Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

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

Authors: Sophie Vaux, Delphine Noël, Laure Fonteneau, Jean-Paul Guthmann, Daniel Lévy-Bruhl

Published in: BMC Public Health | Issue 1/2010

Login to get access

Abstract

Background

Nursing 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.

Methods

During 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.

Results

Influenza 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.

Conclusions

This 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.
Literature
1.
Monto AS, Sullivan KM: Acute respiratory illness in the community. Frequency of illness and the agents involved. Epidemiol Infect. 1993, 110: 145-160. 10.1017/S0950268800050779.CrossRefPubMedPubMedCentral
2.
3.
Carrat F, Valleron AJ: Influenza mortality among the elderly in France, 1980-90: how many deaths may have been avoided through vaccination?. J Epidemiol Community Health. 1995, 49: 419-425. 10.1136/jech.49.4.419.CrossRefPubMedPubMedCentral
4.
Reichert TA, Simonsen L, Sharma A, Pardo SA, Fedson DS, Miller MA: Influenza and the winter increase in mortality in the United States, 1959-1999. Am J Epidemiol. 2004, 160: 492-502. 10.1093/aje/kwh227.CrossRefPubMed
5.
Thompson WW, Shay DK, Weintraub E, Brammer L, Cox N, Anderson LJ, et al: Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA. 2003, 289: 179-186. 10.1001/jama.289.2.179.CrossRefPubMed
6.
Menec VH, MacWilliam L, Aoki FY: Hospitalizations and deaths due to respiratory illnesses during influenza seasons: a comparison of community residents, senior housing residents, and nursing home residents. J Gerontol A Biol Sci Med Sci. 2002, 57: M629-M635.CrossRefPubMed
7.
Jefferson T, Rivetti D, Rivetti A, Rudin M, Di PC, Demicheli V: Efficacy and effectiveness of influenza vaccines in elderly people: a systematic review. Lancet. 2005, 366: 1165-1174. 10.1016/S0140-6736(05)67339-4.CrossRefPubMed
8.
Monto AS, Hornbuckle K, Ohmit SE: Influenza vaccine effectiveness among elderly nursing home residents: a cohort study. Am J Epidemiol. 2001, 154: 155-160. 10.1093/aje/154.2.155.CrossRefPubMed
9.
Carman WF, Elder AG, Wallace LA, McAulay K, Walker A, Murray GD, et al: Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet. 2000, 355: 93-97. 10.1016/S0140-6736(99)05190-9.CrossRefPubMed
10.
Hayward AC, Harling R, Wetten S, Johnson AM, Munro S, Smedley J, et al: Effectiveness of an influenza vaccine programme for care home staff to prevent death, morbidity, and health service use among residents: cluster randomised controlled trial. BMJ. 2006, 333: 1241-10.1136/bmj.39010.581354.55.CrossRefPubMedPubMedCentral
11.
Shugarman LR, Hales C, Setodji CM, Bardenheier B, Lynn J: The influence of staff and resident immunization rates on influenza-like illness outbreaks in nursing homes. J Am Med Dir Assoc. 2006, 7: 562-567. 10.1016/j.jamda.2006.06.002.CrossRefPubMed
12.
Thomas RE, Jefferson TO, Demicheli V, Rivetti D: Influenza vaccination for health-care workers who work with elderly people in institutions: a systematic review. Lancet Infect Dis. 2006, 6: 273-279. 10.1016/S1473-3099(06)70462-5.CrossRefPubMed
13.
14.
Hilbe Joseph: Negative binomial regression. 2009, Cambridge University Press, 2007
15.
Christini AB, Shutt KA, Byers KE: Influenza vaccination rates and motivators among healthcare worker groups. Infect Control Hosp Epidemiol. 2007, 28: 171-177. 10.1086/511796.CrossRefPubMed
16.
de Juanes , Garcia de CA, Arrazola MP, Jaen F, Sanz MI, Gonzalez A: Influenza vaccination coverage among hospital personnel over three consecutive vaccination campaigns (2001-2002 to 2003-2004). Vaccine. 2007, 25: 201-204. 10.1016/j.vaccine.2005.10.057.CrossRefPubMed
