Update on Influenza Vaccination for Health Care Personnel: Recent Coverage, Recommendations, Reporting, and Resources

Information sourced from BMJ:

Update on Influenza Vaccination for Health Care Personnel: Recent Coverage, Recommendations, Reporting, and Resources

[Link to CDC HCP influenza update information set online]


[Link to flu activity map online]

The Advisory Committee on Immunization Practices (ACIP) and the Healthcare Infection Control Practices Advisory Committee recommend that all U.S. health-care personnel (HCP) be vaccinated annually against influenza. Vaccination of HCP against influenza has been shown to reduce illness and absenteeism and to reduce transmission of influenza to HCP, their families, and their patients. Nonetheless, influenza vaccination coverage among HCP in the United States has increased slowly over the past decade.

To monitor 2010–11 influenza vaccination coverage among HCP, during April 1–27, 2011, CDC conducted a web-based survey of eligible HCP participating in three online survey panels. Among the HCP, 63.5% reported receiving a 2010–11 influenza vaccination. Vaccination coverage was higher among HCP working in hospitals (71.1%), compared with those working in ambulatory or outpatient centers (61.5%), patient homes (53.6%), and “other” health-care settings (46.7%). Vaccination coverage among physicians and dentists (84.2%) was similar to coverage among nurse practitioners and physician assistants (82.6%) and was significantly higher than for those working in all other occupational groups. Coverage also was significantly higher among persons aged 60 years (74.2%), compared with those aged 18–29 years (56.4%) and 30–44 years (57.8%). No significant differences in coverage were observed by race/ethnicity.

The prevalence of beliefs regarding influenza and influenza vaccination differed between vaccinated and unvaccinated HCP. The greatest differences in prevalence were among HCP who believed getting vaccinated was worth the time and expense (vaccinated: 94.7%, unvaccinated: 45.8%), those who believed getting a vaccination would better protect persons around them (vaccinated: 89.1%, unvaccinated: 44.6%), those who believed vaccination could protect them from getting influenza (vaccinated: 92.7%, unvaccinated: 54.2%), and those who believed influenza to be a serious threat to their own health (vaccinated: 70.1%, unvaccinated: 34.2%). Among those vaccinated, 94.8% believed influenza vaccination was safe, compared with 66.2% of those not vaccinated who believed influenza vaccination was safe.

Approximately 13% of HCP reported being required by their employers to be vaccinated for influenza. Among these persons, vaccination coverage was 98.1%, compared with 58.3% among those without an employer requirement. Among HCP without an employer requirement who were offered vaccination onsite, greater coverage was associated with a personal reminder from the employer to get vaccinated (69.9% versus 59.5%), vaccination availability at no charge (67.9% versus 41.2%), and vaccination availability for >1 day (68.8% versus 41.4%). Among HCP without onsite vaccination, neither a personal reminder from their employer to be vaccinated nor employers publicizing the risks and benefits of vaccination were associated with vaccination.

In a multivariable logistic regression model limited to HCP who did not have a vaccination requirement but were offered onsite vaccination, two incentives were associated with being vaccinated: a personal reminder to be vaccinated (odds ratio [OR] = 1.6; 95% confidence interval [CI] = 1.1–2.3) and vaccine availability at no cost and for >1 day (considered as a composite variable because of near complete overlap in the two occurrences) (OR = 2.8; CI = 1.7–4.5).

[Link to CDC Influenza Vaccination for Health Care Personnel update online]

Continuing Education credits/contact hours (CME, CNE, CEU, CECH, and ACPE) for COCA Conference Calls are issued online through the CDC Training & Continuing Education Online system. Those who wish to receive CE credits/contact hours and will complete the online evaluation between Dec 17, 2011 and Nov 16, 2012 will use course code WD1648.

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Additional Resources:

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