Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-28T00:34:34.809Z Has data issue: false hasContentIssue false

Rubella Immunization of Hospital Personnel: A Debate

Published online by Cambridge University Press:  02 January 2015

Martin E. Evans*
Affiliation:
Division of Infectious Diseases, Vanderbilt University School of Medicine, Nashville, Tennessee
William Schaffner
Affiliation:
Division of Infectious Diseases, Vanderbilt University School of Medicine, Nashville, Tennessee
*
Division of Infections Diseases, Vanderbilt University Medical Center, Nashville, TN 37232

Extract

In recent months several advisory groups have issued recommendations urging hospitals to undertake comprehensive rubella control programs. The primary impetus for these suggestions has been the recognition that, despite a declining rubella incidence in the general population, pregnant women still are being exposed to this infection in hospitals.

In 1979 the Vanderbilt University Hospital initiated a limited rubella control program, encompassing new and current employees working in “traditional” high-risk areas of the hospital: obstetrics (wards and clinics), labor and delivery, nursery, pediatrics (wards and clinics), and the emergency department. Medical and nursing students also were included. All persons were tested serologically and immunization was offered to susceptibles, but was not required (except for students and house officers). The Infection Control Committee and hospital administration readily approved this program.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1981

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Public Health Service Advisory Committee on Immunization Practices. Rubella prevention. Morbid Mortal Weekly Rep 1981; 30:3747.Google Scholar
2.American Academy of Pediatrics Committee on Infectious Diseases. Revised recommendations on rubella vaccine. Pediatrics 1980; 65:1182–4.CrossRefGoogle Scholar
3.American Hospital Association Advisory Committee on Infections within Hospitals. Recommendations for the control of rubella within hospitals. May 1981. [See also AHA Guidelines, in this issue of IC.]Google Scholar
4. American College of Obstetricians and Gynecologists Committee on Technical Bulletins. Rubella…a clinical update. ACOG Technical Bull No. 62, July 1981.Google Scholar
5.Center for Disease Control. Rubella surveillance, Jan 1976-Dec 1978. Issued May 1980.Google Scholar
6.Gladstone, JL, Millian, SJ. Rubella outbreak in an obstetric clinic. Obstet Gynecol 1981; 57:182–6.Google Scholar
7.Weinstein, W. Fliegel, P. Rubella outbreak in a prenatal clinic (abstract). Am J Infect Com 1981; 9:93.Google Scholar
8.Polk, BF, White, JA. DeGirolami, PC, Modlin, JF. An outbreak of rubella among hospital personnel. N Engl J Med 1980; 303; 541–5.CrossRefGoogle ScholarPubMed
9.Strassburg, MA, Imagawa, DT, Fannin, SI., et al.Rubella outbreak among hospital employees. Obstet Gynecol 1981; 57:283–8.Google ScholarPubMed
10.Center for Disease Control. Exposure of Patients to Rubella by Medical Personnel — California. Morbid Mortal Weekly Report 1978; 27:123.Google Scholar
11.McLaughlin, MC, Gold, LH. The New York rubella incident: A case for changing hospital policy regarding rubella testing and immunization. Am J Public Health 1979; 69:287–9.CrossRefGoogle ScholarPubMed
12.Centers for Disease Control. Rubella in hospital personnel and patients — Colorado. Morbid Mortal Weekly Rep 1979; 28:325–7.Google Scholar
13.McCubbin, JH, Smith, JS. Rubella in a practicing obstetrician: A preventable problem. Am J Obstet Gynecol 1980; 136:1087.CrossRefGoogle Scholar
14.Centers for Disease Control. Nosocomial rubella infection — North Dakota, Alabama, Ohio. Morbid Mortal Weekly Rep 1981; 29:629–31.Google Scholar
15.Preblud, SR, Serudla, MK, Frank, JA Jr.Brandling-Bennett, AD, Hinman, AR. Rubella vaccination in the United States: A ten year survey. Epidemiol Rev 1980; 2:171–94.CrossRefGoogle Scholar
16.Centers for Disease Control. Rubella — United States 1977-1980. Morbid Mortal Weekly Rep 1980; 29:378–80.Google Scholar
17.Orenstein, WA, Heseltine, PNR, LeGagnoux, SJ, Portnoy, B. Rubella vaccine and susceptible hospital employees. Poor physician participation. JAMA 1981; 245:711–3.CrossRefGoogle ScholarPubMed