Abstract
Background and aims: The French institute for study of geriatric infection risk (ORIG) has run a multiphase multicenter study (VESTA) to develop and implement active programs promoting healthcare worker (HCW) influenza vaccination. The present article reports results after implementation of the first active program. Method: A cluster-randomized controlled trial was conducted from December 1 to December 15, 2005, and a total of 43 geriatric wards (3646 HCWs) were randomly assigned to two clusters. The program cluster (24 wards; 1918 HCWs) received the active program whereas no action was taken in the control cluster (19 wards; 1728 HCWs). The program was educational; its objective was to convince HCWs to be vaccinated by giving them topdown scientific information and developing a sense of altruism. Data from 1201 HCWs (63%) from the program cluster and 1144 HCWs (66%) from the control cluster were collected. Results: The program failed to increase the HCW influenza vaccination rate (program: 34%; control: 32%; p>0.05), but won the faithfulness of vaccinated HCWs (5% vs 8% HCWs quitted vaccination; p<0.05). Conclusions: Resistance to active influenza vaccination programs was found. Future active programs will have to restore a climate of confidence between sources of knowledge and HCWs and promote “self-protection” in contrast with the protection of elderly people.
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References
World Health Organization. Influenza vaccines. Wkly Epidemiol Rec 2005; 80: 279–87._Available at: http://www.who.int/wer/2005/wer8033/en/index.html. Accessed 11 May 2009.
Fiore AE, Shay DK, Haber P et al. Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2007. MMWR Recomm Rep 2007; 56: 1–54.
Gross PA, Hermogenes AW, Sacks HS, Lau J, Levandowski RA. The efficacy of influenza vaccine in elderly persons. A meta-analysis and review of the literature. Ann Intern Med 1995; 123: 518–27.
Institut de Veille Sanitaire (InVS) [Vaccination schedule for 2008 — Recommendations from the Haut Conseil de la Santé Publique]. BEH 2008; 16-17: 129–148._[in Frencd]. Available: http://www.invs.sante.fr/BEh/2008/16_17/index.htm.
Gavazzi G, Wazieres B, Lejeune B, Rothan-Tondeur M. Influenza and pneumococcal vaccine coverages in geriatric health care settings in France. Gerontology 2007; 53: 382–7.
Strausbaugh LJ, Sukumar SR, Joseph CL. Infectious disease outbreaks in nursing homes: an unappreciated hazard for frail elderly persons. Clin Infect Dis 2003; 36: 870–6.
Zadeh MM, Buxton Bridges C, Thompson WW, Arden NH, Fukuda K. Influenza outbreak detection and control measures in nursing homes in the United States. J Am Geriatr Soc 2000; 48: 1310–5.
Pachucki CT, Pappas SA, Fuller GF, Krause SL, Lentino JR, Schaaff DM. Influenza A among hospital personnel and patients. Implications for recognition, prevention, and control. Arch Intern Med 1989; 149: 77–80.
Pearson ML, Bridges CB, Harper SA. Influenza vaccination of health-care personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2006; 55: 1–16.
Carman WF, Elder AG, Wallace LA et al. Effects of influenza vaccination of health-care workers on mortality of elderly people in longterm care: a randomised controlled trial. Lancet 2000; 355: 93–7.
Thoma RE, Jefferson T, Demicheli V, Rivetti D. Influenza vaccination for healthcare workers who work with the elderly. Cochrane Database Syst Rev 2006, issue 3. art.n0.: CD005187. DOI:10.1002/14651858.CD005187.pub2
Institut de Veille Sanitaire (InVS) [Vaccination schedule for 2000 — Recommendations from the “Conseil Supérieur d’Hygiène Publique de France”]. BEH 2000; 27: 115–8 [in Frencd]. Available: http://www.invs.sante.fr/BEh/2000/0027/index.html
Kroneman M, Paget WJ, van Essen GA. Influenza vaccination in Europe: an inventory of strategies to reach target populations and optimise vaccination uptake. Euro Surveill 2003; 8: 130–8.
Gil H, Bailly P, Meaux-Ruault N et al. [Influenza vaccination among health-care workers. Vaccination rates in universitary hospital of Besancon, winter 2003–2004] [in Frencd]. Rev Med Interne 2006; 27: 5–9.
Valour F, Maulin L, Ader F et al. [Vaccination against influenza: results of a study on vaccination coverage among health care workers in the Croix-Rousse Hospital (Hospitals of Lyon)]. [in Frencd]. Med Mal Infect 2007; 37: 51–60.
Chamoux A, Denis-Porret M, Rouffiac K, Baud O, Millot-Theis B, Souweine B. [Impact study of an active antiflu vaccination programme on the Clermont-Ferrand Teaching Hospital staff]. [in Frencd]. Med Mal Infect 2006; 36: 144–50.
Murris-Espin M, Aubert M, Bosdure E, Dubus JC. Influenza vaccination coverage in patients with cystic fibrosis followed at 12 care centers in the Greater South Region of France for the season 2005/2006. Vaccine 2008; 26: 5612–8.
Gavazzi G. Influenza vaccination for healthcare workers: from a simple concept to a resistant issue? Aging Clin Exp Res 2009; 21: 216–21.
Hofmann F, Ferracin C, Marsh G, Dumas R. Influenza vaccination of healthcare workers: a literature review of attitudes and beliefs. Infection 2006; 34: 142–7.
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Rothan-Tondeur, M., Filali-Zegzouti, Y., Belmin, J. et al. Assessment of healthcare worker influenza vaccination program in French geriatric wards: a cluster-randomized controlled trial. Aging Clin Exp Res 22, 450–455 (2010). https://doi.org/10.1007/BF03337740
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DOI: https://doi.org/10.1007/BF03337740