Influenza vaccine uptake among staff in care homes in Nottinghamshire: A random cluster sample survey

Shroufi, Amir; Copping, Joanna; Musonda, Patrick; Vivancos, Roberto; Langden, V.; Armstrong, Sarah; Slack, R. C. B.

doi:10.1016/j.puhe.2009.09.014

Cited by 16 publications

(31 citation statements)

References 10 publications

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“…However seasonal influenza vaccine uptake rates are low among HCWs in many countries [19]–[24], and pH1N1 vaccine uptake was also low in Hong Kong following intense media coverage of a series of adverse events potentially associated with pH1N1 vaccine [11], [14], [15]. Mandatory influenza vaccination policies for HCWs remain controversial [18], [25]–[27].…”

Section: Discussionmentioning

confidence: 99%

Seroprevalence of Pandemic H1N1 Antibody among Health Care Workers in Hong Kong Following Receipt of Monovalent 2009 H1N1 Influenza Vaccine

Zhou

Seto

et al. 2011

PLoS ONE

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BackgroundHealthcare workers in many countries are recommended to receive influenza vaccine to protect themselves as well as patients. A monovalent H1N1 vaccine became available in Hong Kong in December 2009 and around 10% of local healthcare workers had received the vaccine by February 2010.MethodsWe conducted a cross-sectional study of the prevalence of antibody to pandemic (H1N1) 2009 among HCWs in Hong Kong in February–March 2010 following the first pandemic wave and the pH1N1 vaccination campaign. In this study we focus on the subset of healthcare workers who reported receipt of non-adjuvanted monovalent 2009 H1N1 vaccine (Panenza, Sanofi Pasteur). Sera collected from HCWs were tested for antibody against the pH1N1 virus by hemagglutination inhibition (HI) and viral neutralization (VN) assays.ResultsWe enrolled 703 HCWs. Among 104 HCWs who reported receipt of pH1N1 vaccine, 54% (95% confidence interval (CI): 44%–63%) had antibody titer ≥1∶40 by HI and 42% (95% CI: 33%–52%) had antibody titer ≥1∶40 by VN. The proportion of HCWs with antibody titer ≥1∶40 by HI and VN significantly decreased with age, and the proportion with antibody titer ≥1∶40 by VN was marginally significantly lower among HCWs who reported prior receipt of 2007–08 seasonal influenza vaccine (odds ratio: 0.43; 95% CI: 0.19–1.00). After adjustment for age, the effect of prior seasonal vaccine receipt was not statistically significant.ConclusionsOur findings suggest that monovalent H1N1 vaccine may have had suboptimal immunogenicity in HCWs in Hong Kong. Larger studies are required to confirm whether influenza vaccine maintains high efficacy and effectiveness in HCWs.

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Section: Discussionmentioning

confidence: 99%

Seroprevalence of Pandemic H1N1 Antibody among Health Care Workers in Hong Kong Following Receipt of Monovalent 2009 H1N1 Influenza Vaccine

Zhou

Seto

et al. 2011

PLoS ONE

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“…Tables S1 and S2 report the synthesis of the included studies. Seven were randomized controlled trials [50][51][52][53][54][55][56], six were pre-post surveys [57][58][59][60][61][62], one assessed the vaccination rate trend in accordance with the types of interventions [63], 11 were cross sectional studies [64][65][66][67][68][69][70][71][72][73][74], and two were interrupted time series studies [75,76]. The majority (52%) of the selected studies were performed in the USA, which was followed by Europe (33%), Canada (11%), and Australia (4%).…”

Section: Discussing Vaccination Policy During New Hire Orientation 3omentioning

confidence: 99%

“…With the EPHPP quality assessment tool [49], seven out of the 27 studies included in the current review were assessed as works of 'strong' quality [50][51][52][53][54][55][56], five papers of 'moderate' quality [58,63,72,74,75], and the remaining 15 works as 'weak' quality [56,[59][60][61][62][64][65][66][67][68][69][70][71]73,76]. Results of the application of the EPHPP quality assessment tool are reported in Tables S1 and S2.…”

Section: Discussing Vaccination Policy During New Hire Orientation 3omentioning

confidence: 99%

Utility of Healthcare System-Based Interventions in Improving the Uptake of Influenza Vaccination in Healthcare Workers at Long-Term Care Facilities: A Systematic Review

et al. 2020

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Healthcare workers (HCWs) in long-term care facilities (LTCFs) can represent a source of influenza infection for the elderly. While flu vaccination coverage (VC) is satisfactory in the elderly, HCWs are less likely to be vaccinated. There is no definitive evidence on which types of healthcare system-based interventions at LTCFs would be more useful in improving the vaccination uptake among HCWs. We performed a systematic review in different databases (Pubmed, Cochrane Database of Systematic Reviews, Health Evidence, Web of Science, Cinahl) to provide a synthesis of the available studies on this topic. Among the 1177 articles screened by their titles and abstracts, 27 were included in this review. Most of the studies reported multiple interventions addressed to improve access to vaccination, eliminate individual barriers, or introduce policy interventions. As expected, mandatory vaccinations seem to be the most useful intervention to increase the vaccination uptake in HCWs. However, our study suggests that better results in the vaccination uptake in HCWs were obtained by combining interventions in different areas. Educational campaigns alone could not have an impact on vaccination coverage. LTCFs represent an ideal setting to perform preventive multi-approach interventions for the epidemiological transition toward aging and chronicity.

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“…Lack of awareness of vaccine availability has also been given as a reason, even in UK-based studies that post-date the DH 2000 recommendation for all front-line healthcare workers to be offered immunisation 11 12 34 35. Some healthcare workers may decline influenza immunisation because of a fear of needles 34…”

Section: Reasons For and Against Uptakementioning

confidence: 99%

Seasonal flu vaccination for healthcare workers?

2010

DTB

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In the UK, the Department of Health (DH) recommends annual immunisation of healthcare workers against influenza to reduce the likelihood of nosocomial influenza transmission, particularly to vulnerable patients. However, although vaccination services to meet this need are available and provided free of charge to the recipient, uptake is often poor. Here we review the evidence for reduced influenza transmission and other benefits with seasonal vaccination of healthcare workers, and examine what influences vaccine uptake.

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Influenza vaccine uptake among staff in care homes in Nottinghamshire: A random cluster sample survey

Cited by 16 publications

References 10 publications

Seroprevalence of Pandemic H1N1 Antibody among Health Care Workers in Hong Kong Following Receipt of Monovalent 2009 H1N1 Influenza Vaccine

Seroprevalence of Pandemic H1N1 Antibody among Health Care Workers in Hong Kong Following Receipt of Monovalent 2009 H1N1 Influenza Vaccine

Utility of Healthcare System-Based Interventions in Improving the Uptake of Influenza Vaccination in Healthcare Workers at Long-Term Care Facilities: A Systematic Review

Seasonal flu vaccination for healthcare workers?

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