An intensive 5-year-long influenza vaccination campaign is effective among doctors but not nurses
Identifieur interne : 000320 ( Istex/Corpus ); précédent : 000319; suivant : 000321An intensive 5-year-long influenza vaccination campaign is effective among doctors but not nurses
Auteurs : A. Friedl ; C. Aegerter ; E. Saner ; D. Meier ; J. H. BeerSource :
- Infection [ 0300-8126 ] ; 2012.
Abstract
Abstract: Objective: To double the vaccination rates of hospital employees from 20 to 40% by specific interventions over a 5-year period (2003–2007). The secondary endpoint was to compare the effects of the avian influenza in 2005 (intervention period) and the H1N1 influenza pandemic in 2009 (follow-up period, 2008–2009) on vaccination rates. Design, setting, and participants: Free vaccination and its intensive propagation from 2003–2007 in a 400-bed teaching hospital with 1,687 hospital employees. Annual vaccination rates were obtained from 2003 through 2009. Main outcome measurements: Yearly vaccination rates for the intervention period from 2003–2007 and the observational follow-up period of 2008–2009. Results: The overall rate for seasonal influenza vaccination changed non-significantly during the intervention period from 20% in 2003 to 27% in 2007. At the end of the follow-up period in 2009, the vaccination rate was 26%, which was not significantly higher compared with that in 2003. Physicians interestingly increased from 34% in 2003 to 62% in 2007 and to 66% in 2009 (p < 0.001), while nurses dropped non-significantly from an already low proportion of 18% in 2003 to 15% in 2007 and to 16% in 2009 for seasonal influenza vaccination. The difference between nurses and doctors in 2007 is highly significant (p < 0.001). In the year of the avian influenza threat (2005), a significant increase was observed (30 vs. 20%, p < 0.001). This observation was seen again in 2009 (influenza A/H1N1v pandemic), during which the H1N1 vaccine uptake was 33% (p < 0.001, compared to seasonal flu vaccine in 2003). Conclusions: Overall, the vaccination rates did not increase over the 7-year study period. Interventions were successful for physicians but not for nurses. The vaccine uptake was significantly higher during the threat of avian influenza and the influenza A/H1N1v pandemic.
Url:
DOI: 10.1007/s15010-011-0193-6
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Aegerter</name><affiliation><mods:affiliation>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: christoph.aegerter@ksb.ch</mods:affiliation></affiliation></author><author><name sortKey="Saner, E" sort="Saner, E" uniqKey="Saner E" first="E." last="Saner">E. Saner</name><affiliation><mods:affiliation>Department of Nursing, Kantonsspital Baden, Baden, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: edith.saner@ksb.ch</mods:affiliation></affiliation></author><author><name sortKey="Meier, D" sort="Meier, D" uniqKey="Meier D" first="D." last="Meier">D. Meier</name><affiliation><mods:affiliation>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: dorette.meier@ksb.ch</mods:affiliation></affiliation></author><author><name sortKey="Beer, J H" sort="Beer, J H" uniqKey="Beer J" first="J. H." last="Beer">J. H. Beer</name><affiliation><mods:affiliation>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>University Hospital of Bern, Bern, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: hansjuerg.beer@ksb.ch</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:53EE6EA7272144A827D9651A19D0DEDEC0F9E46C</idno><date when="2011" year="2011">2011</date><idno type="doi">10.1007/s15010-011-0193-6</idno><idno type="url">https://api.istex.fr/ark:/67375/VQC-KC7NF9G7-W/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000320</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000320</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">An intensive 5-year-long influenza vaccination campaign is effective among doctors but not nurses</title><author><name sortKey="Friedl, A" sort="Friedl, A" uniqKey="Friedl A" first="A." last="Friedl">A. Friedl</name><affiliation><mods:affiliation>Infectious Diseases/Department of Medicine