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.
Abstract

Related Concept Videos

Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Vaccinations01:51

Vaccinations

Overview
Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Influenza01:27

Influenza

Influenza is an acute, highly communicable viral disease that affects the respiratory tract and is responsible for seasonal epidemics worldwide. Influenza A is the most prevalent type associated with widespread outbreaks and is subtyped based on two surface glycoproteins: hemagglutinin (H) and neuraminidase (N), as in H1N1. These glycoproteins are essential for viral infectivity, transmission, and immune recognition. Transmission occurs primarily through respiratory droplets and contaminated...
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...