Influenza and pneumococcal vaccination and tuberculin skin testing programs in long-term care facilities: where do we stand?
Identifieur interne : 000B88 ( Main/Curation ); précédent : 000B87; suivant : 000B89Influenza and pneumococcal vaccination and tuberculin skin testing programs in long-term care facilities: where do we stand?
Auteurs : M A Mcarthur [Canada] ; A E Simor ; B. Campbell ; A. McgeerSource :
- Infection control and hospital epidemiology [ 0899-823X ] ; 1995.
Descripteurs français
- KwdFr :
- Canada, Enquêtes et questionnaires, Entretiens comme sujet, Humains, Maisons de repos (), Politique de santé, Programmes de vaccination, Soins de longue durée, Streptococcus pneumoniae (immunologie), Test tuberculinique (), Téléphone, Vaccination (), Vaccination (économie), Vaccins antibactériens (économie), Vaccins antigrippaux (économie), Études transversales.
- MESH :
- immunologie : Streptococcus pneumoniae.
- économie : Vaccination, Vaccins antibactériens, Vaccins antigrippaux.
- Canada, Enquêtes et questionnaires, Entretiens comme sujet, Humains, Maisons de repos, Politique de santé, Programmes de vaccination, Soins de longue durée, Test tuberculinique, Téléphone, Vaccination, Études transversales.
English descriptors
- KwdEn :
- Bacterial Vaccines (economics), Canada, Cross-Sectional Studies, Health Policy, Humans, Immunization Programs, Influenza Vaccines (economics), Interviews as Topic, Long-Term Care, Nursing Homes (statistics & numerical data), Streptococcus pneumoniae (immunology), Surveys and Questionnaires, Telephone, Tuberculin Test (statistics & numerical data), Vaccination (economics), Vaccination (statistics & numerical data).
- MESH :
- chemical , economics : Bacterial Vaccines, Influenza Vaccines.
- economics : Vaccination.
- immunology : Streptococcus pneumoniae.
- statistics & numerical data : Nursing Homes, Tuberculin Test, Vaccination.
- Canada, Cross-Sectional Studies, Health Policy, Humans, Immunization Programs, Interviews as Topic, Long-Term Care, Surveys and Questionnaires, Telephone.
Abstract
OBJECTIVE
1) To compare policies and procedures for distribution of influenza and pneumococcal vaccines to long-term care facilities for the elderly in Canada, 2) to determine vaccination rates of residents and staff, and 3) to describe vaccination and tuberculin skin testing programs in these facilities.
DESIGN
A cross-sectional survey consisting of telephone interviews and a mailed questionnaire was conducted in the spring of 1991. Telephone interviews were conducted with provincial/territorial epidemiologists. The questionnaire was sent to all (N = 1.520) Canadian long-term care facilities for the elderly with > or = 25 beds.
RESULTS
There were 1,270 responding facilities (84%). The mean overall influenza vaccination rate for residents was 78.5%. The mean vaccination rate was higher in those provinces in which the vaccine was paid for by the government (79% versus 71%; P = 0.002). Only 19% of facilities reported staff vaccination rates > 25%; rates again were higher in those provinces in which vaccine for staff was provided by the government. Pneumococcal vaccine was offered to residents in 12% of the facilities. The proportions of facilities with > 10% and > 75% of residents vaccinated were significantly higher in the provinces where the pneumococcal vaccine was recommended and paid for as compared with those where it was not (P < 0.001 for both). Tuberculin skin testing programs for residents existed in 360 long-term care facilities (28%) across the country.
CONCLUSION
In 1990, the number of residents living in Canadian long-term care facilities who were vaccinated against influenza and Streptococcus pneumoniae was suboptimal. Staff influenza vaccination rates were very low across the country. Most facilities did not have a baseline tuberculin skin test status for their residents. Vaccination rates are higher in jurisdictions in which governments provide the vaccine without charge.
