Related Experiment Video
Updated: Aug 9, 2026
05:21
A Luciferase-fluorescent Reporter Influenza Virus for Live Imaging and Quantification of Viral Infection
Published on: August 14, 2019
Influenza immunization in nursing homes: who does not get immunized and whose status is unknown?
Jill A Marsteller1, Ronald Tiggle, Robin Remsburg
1Division of Health Care Statistics, National Center for Health Statistics, 3311 Toldeo Road, Hyattsville, MD 20782, USA. ble2@cdc.gov
Infection Control and Hospital Epidemiology
|April 20, 2006
Summary
Nursing home residents, especially younger and newly admitted ones, are less likely to receive influenza immunizations due to facility factors. Understanding these characteristics is key to improving vaccination rates in elder care settings.
Area of Science:
- Gerontology
- Public Health
- Epidemiology
Background:
- Influenza vaccination is crucial for preventing morbidity and mortality in vulnerable populations.
- Nursing home residents represent a high-risk group for influenza complications.
- Identifying factors associated with low influenza immunization rates is essential for targeted interventions.
Purpose of the Study:
- To identify nursing home resident and facility characteristics linked to patients not receiving influenza immunization.
- To determine factors associated with an unknown influenza immunization status among nursing home residents.
Main Methods:
- Secondary data analysis of the National Nursing Home Survey (NNHS).
- Multinomial logistic regression was employed.
- Data included 1,423 nursing facilities and 7,350 residents aged 65+.
Main Results:
- 15% of residents were not immunized; 19% had unknown immunization status.
- Lack of immunization and unknown status were associated with new admission, no/unknown pneumococcal immunization, and facility documentation failures.
- Facility screening for immunization and medical record inoculation recording failures were significant factors.
Conclusions:
- Both resident and facility characteristics influence influenza immunization rates in nursing homes.
- Interventions should target younger, newly admitted, and residential care residents who are more likely to be missed.
- Further research is needed to explore barriers to influenza immunization in nursing home settings.
Related Concept Videos
01:51Vaccinations
Overview
01:30Pneumonia 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.
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.
01:27Influenza
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...
01:30Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:25Transmission-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...
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...
01:28Infectious Diseases and Their Occurrence
Infectious diseases appear in populations through various transmission patterns, influenced by pathogen characteristics, population immunity, environmental conditions, and social behavior. Understanding these patterns is essential for effective public health surveillance and intervention. These categories—sporadic, outbreak, epidemic, pandemic, and endemic—help frame the nature and scope of disease events.Sporadic diseases occur irregularly and infrequently, without a predictable temporal or...