17.
Harbarth S, Siegrist CA, Schira JC, Wunderli W, Pittet D: Influenza immunization: improving compliance of healthcare workers. Infect Control Hosp Epidemiol. 1998, 19: 337-342. 10.1086/647825.CrossRefPubMed
18.
Murris-Espin M, Maitre M, Bosdure E, Dubus JC: Influenza vaccination in healthcare workers: a survey of coverage in French cystic fibrosis treatment centres. Vaccine. 2007, 25: 4755-4756. 10.1016/j.vaccine.2006.12.061.CrossRefPubMed
19.
Trivalle C, Okenge E, Hamon B, Taillandier J, Falissard B: Factors that influence influenza vaccination among healthcare workers in a French geriatric hospital. Infect Control Hosp Epidemiol. 2006, 27: 1278-1280. 10.1086/508833.CrossRefPubMed
20.
Monto AS, Rotthoff J, Teich E, Herlocher ML, Truscon R, Yen HL, et al: Detection and control of influenza outbreaks in well-vaccinated nursing home populations. Clin Infect Dis. 2004, 39: 459-464. 10.1086/422646.CrossRefPubMed
21.
Vaux S, Poujol I, Bonmarin I, Levy-Bruhl D, Desenclos JC: Surveillance of lower respiratory tract infections outbreaks in nursing homes in France. Eur J Epidemiol. 2009, 24: 149-155. 10.1007/s10654-009-9315-1.CrossRefPubMed
22.
Maltezou HC, Maragos A, Katerelos P, Paisi A, Karageorgou K, Papadimitriou T, et al: Influenza vaccination acceptance among health-care workers: a nationwide survey. Vaccine. 2008, 26: 1408-1410. 10.1016/j.vaccine.2008.01.049.CrossRefPubMed
23.
Hofmann F, Ferracin C, Marsh G, Dumas R: Influenza vaccination of healthcare workers: a literature review of attitudes and beliefs. Infection. 2006, 34: 142-147. 10.1007/s15010-006-5109-5.CrossRefPubMed
24.
Kimura AC, Nguyen CN, Higa JI, Hurwitz EL, Vugia DJ: The effectiveness of vaccine day and educational interventions on influenza vaccine coverage among health care workers at long-term care facilities. Am J Public Health. 2007, 97: 684-690. 10.2105/AJPH.2005.082073.CrossRefPubMedPubMedCentral
25.
Lina B, Holm MV, Szucs TD: [Evolution of influenza vaccination coverage in France from 2001 to 2006]. Med Mal Infect. 2008, 38: 125-132. 10.1016/j.medmal.2007.11.014.CrossRefPubMed
26.
Takayanagi IJ, Cardoso MR, Costa SF, Araya ME, Machado CM: Attitudes of health care workers to influenza vaccination: why are they not vaccinated?. Am J Infect Control. 2007, 35: 56-61. 10.1016/j.ajic.2006.06.002.CrossRefPubMed
27.
Gavazzi G, Wazieres B, Lejeune B, Rothan-Tondeur M: Influenza and pneumococcal vaccine coverages in geriatric health care settings in france. Gerontology. 2007, 53: 382-387. 10.1159/000105166.CrossRefPubMed
Metadata
Title
Influenza vaccination coverage of healthcare workers and residents and their determinants in nursing homes for elderly people in France: a cross-sectional survey
Authors
Sophie Vaux
Delphine Noël
Laure Fonteneau
Jean-Paul Guthmann
Daniel Lévy-Bruhl
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-159

Other articles of this Issue 1/2010

BMC Public Health 1/2010 Go to the issue

Research article

Impact of early psychosocial factors (childhood socioeconomic factors and adversities) on future risk of type 2 diabetes, metabolic disturbances and obesity: a systematic review

Research article

Household food insecurity and symptoms of neurologic disorder in Ethiopia: An observational analysis

Research article

The impact of economic recession on maternal and infant mortality: lessons from history

Research article

Sense of coherence and intentions to retire early among Finnish women and men

Research article

Estimation of hospital-based HIV seroprevalence as a nationwide scale by novel method; 2002-2008 in Korea

Research article

Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana: a qualitative study