DOI: 10.1086/646997
PubMed: 7897169
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Campbell</name></author><author><name sortKey="Mcgeer, A" sort="Mcgeer, A" uniqKey="Mcgeer A" first="A" last="Mcgeer">A. Mcgeer</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1995">1995</date><idno type="RBID">pubmed:7897169</idno><idno type="pmid">7897169</idno><idno type="doi">10.1086/646997</idno><idno type="wicri:Area/Main/Corpus">000B88</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000B88</idno><idno type="wicri:Area/Main/Curation">000B88</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000B88</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Influenza and pneumococcal vaccination and tuberculin skin testing programs in long-term care facilities: where do we stand?</title><author><name sortKey="Mcarthur, M A" sort="Mcarthur, M A" uniqKey="Mcarthur M" first="M A" last="Mcarthur">M A Mcarthur</name><affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Princess Margaret/Mount Sinai Hospitals, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Microbiology, Princess Margaret/Mount Sinai Hospitals, Toronto, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Simor, A E" sort="Simor, A E" uniqKey="Simor A" first="A E" last="Simor">A E Simor</name></author><author><name sortKey="Campbell, B" sort="Campbell, B" uniqKey="Campbell B" first="B" last="Campbell">B. Campbell</name></author><author><name sortKey="Mcgeer, A" sort="Mcgeer, A" uniqKey="Mcgeer A" first="A" last="Mcgeer">A. Mcgeer</name></author></analytic><series><title level="j">Infection control and hospital epidemiology</title><idno type="ISSN">0899-823X</idno><imprint><date when="1995" type="published">1995</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bacterial Vaccines (economics)</term><term>Canada</term><term>Cross-Sectional Studies</term><term>Health Policy</term><term>Humans</term><term>Immunization Programs</term><term>Influenza Vaccines (economics)</term><term>Interviews as Topic</term><term>Long-Term Care</term><term>Nursing Homes (statistics & numerical data)</term><term>Streptococcus pneumoniae (immunology)</term><term>Surveys and Questionnaires</term><term>Telephone</term><term>Tuberculin Test (statistics & numerical data)</term><term>Vaccination (economics)</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Canada</term><term>Enquêtes et questionnaires</term><term>Entretiens comme sujet</term><term>Humains</term><term>Maisons de repos ()</term><term>Politique de santé</term><term>Programmes de vaccination</term><term>Soins de longue durée</term><term>Streptococcus pneumoniae (immunologie)</term><term>Test tuberculinique ()</term><term>Téléphone</term><term>Vaccination ()</term><term>Vaccination (économie)</term><term>Vaccins antibactériens (économie)</term><term>Vaccins antigrippaux (économie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="economics" xml:lang="en"><term>Bacterial Vaccines</term><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Streptococcus pneumoniae</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Streptococcus pneumoniae</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Nursing Homes</term><term>Tuberculin Test</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Vaccination</term><term>Vaccins antibactériens</term><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Canada</term><term>Cross-Sectional Studies</term><term>Health Policy</term><term>Humans</term><term>Immunization Programs</term><term>Interviews as Topic</term><term>Long-Term Care</term><term>Surveys and Questionnaires</term><term>Telephone</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Canada</term><term>Enquêtes et questionnaires</term><term>Entretiens comme sujet</term><term>Humains</term><term>Maisons de repos</term><term>Politique de santé</term><term>Programmes de vaccination</term><term>Soins de longue durée</term><term>Test tuberculinique</term><term>Téléphone</term><term>Vaccination</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>1) To compare policies and procedures for distribution of influenza and pneumococcal vaccines to long-term care facilities for the elderly in Canada, 2) to determine vaccination rates of residents and staff, and 3) to describe vaccination and tuberculin skin testing programs in these facilities.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A cross-sectional survey consisting of telephone interviews and a mailed questionnaire was conducted in the spring of 1991. Telephone interviews were conducted with provincial/territorial epidemiologists. The questionnaire was sent to all (N = 1.520) Canadian long-term care facilities for the elderly with > or = 25 beds.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>There were 1,270 responding facilities (84%). The mean overall influenza vaccination rate for residents was 78.5%. The mean vaccination rate was higher in those provinces in which the vaccine was paid for by the government (79% versus 71%; P = 0.002). Only 19% of facilities reported staff vaccination rates > 25%; rates again were higher in those provinces in which vaccine for staff was provided by the government. Pneumococcal vaccine was offered to residents in 12% of the facilities. The proportions of facilities with > 10% and > 75% of residents vaccinated were significantly higher in the provinces where the pneumococcal vaccine was recommended and paid for as compared with those where it was not (P < 0.001 for both). Tuberculin skin testing programs for residents existed in 360 long-term care facilities (28%) across the country.