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Published on: December 1, 2017
Improving influenza immunization rates among healthcare workers caring for high-risk pediatric patients
Kristina A Bryant1, Beth Stover, Linda Cain
1University of Louisville, KY, USA.
Insights
Healthcare worker influenza vaccination rates in high-risk pediatric units reached 53% in 2000-2001. Educational fact cards and mobile carts improved influenza immunization coverage in these critical care settings.
Area of Science:
- Pediatric Healthcare
- Infectious Disease Prevention
- Occupational Health
Background:
- Influenza vaccination is crucial for healthcare workers (HCWs) to prevent transmission in vulnerable patient populations.
- Assessing vaccination rates in high-risk pediatric units is essential for targeted infection control strategies.
Purpose of the Study:
- To evaluate influenza immunization coverage among HCWs in neonatal intensive care units (NICUs), pediatric intensive care units (PICUs), and oncology units within the Pediatric Prevention Network (PPN).
Main Methods:
- Surveys were distributed to Infection Control Practitioners and HCWs in NICUs, PICUs, and oncology units across PPN hospitals during the 2000-2001 influenza season.
- Educational materials, including posters and fact sheets, were disseminated to participating hospitals prior to a survey on immunization status.
Main Results:
- A median influenza immunization rate of 43% was reported by Infection Control Practitioners, with 7 hospitals exceeding 50%.
- Among 1123 HCWs surveyed, 53% reported receiving influenza immunization, with rates of 52% in NICUs/PICUs and 60% in oncology units.
- Mobile carts and PPN educational fact cards were significantly associated with higher vaccination rates (P < .001).
Conclusions:
- Despite delayed vaccine distribution, influenza immunization rates in several hospitals and high-risk pediatric units surpassed the 50% goal for the 2000-2001 season.
- Targeted interventions like educational fact cards and mobile carts demonstrate efficacy in improving HCW influenza vaccination coverage in critical care settings.
Objective:
To assess influenza vaccination rates of healthcare workers (HCWs) in neonatal intensive care units (NICUs), pediatric intensive care units (PICUs), and oncology units in Pediatric Prevention Network (PPN) hospitals.
Participants:
Infection control practitioners and HCWs in NICUs, PICUs, and oncology units.
Methods:
In November 2000, posters, electronic copies of a slide presentation, and an influenza fact sheet were distributed to 32 of 76 PPN hospitals. In January 2001, a survey was distributed to PPN hospital participants to obtain information about the immunization campaigns. On February 7, 2001, a survey of influenza immunization was conducted among HCWs in NICU, PICU, and oncology units at participating hospitals.
Results:
Infection control practitioners from 19 (25%) of the 76 PPN hospitals completed the surveys. The median influenza immunization rate was 43% (range, 12% to 63%), with 7 hospitals exceeding 50%. HCWs (n = 1123) at 15 PPN hospitals completed a survey; 53% of HCWs reported receiving influenza immunization. Immunization rates varied by work site: 52% in NICUs and PICUs compared with 60% in oncology units. Mobile carts and PPN educational fact cards were associated with higher rates among these subpopulations (P < .001) (361 [63%] of 575 vs 236 [44%] of 541 for mobile carts; 378 [60%] of 633 vs 219 [45%] of 483 for fact cards).
Conclusion:
Despite delayed distribution of influenza vaccine during the 2000-2001 season, immunization rates at 7 hospitals and among HCWs in high-risk units exceeded the National Association of Children's Hospitals and Related Institutions goal of 50%.
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