Control of Influenza A on a Bone Marrow Transplant Unit

Weinstock, David M.; Eagan, Janet; Malak, Sharp F.; Rogers, Maureen; Wallace, Holly; Kiehn, Timothy E.; Sepkowitz, Kent A.

doi:10.1086/501726

Cited by 97 publications

(62 citation statements)

References 7 publications

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“…3 • During an outbreak of influenza in a bone marrow transplant unit, there were 7 cases of health careassociated influenza; 6 patients developed pneumonia, and 2 patients died. 4 Five staff members developed influenza-like illness during the outbreak. Surveys revealed a vaccination rate of 12% among unit staff.…”

Section: Health Risks To Patient Populations Cared For By Unimmunizedmentioning

confidence: 99%

“…But even with these aggressive measures, 42% of the staff on the bone marrow transplant unit remained unimmunized the next year. 4 …”

Section: Health Risks To Patient Populations Cared For By Unimmunizedmentioning

confidence: 99%

“…[1][2][3][4] Immunization (used interchangeably with vaccination in this statement) of health care personnel (HCP) annually is a matter of patient safety and is crucial in efforts to reduce health care-associated influenza infections. Optimal prevention of influenza in the health care setting depends on the vaccination of at least 90% of HCP, which is consistent with the national Healthy People 2020 target for annual influenza vaccination among HCP.…”

Section: Introductionmentioning

confidence: 99%

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Influenza Immunization for All Health Care Personnel: Keep It Mandatory

Byington

Maldonado²,

Barnett³

et al. 2015

Pediatrics

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The purpose of this statement is to reaffirm the American Academy of Pediatrics’ support for a mandatory influenza immunization policy for all health care personnel. With an increasing number of organizations requiring influenza vaccination, coverage among health care personnel has risen to 75% in the 2013 to 2014 influenza season but still remains below the Healthy People 2020 objective of 90%. Mandatory influenza immunization for all health care personnel is ethical, just, and necessary to improve patient safety. It is a crucial step in efforts to reduce health care–associated influenza infections.

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Section: Health Risks To Patient Populations Cared For By Unimmunizedmentioning

confidence: 99%

“…But even with these aggressive measures, 42% of the staff on the bone marrow transplant unit remained unimmunized the next year. 4 …”

Section: Health Risks To Patient Populations Cared For By Unimmunizedmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Influenza Immunization for All Health Care Personnel: Keep It Mandatory

Byington

Maldonado²,

Barnett³

et al. 2015

Pediatrics

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show abstract

“…In the same year, 10 patients developed inluenza in a bone marrow unit and 1 person died. In this case, 12% of the personnel had been vaccinated and ive personnel members were at work with disease symptoms [63]. Inluenza virus outbreaks were also observed in liver transplantation, hematological, neonatal and pediatric units (in the last two units, additional risk factors for inluenza virus infections were identiied: artiicial ventilation system and multiple pregnancy) [64][65][66][67].…”

Section: A Local Commitee For Hospital Infections Decided To Conduct mentioning

confidence: 89%

Cocoon Strategy of Vaccinations: Benefits and Limitations

Nitsch–Osuch¹

2017

Vaccines

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A cocoon vaccination strategy refers to vaccinations in persons from the immediate environment of those patients who might develop an illness (they are susceptible to illnesses) but cannot be vaccinated due to permanent or temporary medical contraindications to a vaccination (e.g. immunosuppressed patients) or are too young to have a vaccination. Most frequently, a cocoon vaccination strategy is associated with vaccinations in adults aimed at preventing the spread of an illness in children (e.g. pertussis vaccination or inluenza vaccination), but it is worth considering whether this strategy should not be understood also as vaccinations in children with the view of protecting adults and the elderly against illnesses (e.g. inluenza or pneumococcal diseases). The aim of the cocoon strategy is to minimize the risk of the transmission of pathogens in the environment of a patient who is susceptible to an infection. A vaccinated patient is not a source of infection any more for a non-vaccinated patient. The chapter presents a history, current implementation of the strategy in diferent countries, its beneits and limitations.

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“…2 Vaccinating healthcare workers helps protect coworkers, families, and patients, many of whom are at increased risk of developing complications from influenza infection. 3 However, vaccine uptake among healthcare workers when relying on voluntary participation remains less than optimal. 4,5 Intradermal injection of influenza vaccines may increase vaccine uptake since Intanza Ò , for example, uses a much smaller needle (30 gauge, 1.5 mm), less antigen per strain (9 mg for younger adults), and less total volume (0.1 mL).…”

Section: Introductionmentioning

confidence: 99%