Veille documentaire MTPH

Médecine du travail du personnel hospitalier

An effective strategy for influenza vaccination of healthcare workers in Australia: experience at a large health service without a mandatory policy

Auteur       Kristina Heinrich-Morrison
Auteur       Sue McLellan
Auteur       Ursula McGinnes
Auteur       Brendan Carroll
Auteur       Kerrie Watson
Auteur       Pauline Bass
Auteur       Leon J. Worth
Auteur       Allen C. Cheng
Volume       15
Pages       42
Publication       BMC infectious diseases
ISSN       1471-2334
Date       2015
Résumé       BACKGROUND: Annual influenza vaccination of healthcare workers (HCWs) is recommended in Australia, but uptake in healthcare facilities has historically been low (approximately 50%). The objective of this study was to develop and implement a dedicated campaign to improve uptake of staff influenza annual vaccination at a large Australian health service. METHODS: A quality improvement program was developed at Alfred Health, a tertiary metropolitan health service spanning 3 campuses. Pre-campaign evaluation was performed by questionnaire in 2013 to plan a multimodal vaccination strategy. Reasons for and against vaccination were captured. A campaign targeting clinical and non-clinical healthcare workers was then implemented between March 31 and July 31 2014. Proportional uptake of influenza vaccination was determined by campus and staff category. RESULTS: Pre-campaign questionnaire responses were received from 1328/6879 HCWs (response rate 20.4%), of which 76% were vaccinated. Common beliefs held by unvaccinated staff included vaccine ineffectiveness (37.1%), that vaccination makes staff unwell (21.0%), or that vaccination is not required because staff are at low risk for acquiring influenza (20.2%). In 2014, 6009/7480 (80.3%) staff were vaccinated, with significant improvement in uptake across all campuses and amongst nursing, medical and allied health staff categories from 2013 to 2014 (p < 0.0001). CONCLUSIONS: A non-mandatory multimodal strategy utilising social marketing and a customised staff database was successful in increasing influenza vaccination uptake by all staff categories. The sustainability of dedicated campaigns must be evaluated.

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doi:10.1186/s12879-015-0765-7

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