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Published in: BMC Geriatrics 1/2008

Open Access 01-12-2008 | Research article

Influenza and pneumococcal vaccine uptake among nursing home residents in Nottingham, England: a postal questionnaire survey

Authors: Amir Shroufi, Joanna Copping, Roberto Vivancos, Richard CB Slack

Published in: BMC Geriatrics | Issue 1/2008

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Abstract

Background

Previous studies have shown influenza vaccine uptake in UK nursing home residents to be low. Very little information exists regarding the uptake of pneumococcal vaccine in this population. The formulation of policies relating to the vaccination of residents has been proposed as a simple step that may help improve vaccine uptake in care homes.

Methods

A postal questionnaire was sent to matrons of all care homes with nursing within the Greater Nottingham area in January 2006. Non respondents were followed up with up to 3 phone calls.

Results

30% (16/53) of respondents reported having a policy addressing influenza vaccination and 15% (8/53) had a policy addressing pneumococcal vaccination. Seasonal influenza vaccine coverage in care homes with a vaccination policy was 87% compared with 84% in care homes without a policy (p = 0.47). The uptake of pneumococcal vaccination was found to be low, particularly in care homes with no vaccination policy. Coverage was 60% and 32% in care homes with and without a vaccination policy respectively (p = 0.06). This result was found to be statistically significant on multivariate analysis (p = 0.03, R = 0.46)

