 1997;26:68–77.CrossRefGoogle ScholarPubMed
26. Fedson, DS. Influenza vaccination of medical resident at the university of Virginia 1986 to 1994. Infect Control Hosp Epidemiol 1996;17:431–433.Google Scholar
27. Harbarth, S, Siegrist, CA, Schira, JC, Wunderli, W, Pittet, D. Influenza immunization: improving compliance of healthcare workers. Infect Control Hosp Epidemiol 1998;19:337–342.Google Scholar
28. Begue, RE, Gee, SQ. Improving influenza immunization among HCWs. Infect Control Hosp Epidemiol 1998;19:518–520.Google Scholar
29. Heimberger, T, Chang, H, Saikh, M, Crotty, L, Morse, D, Birkhead, G. Knowledge and attitudes of HCWs about influenza: why are they not getting vaccinated? Infect Control Hosp Epidemiol 1995;16:412–415.Google Scholar
30. Nafziger, DA, Herwaldt, LA. Attitudes of internal medicine residents regarding influenza vaccination. Infect Control Hosp Epidemiol 1994;15:32–35.Google Scholar
31. Ohrt, CK, McKinney, WP. Achieving compliance with influenza immunization of medical house staff and students: a randomized controlled trial. JAMA 1992;267:1377–1380.CrossRefGoogle ScholarPubMed
32. Shannon, SC. Community hospitals can increase staff influenza vaccination rates. Am J Public Health 1993;83:1174–1175.Google Scholar