Kantonsspital Baden, Switzerland Kantonsspital Baden AG, 5404, Baden, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: andree.friedl@ksb.ch</mods:affiliation></affiliation></author><author><name sortKey="Aegerter, C" sort="Aegerter, C" uniqKey="Aegerter C" first="C." last="Aegerter">C. Aegerter</name><affiliation><mods:affiliation>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: christoph.aegerter@ksb.ch</mods:affiliation></affiliation></author><author><name sortKey="Saner, E" sort="Saner, E" uniqKey="Saner E" first="E." last="Saner">E. Saner</name><affiliation><mods:affiliation>Department of Nursing, Kantonsspital Baden, Baden, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: edith.saner@ksb.ch</mods:affiliation></affiliation></author><author><name sortKey="Meier, D" sort="Meier, D" uniqKey="Meier D" first="D." last="Meier">D. Meier</name><affiliation><mods:affiliation>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: dorette.meier@ksb.ch</mods:affiliation></affiliation></author><author><name sortKey="Beer, J H" sort="Beer, J H" uniqKey="Beer J" first="J. H." last="Beer">J. H. Beer</name><affiliation><mods:affiliation>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>University Hospital of Bern, Bern, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: hansjuerg.beer@ksb.ch</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Infection</title><title level="j" type="abbrev">Infection</title><idno type="ISSN">0300-8126</idno><idno type="eISSN">1439-0973</idno><imprint><publisher ref="https://scientific-publisher.data.istex.fr/ark:/67375/H02-SWLMH5L1-1">Springer-Verlag</publisher><pubPlace>Berlin/Heidelberg</pubPlace><date type="published" when="2012">2012</date><biblScope unit="vol" from="40" to="40">40</biblScope><biblScope unit="issue" from="1" to="1">1</biblScope><biblScope unit="page" from="57">57</biblScope><biblScope unit="page" to="62">62</biblScope></imprint><idno type="ISSN">0300-8126</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0300-8126</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Objective: To double the vaccination rates of hospital employees from 20 to 40% by specific interventions over a 5-year period (2003–2007). The secondary endpoint was to compare the effects of the avian influenza in 2005 (intervention period) and the H1N1 influenza pandemic in 2009 (follow-up period, 2008–2009) on vaccination rates. Design, setting, and participants: Free vaccination and its intensive propagation from 2003–2007 in a 400-bed teaching hospital with 1,687 hospital employees. Annual vaccination rates were obtained from 2003 through 2009. Main outcome measurements: Yearly vaccination rates for the intervention period from 2003–2007 and the observational follow-up period of 2008–2009. Results: The overall rate for seasonal influenza vaccination changed non-significantly during the intervention period from 20% in 2003 to 27% in 2007. At the end of the follow-up period in 2009, the vaccination rate was 26%, which was not significantly higher compared with that in 2003. Physicians interestingly increased from 34% in 2003 to 62% in 2007 and to 66% in 2009 (p < 0.001), while nurses dropped non-significantly from an already low proportion of 18% in 2003 to 15% in 2007 and to 16% in 2009 for seasonal influenza vaccination. The difference between nurses and doctors in 2007 is highly significant (p < 0.001). In the year of the avian influenza threat (2005), a significant increase was observed (30 vs. 20%, p < 0.001). This observation was seen again in 2009 (influenza A/H1N1v pandemic), during which the H1N1 vaccine uptake was 33% (p < 0.001, compared to seasonal flu vaccine in 2003). Conclusions: Overall, the vaccination rates did not increase over the 7-year study period. Interventions were successful for physicians but not for nurses. The vaccine uptake was significantly higher during the threat of avian influenza and the influenza A/H1N1v pandemic.