An outbreak of influenza A in a nursing home.

Horman, Joseph T.; Stetler, Harrison C.; Israel, Ebenezer; D, Sorley; Schipper, Maarten; Joseph, Jeswin

doi:10.2105/ajph.76.5.501

Cited by 72 publications

(19 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, reasons for not being immunized were similar to those given in other studies. Fear of adverse reactions, avoidance of medications, and the inconvenience of vaccine administration are frequently cited reasons for declining immunization 16 . Belief that the vaccine is not protective or not indicated was another prominent reason reported in our study, as in others 5 …”

Section: Discussionsupporting

confidence: 64%

“…Documented instances have been reported in which medical personnel have played a key role in introducing and perpetuating influenza in an acute care environment 14,15 . In a long‐term‐care setting where residents, but not employees, were vaccinated, the illness attack rate in unvaccinated employees exceeded the attack rate of residents (51.8% vs 44.7%) 16 . The high rate of influenza among employees may have facilitated the spread of illness among residents in this study.…”

Section: Discussionmentioning

confidence: 60%

See 1 more Smart Citation

Improving Neglected Influenza Vaccination Among Healthcare Workers in Long‐Term Care

Thomas

Winsted

Koontz

1993

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 60%

Improving Neglected Influenza Vaccination Among Healthcare Workers in Long‐Term Care

Thomas

Winsted

Koontz

1993

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

“…Site Number Sept. 28-Oct. 2,1986 Las Vegas, Nevada 114th Oct. [18][19][20][21][22]1987 New Orleans, Louisiana 115th Nov. [13][14][15][16][17]1988 Boston, Massachusetts 116th Oct. [22][23][24][25][26]1989 Chicago, Illinois 117th…”

Section: Apha Annual Meeting Sites and Dates Datementioning

confidence: 99%

Influenza and nursing homes.

Barker¹

1986

Am J Public Health

View full text Add to dashboard Cite

“…1 While annual vaccination of older adults is recommended, vaccine efficacy is reduced among elders. 1, 3-6 Potential reasons may include age-related immunosenescence, immunosuppression, and malnutrition. 7-11 Thus, it is not surprising that influenza outbreaks in LTC settings continue to occur regularly, and are associated with significant case fatality rates.…”

Section: Introduction and Rationalementioning

confidence: 99%

Impact of the Raising Immunizations Safely and Effectively (RISE) Program on Healthcare Worker Influenza Immunization Rates in Long Term Care Settings

Nace

Handler

Hoffman

et al. 2012

Journal of the American Medical Directors Association

View full text Add to dashboard Cite

Introduction and Rationale National influenza immunization rates for healthcare workers (HCW) in long-term care (LTC) remain unacceptably low. This poses a serious public health threat to residents. Prior work has suggested high staff turnover rates as a contributing factor to low immunization rates. There is a critical need to identify and deploy successful models of HCW influenza immunization programs to LTC facilities. This report describes one potential model that has been successfully initiated in a network of LTC facilities. Methods All facilities served by a single regional LTC pharmacy were invited to participate in a HCW influenza immunization program. This voluntary immunization program began in 2005 and continues to the present. As part of the program, the pharmacy promoted organizational change by assuming oversight and control of HCW immunization policies and processes for all facilities. Primary and secondary outcomes are the number of facilities reaching HCW influenza immunization rates of 60% and 80%. Results Fourteen of the sixteen LTC facilities participated. Facilities were diverse and included both nursing and assisted living facilities; unionized and nonunionized facilities; and urban, suburban and rural facilities. The pharmacy provided educational and communication materials, centralized data collection using a standardized definition for HCW immunization rates, and facility feedback. All fourteen LTC facilities achieved the primary goal of 60% and nearly two thirds reached the secondary goal of 80%. Twenty percent reached the new Healthy People 2020 goal of 90%. Discussion It is possible for LTC facilities to improve HCW immunization rates using a pharmacy based, voluntary HCW influenza immunization approach. Such an approach may help attenuate the negative influence of staff turnover on HCW immunizations. Attainment of the new Health People 2020 goals still remains a challenge and may require mandatory programs.

show abstract

An outbreak of influenza A in a nursing home.

Abstract: An outbreak of influenza A occurred in an elderly population in a Maryland nursing home

Cited by 72 publications

References 21 publications

Improving Neglected Influenza Vaccination Among Healthcare Workers in Long‐Term Care

Improving Neglected Influenza Vaccination Among Healthcare Workers in Long‐Term Care

Influenza and nursing homes.

Impact of the Raising Immunizations Safely and Effectively (RISE) Program on Healthcare Worker Influenza Immunization Rates in Long Term Care Settings

Contact Info

Product

Resources

About