Conclusion

The uptake of influenza vaccine among care home residents in the Nottingham region is relatively high, although pneumococcal vaccine uptake is low. This study shows that there is an association between pneumococcal vaccine uptake and the existence of a vaccination policy in care homes, and highlights that few care homes have vaccination policies in place.
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Literature
1.
go back to reference Nichol KL, Grimm MB, Peterson DC: Immunizations in long-term care facilities: policies and practice. J Am Geriatr Soc. 1996, 44: 349-355.CrossRefPubMed Nichol KL, Grimm MB, Peterson DC: Immunizations in long-term care facilities: policies and practice. J Am Geriatr Soc. 1996, 44: 349-355.CrossRefPubMed
2.
go back to reference Simor AE: Influenza outbreaks in long-term-care facilities: how can we do better?. Infect Control Hosp Epidemiol. 2002, 23: 564-567. 10.1086/501971.CrossRefPubMed Simor AE: Influenza outbreaks in long-term-care facilities: how can we do better?. Infect Control Hosp Epidemiol. 2002, 23: 564-567. 10.1086/501971.CrossRefPubMed
3.
go back to reference Gupta A, Morris G, Thomas P, Hasan M: Influenza vaccination coverage in old people's home in Carmarthenshire, UK, during the winter of 1998/99. Vaccine. 2000, 18: 2471-2475. 10.1016/S0264-410X(00)00048-7.CrossRefPubMed Gupta A, Morris G, Thomas P, Hasan M: Influenza vaccination coverage in old people's home in Carmarthenshire, UK, during the winter of 1998/99. Vaccine. 2000, 18: 2471-2475. 10.1016/S0264-410X(00)00048-7.CrossRefPubMed
4.
go back to reference Chief Medical Officer. PL CMO (2005)2: The Influenza immunisation programme. 2005, Department of Health Chief Medical Officer. PL CMO (2005)2: The Influenza immunisation programme. 2005, Department of Health
5.
go back to reference Kyaw MH, Wayne B, Holmes EM, Jones IG, Campbell H: Influenza and pneumococcal vaccination in Scottish nursing homes: coverage, policies and reasons for receipt and non-receipt of vaccine. Vaccine. 2002, 20: 2516-2522. 10.1016/S0264-410X(02)00177-9.CrossRefPubMed Kyaw MH, Wayne B, Holmes EM, Jones IG, Campbell H: Influenza and pneumococcal vaccination in Scottish nursing homes: coverage, policies and reasons for receipt and non-receipt of vaccine. Vaccine. 2002, 20: 2516-2522. 10.1016/S0264-410X(02)00177-9.CrossRefPubMed
6.
go back to reference Chief Medical Officer. PL CMO (2005)1: The Pneumococcal Immunisation Programme for Older People and Risk Groups. 2005, Department of Health Chief Medical Officer. PL CMO (2005)1: The Pneumococcal Immunisation Programme for Older People and Risk Groups. 2005, Department of Health
7.
go back to reference Evans MR, Wilkinson EJ: How complete is influenza immunization coverage? A study in 75 nursing and residential homes for elderly people. Br J Gen Pract. 1995, 45: 419-421.PubMedPubMedCentral Evans MR, Wilkinson EJ: How complete is influenza immunization coverage? A study in 75 nursing and residential homes for elderly people. Br J Gen Pract. 1995, 45: 419-421.PubMedPubMedCentral
8.
go back to reference Warren SS, Nguyen-Van-Tam JS, Pearson JC, Madeley RJ: Practices and policies for influenza immunization in old people's homes in Nottingham (UK) during the 1992-1993 season: potential for improvement. J Public Health Med. 1995, 17: 392-396.PubMed Warren SS, Nguyen-Van-Tam JS, Pearson JC, Madeley RJ: Practices and policies for influenza immunization in old people's homes in Nottingham (UK) during the 1992-1993 season: potential for improvement. J Public Health Med. 1995, 17: 392-396.PubMed
9.
go back to reference Chief Medical Officer. PL CMO (2006)3: The influenza immunisation programme 2006/2007. 2006, Department of Health Chief Medical Officer. PL CMO (2006)3: The influenza immunisation programme 2006/2007. 2006, Department of Health
10.
go back to reference Breeze E, Mangtani P, Fletcher AE, Price GM, Kovats S, Roberts J: Trends in influenza vaccination uptake among people aged over 74 years, 1997-2000: survey of 73 general practices in Britain. BMC Fam Pract. 2004, 5: 8-10.1186/1471-2296-5-8.CrossRefPubMedPubMedCentral Breeze E, Mangtani P, Fletcher AE, Price GM, Kovats S, Roberts J: Trends in influenza vaccination uptake among people aged over 74 years, 1997-2000: survey of 73 general practices in Britain. BMC Fam Pract. 2004, 5: 8-10.1186/1471-2296-5-8.CrossRefPubMedPubMedCentral
11.
go back to reference Siriwardena AN, Rashid A, Johnson MR, Dewey ME: Cluster randomised controlled trial of an educational outreach visit to improve influenza and pneumococcal immunisation rates in primary care. Br J Gen Pract. 2002, 52: 735-740.PubMedPubMedCentral Siriwardena AN, Rashid A, Johnson MR, Dewey ME: Cluster randomised controlled trial of an educational outreach visit to improve influenza and pneumococcal immunisation rates in primary care. Br J Gen Pract. 2002, 52: 735-740.PubMedPubMedCentral