</div></front></TEI><istex><corpusName>springer-journals</corpusName><author><json:item><name>A. Friedl</name><affiliations><json:string>Infectious Diseases/Department of Medicine Kantonsspital Baden, Switzerland Kantonsspital Baden AG, 5404, Baden, Switzerland</json:string><json:string>E-mail: andree.friedl@ksb.ch</json:string></affiliations></json:item><json:item><name>C. Aegerter</name><affiliations><json:string>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</json:string><json:string>E-mail: christoph.aegerter@ksb.ch</json:string></affiliations></json:item><json:item><name>E. Saner</name><affiliations><json:string>Department of Nursing, Kantonsspital Baden, Baden, Switzerland</json:string><json:string>E-mail: edith.saner@ksb.ch</json:string></affiliations></json:item><json:item><name>D. Meier</name><affiliations><json:string>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</json:string><json:string>E-mail: dorette.meier@ksb.ch</json:string></affiliations></json:item><json:item><name>J. H. Beer</name><affiliations><json:string>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</json:string><json:string>University Hospital of Bern, Bern, Switzerland</json:string><json:string>E-mail: hansjuerg.beer@ksb.ch</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Influenza vaccination</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Health care workers</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Vaccination rates</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Physicians</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Nurses</value></json:item></subject><articleId><json:string>193</json:string><json:string>s15010-011-0193-6</json:string></articleId><arkIstex>ark:/67375/VQC-KC7NF9G7-W</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>OriginalPaper</json:string></originalGenre><abstract>Abstract: Objective: To double the vaccination rates of hospital employees from 20 to 40% by specific interventions over a 5-year period (2003–2007). The secondary endpoint was to compare the effects of the avian influenza in 2005 (intervention period) and the H1N1 influenza pandemic in 2009 (follow-up period, 2008–2009) on vaccination rates. Design, setting, and participants: Free vaccination and its intensive propagation from 2003–2007 in a 400-bed teaching hospital with 1,687 hospital employees. Annual vaccination rates were obtained from 2003 through 2009. Main outcome measurements: Yearly vaccination rates for the intervention period from 2003–2007 and the observational follow-up period of 2008–2009. Results: The overall rate for seasonal influenza vaccination changed non-significantly during the intervention period from 20% in 2003 to 27% in 2007. At the end of the follow-up period in 2009, the vaccination rate was 26%, which was not significantly higher compared with that in 2003. Physicians interestingly increased from 34% in 2003 to 62% in 2007 and to 66% in 2009 (p > 0.001), while nurses dropped non-significantly from an already low proportion of 18% in 2003 to 15% in 2007 and to 16% in 2009 for seasonal influenza vaccination. The difference between nurses and doctors in 2007 is highly significant (p > 0.001). In the year of the avian influenza threat (2005), a significant increase was observed (30 vs. 20%, p > 0.001). This observation was seen again in 2009 (influenza A/H1N1v pandemic), during which the H1N1 vaccine uptake was 33% (p > 0.001, compared to seasonal flu vaccine in 2003). Conclusions: Overall, the vaccination rates did not increase over the 7-year study period. Interventions were successful for physicians but not for nurses. The vaccine uptake was significantly higher during the threat of avian influenza and the influenza A/H1N1v pandemic.</abstract><qualityIndicators><score>7.02</score><pdfWordCount>3353</pdfWordCount><pdfCharCount>21897</pdfCharCount><pdfVersion>1.4</pdfVersion><pdfPageCount>6</pdfPageCount><pdfPageSize>595.276 x 790.866 pts</pdfPageSize><refBibsNative>false</refBibsNative><abstractWordCount>292</abstractWordCount><abstractCharCount>1895</abstractCharCount><keywordCount>5</keywordCount><pdfWordsPerPage>559</pdfWordsPerPage><pdfText>true</pdfText></qualityIndicators><title>An intensive 5-year-long influenza vaccination campaign is effective among doctors but not 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type="first">A.