JAMDA
Volume 8, Issue 2 , Pages 128-133 , February 2007

Achieving and Sustaining High Rates of Influenza Immunization Among Long-Term Care Staff

  • David A. Nace, MD, MPH

      Affiliations

    • Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA
    • University of Pittsburgh Institute on Aging, Pittsburgh, PA.
    • Corresponding Author InformationAddress correspondence to David A. Nace, MD, MPH, Division of Geriatric Medicine, University of Pittsburgh, 3471 Fifth Avenue, Suite 500, Pittsburgh, PA 15213.
  • ,
  • Erika L. Hoffman, MD

      Affiliations

    • Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA
  • ,
  • Neil M. Resnick, MD

      Affiliations

    • Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA
    • University of Pittsburgh Institute on Aging, Pittsburgh, PA.
  • ,
  • Steven M. Handler, MD, MS

      Affiliations

    • Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA
    • Department of Biomedical Informatics, School of Medicine, University of Pittsburgh, Pittsburgh, PA
    • University of Pittsburgh Institute on Aging, Pittsburgh, PA.

References 

  1. Centers for Disease Control and Prevention. Prevention and control of influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 2003;52(RR-8):1–34
  2. Thompson WW, Shay DK, Weintraub E, et al. Mortality associated with influenza and respiratory syncytial virus in the United States. J Am Med Assoc. 2003;289(2):179–186
  3. Centers for Disease Control and Prevention. Public health and aging: Influenza vaccination coverage among adults aged > or =50 years and pneumococcal vaccination coverage among adults aged > or =65 years—United States, 2002. MMWR Morb Mortal Wkly Rep. 2003;52(41):987–992
  4. Goodman R, Orenstein W, Munro T, et al. Impact of influenza A in a nursing home. J Am Med Assoc. 1982;247(10):1451–1453
  5. Horman JT, Stetler HC, Israel E, et al. An outbreak of influenza A in a nursing home. Am J Public Health. 1986;76(5):501–504
  6. Morens D, Rash V. Lessons from a nursing home outbreak of influenza A. Infect Control Hosp Epidemiol. 1995;16(5):275–280
  7. Simor A. Influenza outbreaks in long-term-care facilities: How can we do better?. Infect Control Hosp Epidemiol. 2002;23(10):564–567
  8. Coles F, Balzano G, Morse D. An outbreak of influenza A (H3N2) in a well immunized nursing home population. J Am Geriatr Soc. 1992;40(6):589–592
  9. Kuhle C, Evans J, Bauman D, et al. An influenza outbreak in an immunized nursing home population: Inadequate host response or vaccine failure?. Annals of Long-Term Care. 1998;6(3):72
  10. 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):1–6
  11. 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(9198):93–97
  12. Centers for Disease Control and Prevention. Prevention and control of influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 2005;54:1–40Early Release
  13. Walker F, Singleton J, Lu P, et al. Influenza vaccination of healthcare workers in the United States, 1989-2002. Infect Control Hosp Epidemiol. 2006;27(3):257–265
  14. Salgado C, Giannetta E, Hayden F, et al. Preventing nosocomial influenza by improving the vaccine acceptance rate of clinicians. Infect Control Hosp Epidemiol. 2004;25(11):923–928
  15. Sartor C, Tissot-Dupont H, Zandotti C, et al. Use of a mobile cart influenza program for vaccination of hospital employees. Infect Control Hosp Epidemiol. 2004;25(11):918–922
  16. Smedley J, Palmer C, Baird J, et al. A survey of the delivery and uptake of influenza vaccine among health care workers. Occup Med. 2002;52(5):271–276
  17. Thomas D, Winsted B, Koontz C. Improving neglected influenza vaccination among healthcare workers in long-term care. J Am Geriatr Soc. 1993;41(9):928–930
  18. Centers for Disease Control and Prevention. Interventions to increase influenza vaccination of health-care workers—California and Minnesota. MMWR Morb Mortal Wkly Rep. 2005;54(8):196–199