12.
go back to reference Barnes GJ, Quigley C: Flu vaccination in nursing homes: a survey of nursing-home managers. J Public Health (Oxf). 2006, 28: 56-60. 10.1093/pubmed/fdi074.CrossRef Barnes GJ, Quigley C: Flu vaccination in nursing homes: a survey of nursing-home managers. J Public Health (Oxf). 2006, 28: 56-60. 10.1093/pubmed/fdi074.CrossRef
13.
go back to reference Stevenson KB, McMahon JW, Harris J, Hillman JR, Helgerson SD: Increasing pneumococcal vaccination rates among residents of long-term--care facilities: provider-based improvement strategies implemented by peer-review organizations in four western states. Infect Control Hosp Epidemiol. 2000, 21: 705-710. 10.1086/501723.CrossRefPubMed Stevenson KB, McMahon JW, Harris J, Hillman JR, Helgerson SD: Increasing pneumococcal vaccination rates among residents of long-term--care facilities: provider-based improvement strategies implemented by peer-review organizations in four western states. Infect Control Hosp Epidemiol. 2000, 21: 705-710. 10.1086/501723.CrossRefPubMed
14.
go back to reference Morton MR, Spruill WJ, Cooper JW: Pharmacist impact on pneumococcal vaccination rates in long-term care facilities [Letter]. Am J Hosp Pharm. 1988, 73- Morton MR, Spruill WJ, Cooper JW: Pharmacist impact on pneumococcal vaccination rates in long-term care facilities [Letter]. Am J Hosp Pharm. 1988, 73-
15.
go back to reference Centre for Disease Control. Use of Standing Orders Programs to Increase Adult Vaccination Rates. MMWR. 2000, 49: 15-26. Centre for Disease Control. Use of Standing Orders Programs to Increase Adult Vaccination Rates. MMWR. 2000, 49: 15-26.
16.
go back to reference deHart MP, Salinas SK, Barnette LJ, Lewis KD, Mustin HD, Corbett C, Green PK: Project protect: pneumococcal vaccination in Washington State nursing homes. J Am Med Dir Assoc. 2005, 6: 91-96. 10.1016/j.jamda.2005.01.001.CrossRefPubMed deHart MP, Salinas SK, Barnette LJ, Lewis KD, Mustin HD, Corbett C, Green PK: Project protect: pneumococcal vaccination in Washington State nursing homes. J Am Med Dir Assoc. 2005, 6: 91-96. 10.1016/j.jamda.2005.01.001.CrossRefPubMed
17.
go back to reference Dunn MK, Misra S, Habermann R, Griffin MR: Pneumococcal vaccination in nursing homes: does policy change practice?. J Am Med Dir Assoc. 2003, 4: 135-138.CrossRefPubMed Dunn MK, Misra S, Habermann R, Griffin MR: Pneumococcal vaccination in nursing homes: does policy change practice?. J Am Med Dir Assoc. 2003, 4: 135-138.CrossRefPubMed
18.
go back to reference Salisbury D, Ramsay M, Noakes K: Immunisation against infectious diseases. 2007, London, Department of Health, 3rd Salisbury D, Ramsay M, Noakes K: Immunisation against infectious diseases. 2007, London, Department of Health, 3rd
19.
go back to reference Mangtani P, Shah A, Roberts JA: Validation of influenza and pneumococcal vaccine status in adults based on self-report. Epidemiol Infect. 2007, 135: 139-143. 10.1017/S0950268806006479.CrossRefPubMed Mangtani P, Shah A, Roberts JA: Validation of influenza and pneumococcal vaccine status in adults based on self-report. Epidemiol Infect. 2007, 135: 139-143. 10.1017/S0950268806006479.CrossRefPubMed
20.
go back to reference Verweij M, van Den HM: Influenza vaccination rates and informed consent in Dutch nursing homes: survey of nursing home physicians. BMJ. 2002, 324: 328-10.1136/bmj.324.7333.328.CrossRefPubMedPubMedCentral Verweij M, van Den HM: Influenza vaccination rates and informed consent in Dutch nursing homes: survey of nursing home physicians. BMJ. 2002, 324: 328-10.1136/bmj.324.7333.328.CrossRefPubMedPubMedCentral
21.
go back to reference Verweij MF, van den Hoven MA: Influenza vaccination in Dutch nursing homes: is tacit consent morally justified?. Med Health Care Philos. 2005, 8: 89-95. 10.1007/s11019-004-0837-8.CrossRefPubMed Verweij MF, van den Hoven MA: Influenza vaccination in Dutch nursing homes: is tacit consent morally justified?. Med Health Care Philos. 2005, 8: 89-95. 10.1007/s11019-004-0837-8.CrossRefPubMed
22.
go back to reference Weir R, Jennings L, Brunton C: Influenza vaccination coverage in Canterbury rest homes. N Z Med J. 2000, 113: 503-505.PubMed Weir R, Jennings L, Brunton C: Influenza vaccination coverage in Canterbury rest homes. N Z Med J. 2000, 113: 503-505.PubMed
Metadata
Title
Influenza and pneumococcal vaccine uptake among nursing home residents in Nottingham, England: a postal questionnaire survey
Authors
Amir Shroufi
Joanna Copping
Roberto Vivancos
Richard CB Slack
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2008
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/1471-2318-8-11

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