</forename><surname>Friedl</surname></persName><email>andree.friedl@ksb.ch</email><affiliation><orgName type="department">Infectious Diseases/Department of Medicine Kantonsspital Baden</orgName><orgName type="institution">Switzerland Kantonsspital Baden AG</orgName><address><postCode>5404</postCode><settlement>Baden</settlement><country key="CH" xml:lang="en">SWITZERLAND</country></address></affiliation></author><author><persName><forename type="first">C.</forename><surname>Aegerter</surname></persName><email>christoph.aegerter@ksb.ch</email><affiliation><orgName type="department">Department of Medicine</orgName><orgName type="institution">Kantonsspital Baden</orgName><address><settlement>Baden</settlement><country key="CH" xml:lang="en">SWITZERLAND</country></address></affiliation></author><author><persName><forename type="first">E.</forename><surname>Saner</surname></persName><email>edith.saner@ksb.ch</email><affiliation><orgName type="department">Department of Nursing</orgName><orgName type="institution">Kantonsspital Baden</orgName><address><settlement>Baden</settlement><country key="CH" xml:lang="en">SWITZERLAND</country></address></affiliation></author><author><persName><forename type="first">D.</forename><surname>Meier</surname></persName><email>dorette.meier@ksb.ch</email><affiliation><orgName type="department">Department of Medicine</orgName><orgName type="institution">Kantonsspital Baden</orgName><address><settlement>Baden</settlement><country key="CH" xml:lang="en">SWITZERLAND</country></address></affiliation></author><author><persName><forename type="first">J.</forename><forename type="middle">H.</forename><surname>Beer</surname></persName><email>hansjuerg.beer@ksb.ch</email><affiliation><orgName type="department">Department of Medicine</orgName><orgName type="institution">Kantonsspital Baden</orgName><address><settlement>Baden</settlement><country key="CH" 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<ref target="http://www.tei-c.org/">We use TEI</ref></desc></application></appInfo></encodingDesc><profileDesc><abstract xml:lang="en"><head>Abstract</head><head>Objective</head><p>To double the vaccination rates of hospital employees from 20 to 40% by specific interventions over a 5-year period (2003–2007). The secondary endpoint was to compare the effects of the avian influenza in 2005 (intervention period) and the H1N1 influenza pandemic in 2009 (follow-up period, 2008–2009) on vaccination rates.</p><head>Design, setting, and participants</head><p>Free vaccination and its intensive propagation from 2003–2007 in a 400-bed teaching hospital with 1,687 hospital employees. Annual vaccination rates were obtained from 2003 through 2009.</p><head>Main outcome measurements</head><p>Yearly vaccination rates for the intervention period from 2003–2007 and the observational follow-up period of 2008–2009.</p><head>Results</head><p>The overall rate for seasonal influenza vaccination changed non-significantly during the intervention period from 20% in 2003 to 27% in 2007. At the end of the follow-up period in 2009, the vaccination rate was 26%, which was not significantly higher compared with that in 2003. Physicians interestingly increased from 34% in 2003 to 62% in 2007 and to 66% in 2009 (<hi rend="italic">p</hi> < 0.001), while nurses dropped non-significantly from an already low proportion of 18% in 2003 to 15% in 2007 and to 16% in 2009 for seasonal influenza vaccination. The difference between nurses and doctors in 2007 is highly significant (<hi rend="italic">p</hi> < 0.001). In the year of the avian influenza threat (2005), a significant increase was observed (30 vs. 20%, <hi rend="italic">p</hi> < 0.001). This observation was seen again in 2009 (influenza A/H1N1v pandemic), during which the H1N1 vaccine uptake was 33% (<hi rend="italic">p</hi> < 0.001, compared to seasonal flu vaccine in 2003).</p><head>Conclusions</head><p>Overall, the vaccination rates did not increase over the 7-year study period. Interventions were successful for physicians but not for nurses. 