  19. Russell ML, Thurston WE, Henderson EA. Theory and models for planning and evaluating institutional influenza prevention and control programs. Am J Infect Control. 2003;31(6):336–341
  20. Simeonsson K, Summers-Bean C, Connolly A. Influenza vaccination of healthcare workers: Institutional strategies for improving rates. NC Medical Journal. 2004;65(6):323–329
  21. Ohno T. Toyota Production System: Beyond Large Scale Production. New York: Productivity Press; 1988;
  22. Spear S, Bowen H. Decoding the DNA of the Toyota Production System. Harvard Business School Review. 1999;95–106September-October
  23. Health Services Research and Development. Quality Enhancement Research Initiative (QUERI). Available at: http://www.hsrd.research.va.gov/queri/. Accessed July 8, 2006.
  24. Stone EG, Morton SC, Hulscher ME, et al. Interventions that increase use of adult immunization and cancer screening services: A meta-analysis. Ann Intern Med. 2002;136(9):641–651
  25. Centers for Disease Control and Prevention. Current trends: Vaccine Adverse Event Reporting System—United States. MMWR Morb Mortal Wkly Rep. 1990;39(41):730–733
  26. Rosen J, Mittal V, Degenholtz H, et al. Organizational change and quality improvement in nursing homes: Approaching success. J Healthc Qual. 2005;27(6):6–1421,44
  27. Decker F, Gruhn P, Matthews-Martin L, et al. Results of the 2002 AHCA Survey of Nursing Staff Vacancy and Turnover in Nursing Homes: Health Services Research and Evaluation. American Health Care Association. 2003;Available at: http://www.ahca.org/research/rpt_vts2002_final.pdf. Accessed November 30, 2006.
  28. Hayes L, O’Brien-Pallas L, Duffield C, et al. Nurse turnover: A literature review. Int J Nurs Stud. 2006;43:237–263
  29. Hauri AM, Uphoff H, Gussmann V, et al. Factors that affect influenza vaccine uptake among staff of long-term care facilities. Infect Control Hosp Epidemiol. 2006;27(6):638–641
  30. Occupational Safety and Heatlh Administration. Bloodborne Pathogens and Needlestick Prevention. Standard 1910.1030. Available at: www.osha.gov/SLTC/bloodbornepathogens/standards.html. Accessed July 7, 2006.
  31. Talbot T, Bradley S, Cosgrove S, et al. Influenza vaccination of healthcare workers and vaccine allocation for healthcare workers during vaccine shortages. Infect Control Hosp Epidemiol. 2005;26(11):882–890
  32. Goldstein AO, Kincade JE, Gamble G, et al. Policies and practices for improving influenza immunization rates among healthcare workers. Infect Control Hosp Epidemiol. 2004;25(11):908–911
  33. O’Reilly FW, Cran GW, Stevens AB. Factors affecting influenza vaccine uptake among health care workers. Occup Med (Oxford). 2005;55:474–479
  34. Dunn M, Misra S, Habermann R, et al. Pneumococcal vaccination in nursing homes: Does policy change practice?. J Am Med Dir Assoc. 2003;4(3):135–138
  35. Moody L, Langa K, Malani PN. Impact of the 2004-2005 influenza vaccine shortage on immunization practices in long-term care facilities. Infect Control Hosp Epidemiol. 2006;27(4):383–387
  36. Wunderlich G, Kohler P. Improving the Quality of Long-Term Care. Washington, DC: National Academy Press; 2001;

 The authors do not have any conflicts of interest to report.This study was supported in part by the University of Pittsburgh Institute on Aging, an American Medical Directors Association Foundation/Pfizer Quality Improvement Award grant, a National Institutes of Health grant 8K12RR023267 (Roadmap Multidisciplinary Clinical Research Career Development Award Grant), and the Merck/American Federation for Aging Research Junior Investigator Award in Geriatric Clinical Pharmacology.

PII: S1525-8610(06)00491-9

doi: 10.1016/j.jamda.2006.09.014

JAMDA
Volume 8, Issue 2 , Pages 128-133 , February 2007