Improving influenza immunization rates among healthcare workers caring for high-risk pediatric patients

Infect Control Hosp Epidemiol. 2004 Nov;25(11):912-7. doi: 10.1086/502319.

Abstract

Objective: To assess influenza vaccination rates of healthcare workers (HCWs) in neonatal intensive care units (NICUs), pediatric intensive care units (PICUs), and oncology units in Pediatric Prevention Network (PPN) hospitals.

Participants: Infection control practitioners and HCWs in NICUs, PICUs, and oncology units.

Methods: In November 2000, posters, electronic copies of a slide presentation, and an influenza fact sheet were distributed to 32 of 76 PPN hospitals. In January 2001, a survey was distributed to PPN hospital participants to obtain information about the immunization campaigns. On February 7, 2001, a survey of influenza immunization was conducted among HCWs in NICU, PICU, and oncology units at participating hospitals.

Results: Infection control practitioners from 19 (25%) of the 76 PPN hospitals completed the surveys. The median influenza immunization rate was 43% (range, 12% to 63%), with 7 hospitals exceeding 50%. HCWs (n = 1123) at 15 PPN hospitals completed a survey; 53% of HCWs reported receiving influenza immunization. Immunization rates varied by work site: 52% in NICUs and PICUs compared with 60% in oncology units. Mobile carts and PPN educational fact cards were associated with higher rates among these subpopulations (P < .001) (361 [63%] of 575 vs 236 [44%] of 541 for mobile carts; 378 [60%] of 633 vs 219 [45%] of 483 for fact cards).

Conclusion: Despite delayed distribution of influenza vaccine during the 2000-2001 season, immunization rates at 7 hospitals and among HCWs in high-risk units exceeded the National Association of Children's Hospitals and Related Institutions goal of 50%.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Child
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Immunization Programs / organization & administration*
  • Immunization Programs / statistics & numerical data*
  • Infection Control / methods*
  • Infection Control / organization & administration
  • Infection Control / statistics & numerical data
  • Influenza Vaccines / therapeutic use*
  • Influenza, Human / prevention & control*
  • Intensive Care Units, Pediatric / statistics & numerical data*
  • Oncology Service, Hospital / statistics & numerical data
  • Patient Acceptance of Health Care / statistics & numerical data
  • Personnel, Hospital / statistics & numerical data*
  • Prevalence
  • Staff Development / methods
  • United States

Substances

  • Influenza Vaccines