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TocLevels="0"><IssueIDStart>1</IssueIDStart><IssueIDEnd>1</IssueIDEnd><IssueArticleCount>21</IssueArticleCount><IssueHistory><OnlineDate><Year>2012</Year><Month>2</Month><Day>21</Day></OnlineDate><PrintDate><Year>2012</Year><Month>2</Month><Day>20</Day></PrintDate><CoverDate><Year>2012</Year><Month>2</Month></CoverDate><PricelistYear>2012</PricelistYear></IssueHistory><IssueCopyright><CopyrightHolderName>Springer-Verlag</CopyrightHolderName><CopyrightYear>2012</CopyrightYear></IssueCopyright></IssueInfo><Article ID="s15010-011-0193-6" OutputMedium="All"><ArticleInfo ArticleType="OriginalPaper" ContainsESM="No" Language="En" NumberingStyle="Unnumbered" TocLevels="0"><ArticleID>193</ArticleID><ArticleDOI>10.1007/s15010-011-0193-6</ArticleDOI><ArticleSequenceNumber>8</ArticleSequenceNumber><ArticleTitle Language="En" OutputMedium="All">An intensive 5-year-long influenza vaccination campaign is effective among doctors but not nurses</ArticleTitle><ArticleCategory>Clinical and Epidemiological Study</ArticleCategory><ArticleFirstPage>57</ArticleFirstPage><ArticleLastPage>62</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2011</Year><Month>8</Month><Day>22</Day></RegistrationDate><Received><Year>2011</Year><Month>2</Month><Day>10</Day></Received><Accepted><Year>2011</Year><Month>8</Month><Day>22</Day></Accepted><OnlineDate><Year>2011</Year><Month>9</Month><Day>29</Day></OnlineDate></ArticleHistory><ArticleCopyright><CopyrightHolderName>Springer-Verlag</CopyrightHolderName><CopyrightYear>2011</CopyrightYear></ArticleCopyright><ArticleGrants Type="Regular"><MetadataGrant Grant="OpenAccess"></MetadataGrant><AbstractGrant Grant="OpenAccess"></AbstractGrant><BodyPDFGrant Grant="Restricted"></BodyPDFGrant><BodyHTMLGrant Grant="Restricted"></BodyHTMLGrant><BibliographyGrant Grant="Restricted"></BibliographyGrant><ESMGrant Grant="Restricted"></ESMGrant></ArticleGrants></ArticleInfo><ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1" CorrespondingAffiliationID="Aff1"><AuthorName DisplayOrder="Western"><GivenName>A.</GivenName><FamilyName>Friedl</FamilyName></AuthorName><Contact><Phone>+41-56-4862521</Phone><Fax>+41-56-4862589</Fax><Email>andree.friedl@ksb.ch</Email></Contact></Author><Author AffiliationIDS="Aff2"><AuthorName DisplayOrder="Western"><GivenName>C.</GivenName><FamilyName>Aegerter</FamilyName></AuthorName><Contact><Email>christoph.aegerter@ksb.ch</Email></Contact></Author><Author AffiliationIDS="Aff3"><AuthorName DisplayOrder="Western"><GivenName>E.</GivenName><FamilyName>Saner</FamilyName></AuthorName><Contact><Email>edith.saner@ksb.ch</Email></Contact></Author><Author AffiliationIDS="Aff2"><AuthorName DisplayOrder="Western"><GivenName>D.</GivenName><FamilyName>Meier</FamilyName></AuthorName><Contact><Email>dorette.meier@ksb.ch</Email></Contact></Author><Author AffiliationIDS="Aff2 Aff4"><AuthorName DisplayOrder="Western"><GivenName>J.</GivenName><GivenName>H.</GivenName><FamilyName>Beer</FamilyName></AuthorName><Contact><Email>hansjuerg.beer@ksb.ch</Email></Contact></Author><Affiliation ID="Aff1"><OrgDivision>Infectious Diseases/Department of Medicine Kantonsspital Baden</OrgDivision><OrgName>Switzerland Kantonsspital Baden AG</OrgName><OrgAddress><Postcode>5404</Postcode><City>Baden</City><Country Code="CH">Switzerland</Country></OrgAddress></Affiliation><Affiliation ID="Aff2"><OrgDivision>Department of Medicine</OrgDivision><OrgName>Kantonsspital Baden</OrgName><OrgAddress><City>Baden</City><Country Code="CH">Switzerland</Country></OrgAddress></Affiliation><Affiliation ID="Aff3"><OrgDivision>Department of Nursing</OrgDivision><OrgName>Kantonsspital Baden</OrgName><OrgAddress><City>Baden</City><Country Code="CH">Switzerland</Country></OrgAddress></Affiliation><Affiliation ID="Aff4"><OrgName>University Hospital of Bern</OrgName><OrgAddress><City>Bern</City><Country Code="CH">Switzerland</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En" OutputMedium="All"><Heading>Abstract</Heading><AbstractSection ID="ASec1"><Heading>Objective</Heading><Para>To double the vaccination rates of hospital employees from 20 to 40% by specific interventions over a 5-year period (2003–2007). The secondary endpoint was to compare the effects of the avian influenza in 2005 (intervention period) and the H1N1 influenza pandemic in 2009 (follow-up period, 2008–2009) on vaccination rates.