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>In 1990, the number of residents living in Canadian long-term care facilities who were vaccinated against influenza and Streptococcus pneumoniae was suboptimal. Staff influenza vaccination rates were very low across the country. Most facilities did not have a baseline tuberculin skin test status for their residents. Vaccination rates are higher in jurisdictions in which governments provide the vaccine without charge.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">7897169</PMID><DateCompleted><Year>1995</Year><Month>04</Month><Day>24</Day></DateCompleted><DateRevised><Year>2019</Year><Month>09</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0899-823X</ISSN><JournalIssue CitedMedium="Print"><Volume>16</Volume><Issue>1</Issue><PubDate><Year>1995</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Infection control and hospital epidemiology</Title><ISOAbbreviation>Infect Control Hosp Epidemiol</ISOAbbreviation></Journal><ArticleTitle>Influenza and pneumococcal vaccination and tuberculin skin testing programs in long-term care facilities: where do we stand?</ArticleTitle><Pagination><MedlinePgn>18-24</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">1) To compare policies and procedures for distribution of influenza and pneumococcal vaccines to long-term care facilities for the elderly in Canada, 2) to determine vaccination rates of residents and staff, and 3) to describe vaccination and tuberculin skin testing programs in these facilities.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A cross-sectional survey consisting of telephone interviews and a mailed questionnaire was conducted in the spring of 1991. Telephone interviews were conducted with provincial/territorial epidemiologists. The questionnaire was sent to all (N = 1.520) Canadian long-term care facilities for the elderly with > or = 25 beds.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">There were 1,270 responding facilities (84%). The mean overall influenza vaccination rate for residents was 78.5%. The mean vaccination rate was higher in those provinces in which the vaccine was paid for by the government (79% versus 71%; P = 0.002). Only 19% of facilities reported staff vaccination rates > 25%; rates again were higher in those provinces in which vaccine for staff was provided by the government. Pneumococcal vaccine was offered to residents in 12% of the facilities. The proportions of facilities with > 10% and > 75% of residents vaccinated were significantly higher in the provinces where the pneumococcal vaccine was recommended and paid for as compared with those where it was not (P < 0.001 for both). Tuberculin skin testing programs for residents existed in 360 long-term care facilities (28%) across the country.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In 1990, the number of residents living in Canadian long-term care facilities who were vaccinated against influenza and Streptococcus pneumoniae was suboptimal. Staff influenza vaccination rates were very low across the country. Most facilities did not have a baseline tuberculin skin test status for their residents. Vaccination rates are higher in jurisdictions in which governments provide the vaccine without charge.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McArthur</LastName><ForeName>M A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Department of Microbiology, Princess Margaret/Mount Sinai Hospitals, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Simor</LastName><ForeName>A E</ForeName><Initials>AE</Initials></Author><Author ValidYN="Y"><LastName>Campbell</LastName><ForeName>B</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>McGeer</LastName><ForeName>A</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Infect Control Hosp Epidemiol</MedlineTA><NlmUniqueID>8804099</NlmUniqueID><ISSNLinking>0899-823X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D001428">Bacterial Vaccines</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001428" MajorTopicYN="Y">Bacterial Vaccines</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006291" MajorTopicYN="N">Health Policy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017589" MajorTopicYN="N">Immunization Programs</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="Y">Influenza Vaccines</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007407" MajorTopicYN="N">Interviews as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008134" MajorTopicYN="N">Long-Term Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009735" MajorTopicYN="N">Nursing Homes</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013296" MajorTopicYN="N">Streptococcus pneumoniae</DescriptorName><QualifierName UI="Q000276" MajorTopicYN="Y">immunology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013689" MajorTopicYN="N">Telephone</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014374" MajorTopicYN="N">Tuberculin Test</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1995</Year><Month>1</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1995</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1995</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">7897169</ArticleId><ArticleId IdType="doi">10.1086/646997</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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