Influenza vaccination coverage of healthcare workers and residents and their determinants in nursing homes for elderly people in France: a cross-sectional survey

Abstract

BackgroundNursing home residents bear a substantial burden of influenza morbidity and mortality. Vaccination of residents and healthcare workers (HCWs) is the main strategy for prevention. Despite recommendations, influenza vaccination coverage among HCWs remains generally low.MethodsDuring the 2007-2008 influenza season, we conducted a nationwide survey to estimate influenza vaccination coverage of HCWs and residents in nursing homes for elderly people in France and to identify determinants of vaccination rates. Multivariate analysis were performed with a negative binomial regression.ResultsInfluenza vaccination coverage rates were 33.6% (95% CI: 31.9-35.4) for HCWs and 91% (95% CI: 90-92) for residents. Influenza vaccination uptake of HCWs varied by occupational category. Higher vaccination coverage was found in private elderly care residences, when free vaccination was offered (RR: 1.89, 1.35-2.64), in small nursing homes (RR: 1.54, 1.31-1.81) and when training sessions and staff meetings on influenza were organized (RR: 1.20, 1.11-1.29). The analysis by occupational category showed that some determinants were shared by all categories of professionals (type of nursing homes, organization of training and staff meetings on influenza). Higher influenza vaccination coverage was found when free vaccination was offered to recreational, cleaning, administrative staff, nurses and nurse assistants, but not for physicians.ConclusionsThis nationwide study assessed for the first time the rate of influenza vaccination among residents and HCWs in nursing homes for elderly in France. Better communication on the current recommendations regarding influenza vaccination is needed to increase compliance of HCWs. Vaccination programmes should include free vaccination and education campaigns targeting in priority nurses and nurse assistants.

Influenza immunization rates, knowledge, attitudes and practices of health care workers in Iran

“…As reported in the study of Vaux et al [51], training sessions and organized staff meetings increased vaccine uptake among nurses and nurse assistants (RR:1.2, 95% CI: 1.11 -1.32, p < 0.001) and non-medical staff members (RR: 1.2, 95% CI: 1.07 -1.30, p < 0.001). Also, alternative influenza vaccination campaign strategies have also proven successful in raising the vaccination rate [52,53].…”

Vaccination contre la grippe saisonnière en France en 2010 et 2011 : diminution des taux de couverture et facteurs associés

“…Un assuré pouvant appartenir à plusieurs groupes cibles, les TCV ont été calculés par groupes cibles : une même personne pouvait être comptabilisée pour chacun d'entre eux. Le groupe cible « asthme et BPCO », en raison de l'évolution de sa définition, a été exclu du calcul des TCV globaux afin de permettre leurs comparaisons [22]. [24].…”

Low vaccination coverage among italian healthcare workers in 2013: Contributing to the voluntary vs. mandatory vaccination debate

“…10 Despite the European directive and the adoption of national legislation on HCWs' protection, low immunization coverage and transmission of vaccine-preventable diseases among HCWs are frequently documented as well as nosocomial outbreaks. 3,6,7,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] In France, during the 2007-2008 influenza season, vaccination coverage among workers in nursing home was 33.6%, 29 in Spain a negative trend of influenza vaccination coverage from 29,2% in 2008/9 to 17,9% in 2011/12 seasons was recorded among HCWs. 30 In Belgium, in 2004, 84.9% of HCWs eligible for HB immunization had received the vaccine; 31 in France, in 2011, of 505 HCWs working in tertiary-care hospitals, 56.5% had been vaccinated against hepatitis B; 32 in South-Western Greece HB vaccination coverage was 70.9% in 2013.…”