</Para></AbstractSection><AbstractSection ID="ASec2"><Heading>Design, setting, and participants</Heading><Para>Free vaccination and its intensive propagation from 2003–2007 in a 400-bed teaching hospital with 1,687 hospital employees. Annual vaccination rates were obtained from 2003 through 2009.</Para></AbstractSection><AbstractSection ID="ASec3"><Heading>Main outcome measurements</Heading><Para>Yearly vaccination rates for the intervention period from 2003–2007 and the observational follow-up period of 2008–2009.</Para></AbstractSection><AbstractSection ID="ASec4"><Heading>Results</Heading><Para>The overall rate for seasonal influenza vaccination changed non-significantly during the intervention period from 20% in 2003 to 27% in 2007. At the end of the follow-up period in 2009, the vaccination rate was 26%, which was not significantly higher compared with that in 2003. Physicians interestingly increased from 34% in 2003 to 62% in 2007 and to 66% in 2009 (<Emphasis Type="Italic">p</Emphasis> < 0.001), while nurses dropped non-significantly from an already low proportion of 18% in 2003 to 15% in 2007 and to 16% in 2009 for seasonal influenza vaccination. The difference between nurses and doctors in 2007 is highly significant (<Emphasis Type="Italic">p</Emphasis> < 0.001). In the year of the avian influenza threat (2005), a significant increase was observed (30 vs. 20%, <Emphasis Type="Italic">p</Emphasis> < 0.001). This observation was seen again in 2009 (influenza A/H1N1v pandemic), during which the H1N1 vaccine uptake was 33% (<Emphasis Type="Italic">p</Emphasis> < 0.001, compared to seasonal flu vaccine in 2003).</Para></AbstractSection><AbstractSection ID="ASec5"><Heading>Conclusions</Heading><Para>Overall, the vaccination rates did not increase over the 7-year study period. Interventions were successful for physicians but not for nurses. The vaccine uptake was significantly higher during the threat of avian influenza and the influenza A/H1N1v pandemic.</Para></AbstractSection></Abstract><KeywordGroup Language="En" OutputMedium="All"><Heading>Keywords</Heading><Keyword>Influenza vaccination</Keyword><Keyword>Health care workers</Keyword><Keyword>Vaccination rates</Keyword><Keyword>Physicians</Keyword><Keyword>Nurses</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>An intensive 5-year-long influenza vaccination campaign is effective among doctors but not nurses</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>An intensive 5-year-long influenza vaccination campaign is effective among doctors but not nurses</title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">A.</namePart><namePart type="family">Friedl</namePart><affiliation>Infectious Diseases/Department of Medicine Kantonsspital Baden, Switzerland Kantonsspital Baden AG, 5404, Baden, Switzerland</affiliation><affiliation>E-mail: andree.friedl@ksb.ch</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.</namePart><namePart type="family">Aegerter</namePart><affiliation>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</affiliation><affiliation>E-mail: christoph.aegerter@ksb.ch</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">E.</namePart><namePart type="family">Saner</namePart><affiliation>Department of Nursing, Kantonsspital Baden, Baden, Switzerland</affiliation><affiliation>E-mail: edith.saner@ksb.ch</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D.</namePart><namePart type="family">Meier</namePart><affiliation>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</affiliation><affiliation>E-mail: dorette.meier@ksb.ch</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.</namePart><namePart type="given">H.