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Correlates of Improved Influenza Vaccination of Healthcare Personnel: A Survey of Hospitals in Louisiana

Published online by Cambridge University Press:  02 January 2015

Kayla L. Fricke ,
Mariella M. Gastañaduy ,
Renee Klos  and
Rodolfo E. Bégué
Kayla L. Fricke
Affiliation:
Baylor University, Waco, Texas
Mariella M. Gastañaduy
Affiliation:
Louisiana State University, New Orleans, Louisiana
Renee Klos
Affiliation:
Children's Hospital, New Orleans, Louisiana
Rodolfo E. Bégué*
Affiliation:
Louisiana State University, New Orleans, Louisiana Children's Hospital, New Orleans, Louisiana
*
Infectious Diseases, ACC 2316, Children's Hospital, New Orleans, LA 70118 ([email protected])
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Abstract

Objective.

To describe practices for influenza vaccination of healthcare personnel (HCP) with emphasis on correlates of increased vaccination rates.

Design.

Survey.

Participants.

Volunteer sample of hospitals in Louisiana.

Methods.

All hospitals in Louisiana were invited to participate. A 17-item questionnaire inquired about the hospital type, patients served, characteristics of the vaccination campaign, and the resulting vaccination rate.

Results.

Of 254 hospitals, 153 (60%) participated and were included in the 124 responses that were received. Most programs (64%) required that HCP either receive the vaccine or sign a declination form, and the rest were exclusively voluntary (36%); no program made vaccination a condition of employment. The median vaccination rate was 67%, and the vaccination rate was higher among hospitals that were accredited by the Joint Commission; provided acute care; served children, pregnant women, oncology patients, or intensive care unit patients; required a signed declination form; or imposed consequences for unvaccinated HCP (the most common of which was to require that a mask be worn on patient contact). Hospitals that provided free vaccine, made vaccine widely available, advertised the program extensively, required a declination form, and imposed consequences had the highest vaccination rates (median, 86%; range, 81%–91%).

Conclusions.

The rate of influenza vaccination of HCP remains low among the hospitals surveyed. Recommended practices may not be enough to reach 90% vaccination rates unless a signed declination requirement and consequences are implemented. Wearing a mask is a strong consequence. Demanding influenza vaccination as a condition of employment was not reported as a practice by the participating hospitals.

Type
Original Article
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 7 , July 2013 , pp. 723 - 729
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Thompson, WW, Shay, DK, Weintraub, E, et al. Influenza-associated hospitalizations in the United States. JAMA 2004;292(11): 1333–1340.Google Scholar
2.Estimates of deaths associated with seasonal influenza: United States, 1976-2007. MMWR Morb Mortal Wkly Rep 2010;59(33): 1057–1062.Google Scholar
3.Gastañaduy, AS, Bégué, RE. Experience with pandemic 2009 H1N1 influenza in a large pediatric hospital. South Med J 2012;105(4):192–198.Google Scholar
4.Voirin, N, Barret, B, Metzger, MH, Vanhems, P. Hospital-acquired influenza: a synthesis using the Outbreak Reports and Intervention Studies of Nosocomial Infection (ORION) statement. J Hosp Infect 2009;71(1):1–14.CrossRefGoogle ScholarPubMed
5.Adai, K, Flowers, RH, Anglim, AM, et al. Prevention of nosocomial influenza. Infect Control Hosp Epidemiol 1996;17(10): 641–648.Google Scholar
6.Saigado, CD, Gianetta, 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
7.Recommendation of the Immunization Practices Advisory Committee (ACIP) prevention and control of influenza. MMWR Morb Mortal Wkly Rep 1984;33(19):253-260, 265–266.Google Scholar
8.Influenza vaccination coverage among health-care personnel: United States, 2010-11 influenza season. MMWR Morb Mortal Wkly Rep 2011;60(32):1073–1077.Google Scholar
9.Influenza vaccination coverage among health-care personnel: 2011-12 influenza season, United States. MMWR Morb Mortal Wkly Rep 2012;61(38):753–757.Google Scholar
10.Joint Commission. Providing a safer environment for health care personnel and patients through influenza vaccination, http://www.jointcommission.org/Providing_a_Safer_Environment/. Accessed January 26, 2013.Google Scholar
11.US Department of Health and Human Services, Healthy People 2020 summary of objectives: immunization and infectious diseases. http://www.healthypeople.gov/2020/topicsobjectives2020/pdfs/Immunization.pdf. Accessed October 22, 2012.Google Scholar
12.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 Morb Mortal Wkly Rep 2006;55(RR-2):1–16.Google Scholar
13.Babcock, HM, Gemeinhart, N, Jones, M, Dunagan, WC, Woeltje, KF. Mandatory influenza vaccination of health care workers: translating policy to practice. Clin Infect Dis 2010;50(4):459–464.Google Scholar
14.Rakita, RM, Hagar, BA, Crome, P, Lammert, JK. Mandatory influenza vaccination of healthcare workers: a 5-year study. Infect Control Hosp Epidemiol 2010;31(9):881–888.Google Scholar
15.Feemster, KA, Prasad, P, Smith, MJ, et al. Employee designation and health care worker support of an influenza vaccine mandate at a large pediatric tertiary care hospital. Vaccine 2011;29(9): 1762–1769.Google Scholar
16.Immunization Action Coalition. Honor roll for patient safety: mandatory influenza vaccination policies for healthcare workers. http://www.immunize.org/honor-roll/. Accessed October 30, 2012.Google Scholar
17.Palmore, TN, Vandersluis, P, Morris, J, et al. A successful mandatory influenza vaccination campaign using an innovative electronic tracking system. Infect Control Hosp Epidemiol 2009;30(12):1137–1142.Google Scholar
18.Polgreen, PM, Septimus, E, Talbot, TR, Beekmann, SE, Helms, C. Results of a national survey of infectious diseases specialists regarding influenza vaccination programs for healthcare workers. Infect Control Hosp Epidemiol 2010;31(10):1063–1065.CrossRefGoogle ScholarPubMed
19.Miller, BL, Ahmed, F, Lindley, MC, Wortley, PM. Institutional requirements for influenza vaccination of healthcare personnel: results from a nationally representative survey of acute care hospitals: United States, 2011. Clin Infec Dis 2011;53(11):1051–1059.Google Scholar
20.Ribner, BS, Hall, C, Steinberg, JP, et al. Use of mandatory declination form in a program for influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 2008;29(4):302–308.Google Scholar
21.Quan, K, Tehrani, DM, Dickey, L, et al. Voluntary to mandatory: evolution of strategies and attitudes toward influenza vaccination of healthcare personnel. Infect Control Hosp Epidemiol 2012;33(1):63–70.CrossRefGoogle ScholarPubMed