</namePart><namePart type="family">Beer</namePart><affiliation>Department of Medicine, Kantonsspital Baden, Baden, Switzerland</affiliation><affiliation>University Hospital of Bern, Bern, Switzerland</affiliation><affiliation>E-mail: hansjuerg.beer@ksb.ch</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">Berlin/Heidelberg</placeTerm></place><dateCreated encoding="w3cdtf">2011-02-10</dateCreated><dateIssued encoding="w3cdtf">2012-02-01</dateIssued><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Abstract: Objective: To double the vaccination rates of hospital employees from 20 to 40% by specific interventions over a 5-year period (2003–2007). The secondary endpoint was to compare the effects of the avian influenza in 2005 (intervention period) and the H1N1 influenza pandemic in 2009 (follow-up period, 2008–2009) on vaccination rates. Design, setting, and participants: Free vaccination and its intensive propagation from 2003–2007 in a 400-bed teaching hospital with 1,687 hospital employees. Annual vaccination rates were obtained from 2003 through 2009. Main outcome measurements: Yearly vaccination rates for the intervention period from 2003–2007 and the observational follow-up period of 2008–2009. Results: The overall rate for seasonal influenza vaccination changed non-significantly during the intervention period from 20% in 2003 to 27% in 2007. At the end of the follow-up period in 2009, the vaccination rate was 26%, which was not significantly higher compared with that in 2003. Physicians interestingly increased from 34% in 2003 to 62% in 2007 and to 66% in 2009 (p < 0.001), while nurses dropped non-significantly from an already low proportion of 18% in 2003 to 15% in 2007 and to 16% in 2009 for seasonal influenza vaccination. The difference between nurses and doctors in 2007 is highly significant (p < 0.001). In the year of the avian influenza threat (2005), a significant increase was observed (30 vs. 20%, p < 0.001). This observation was seen again in 2009 (influenza A/H1N1v pandemic), during which the H1N1 vaccine uptake was 33% (p < 0.001, compared to seasonal flu vaccine in 2003). Conclusions: Overall, the vaccination rates did not increase over the 7-year study period. Interventions were successful for physicians but not for nurses. The vaccine uptake was significantly higher during the threat of avian influenza and the influenza A/H1N1v pandemic.</abstract><note>Clinical and Epidemiological Study</note><subject lang="en"><genre>Keywords</genre><topic>Influenza vaccination</topic><topic>Health care workers</topic><topic>Vaccination rates</topic><topic>Physicians</topic><topic>Nurses</topic></subject><relatedItem type="host"><titleInfo><title>Infection</title><subTitle>A Journal of Infectious Disease</subTitle></titleInfo><titleInfo type="abbreviated"><title>Infection</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">2012</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>General Practice / Family Medicine</topic><topic>Internal Medicine</topic><topic>Infectious Diseases</topic></subject><identifier type="ISSN">0300-8126</identifier><identifier type="eISSN">1439-0973</identifier><identifier type="JournalID">15010</identifier><identifier type="IssueArticleCount">21</identifier><identifier type="VolumeIssueCount">6</identifier><part><date>2012</date><detail type="volume"><number>40</number><caption>vol.</caption></detail><detail type="issue"><number>1</number><caption>no.</caption></detail><extent unit="pages"><start>57</start><end>62</end></extent></part><recordInfo><recordOrigin>Springer-Verlag, 2012</recordOrigin></recordInfo></relatedItem><identifier type="istex">53EE6EA7272144A827D9651A19D0DEDEC0F9E46C</identifier><identifier type="ark">ark:/67375/VQC-KC7NF9G7-W</identifier><identifier type="DOI">10.1007/s15010-011-0193-6</identifier><identifier type="ArticleID">193</identifier><identifier type="ArticleID">s15010-011-0193-6</identifier><accessCondition type="use and reproduction" contentType="copyright">Springer-Verlag, 2011</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>Converted from (version 1.2.14) to MODS version 3.6.</recordOrigin><recordCreationDate encoding="w3cdtf">2020-05-30</recordCreationDate></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-KC7NF9G7-W/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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