Emergency Department influenza vaccination campaign allows increasing influenza vaccination coverage without disrupting time interval quality indicators

2018 ◽  
Vol 13 (5) ◽  
pp. 673-678 ◽  
Author(s):  
Enrique Casalino ◽  
◽  
Aiham Ghazali ◽  
Donia Bouzid ◽  
Stephanie Antoniol ◽  
...  
Keyword(s):  
Emergency Department ◽  
Influenza Vaccination ◽  
Quality Indicators ◽  
Vaccination Coverage ◽  
Vaccination Campaign ◽  
Time Interval

scholarly journals Influenza Vaccination Campaign during the COVID-19 Pandemic: The Experience of a Research and Teaching Hospital in Milan

2021 ◽  
Vol 18 (11) ◽  
pp. 5874
Author(s):  
Pier Mario Perrone ◽  
Giacomo Biganzoli ◽  
Maurizio Lecce ◽  
Emanuela Maria Campagnoli ◽  
Ambra Castrofino ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Teaching Hospital ◽  
Vaccination Coverage ◽  
Ad Hoc ◽  
Vaccination Campaign ◽  
Personal Data ◽  
Prevalence Ratio ◽  
Coverage Rate ◽  
Vaccination Coverage Rate ◽  
Research And Teaching

Background: During the COVID-19 pandemic, more than ever, optimal influenza vaccination coverage among healthcare workers (HCWs) is crucial to avoid absenteeism and disruption of health services, as well as in-hospital influenza outbreaks. The aim of this study is to analyze the 2020 influenza vaccination campaign, comparing it with the previous year’s in a research and teaching hospital in Northern Italy. Methods: adopting an approach based on combined strategies, three interventions were deployed: a promotional and educational campaign, vaccination delivery through both ad hoc and on-site ambulatories, and a gaming strategy. Personal data and professional categories were collected and analyzed using univariate logistic regression. Vaccinated HCWs were asked to fill in a questionnaire to describe their reasons for vaccination adherence. Results: the vaccination coverage rate (VCR) was 43.1%, compared to 21.5% in 2019. The highest increase was registered among administrative staff (308.3%), while physicians represent the most vaccinated category (n = 600). Moreover, residents (prevalence ratio (PR): 1.12; 95% CI 1.04–1.20), as well as intensive care (PR: 1.44; 95% CI: 1.24–1.69) and newborn workers (PR: 1.41; 95% CI: 1.20–1.65) were, respectively, the categories most frequently vaccinated for the first time. Conclusion: the significant increase in vaccination coverage rate confirms the suitability of the combined strategy of delivering the flu vaccination campaign and represents a first step towards reaching WHO recommended vaccination rates.

scholarly journals Influenza vaccination coverage among emergency department personnel is associated with perception of vaccination and side effects, vaccination availability on site and the COVID-19 pandemic

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260213
Author(s):  
Anna-Maria Stöckeler ◽  
Philipp Schuster ◽  
Markus Zimmermann ◽  
Frank Hanses
Keyword(s):  
Emergency Department ◽  
Side Effects ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Influenza Pandemic ◽  
Vaccination Rate ◽  
Assessment And Evaluation ◽  
Care Workers ◽  
Almost All ◽  
Mandatory Vaccination

Introduction Influenza is a major concern in hospitals, including the emergency department (ED), mainly because of a high risk for ED personnel to acquire and transmit the disease. Although influenza vaccination is recommended for health care workers, vaccination coverage is low. Methods This survey was conducted in the 2016/2017 and 2020/2021 influenza seasons. Questionnaires were sent to ED personnel in 12 hospitals in Bavaria, South-Eastern Germany. The response rates were 62% and 38% in 2016/2017 and 2020/2021, respectively. Data were compared between the two seasons as well as between vaccinated and not vaccinated respondents in 2020/2021. Results Significantly more ED personnel reported having been vaccinated in the 2020/2021 season. Factors associated with vaccination coverage (or the intention to get vaccinated) were profession (physician / medical student), having been vaccinated at least twice, the availability of an influenza vaccination on site (in the ED) as well as the COVID-19 pandemic. Additionally, significant differences in the assessment and evaluation of influenza, its vaccination side effects and ethical aspects were found between vaccinated and not vaccinated ED personnel in 2020/2021. Unvaccinated respondents estimated higher frequencies of almost all potential vaccination side effects, were less likely to accept lay-offs if employees would not come to work during an influenza pandemic and more likely to agree that work attendance should be an employee´s decision. Vaccinated participants instead, rather agreed that vaccination should be mandatory and were less likely to consider job changes in case of a mandatory vaccination policy. Conclusion The COVID-19 pandemic might have contributed to a higher influenza vaccination rate among ED workers. Vaccination on site and interventions targeting the perception of influenza vaccination and its side effects may be most promising to increase the vaccination coverage among ED personnel.

scholarly journals 2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure

2020 ◽  
Vol 17 (11) ◽  
pp. 3881 ◽  
Author(s):  
Manuel Maffeo ◽  
Ester Luconi ◽  
Ambra Castrofino ◽  
Emanuela Maria Campagnoli ◽  
Andrea Cinnirella ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Teaching Hospital ◽  
Vaccination Coverage ◽  
Vaccination Campaign ◽  
Personal Data ◽  
Vaccination Strategy ◽  
Coverage Rate ◽  
Vaccination Coverage Rate ◽  
Research And Teaching ◽  
First Time

Background: Despite recommendations, the influenza vaccination coverage rate in healthcare workers (HCWs) in Italy is far from the recommended target. The aim of the study is to analyze the influenza vaccination campaign performed in 2019 in a research and teaching hospital in Milan. Methods: The vaccination strategy included an ad hoc ambulatory, as in the previous years, and an onsite ambulatory, introduced for the first time. Personal data and professional categories were collected and analyzed using univariate logistic regression. HCWs who refused the vaccination were asked to fill in a questionnaire to explain their reasons for dissent. Results: The achieved vaccination coverage rate (VCR) for HCWs was 21.5 %, compared to 17.1% in 2018. The lowest VCR was registered among nurses (11.9%), while physicians had the highest VCR (40.7%). Prevalence ratios show that some professional categories were more frequently vaccinated for the first time than attending physicians (reference category); those with statistically significant confidence intervals were nurses (PR: 2.42; 95% CI: 1.78–3.28), residents (PR: 1.85; 95% CI: 1.36–2.53), and auxiliary staff (PR: 2.33; 95% CI: 1.45–3.74). Conclusions: An onsite vaccination strategy failed in providing a remarkable increase in VCR in 2019, but it is important to point out that the campaign was influenced by several logistic problems.

scholarly journals Measures to Improve Influenza Vaccination Coverage in Spanish Medical Students

Vaccines ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 238
Author(s):  
Ignacio Hernández-García ◽  
Carlos Aibar-Remón
Keyword(s):  
Medical Students ◽  
Qualitative Study ◽  
Medical School ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Vaccination Campaign ◽  
Diffusion Of Information ◽  
Flu Vaccination ◽  
Positive Attitudes ◽  
E Mail

Objective: To find out what measures medical students believe could help improve their influenza vaccination coverage. Method: On 5 November 2019, the Dean of the Zaragoza Medical School sent an e-mail to the students asking them to fill out a questionnaire through Google Forms, in which they were asked to describe, in an open field, the measures that they believed could contribute to improving their flu vaccination coverage. The content of the responses was analyzed in a classic way, extracting descriptors and selecting the most representative verbatim accounts. Results: The main measures proposed were to improve the training on influenza and its vaccine, to improve the accessibility of the vaccine in time and space, to provide incentives to get vaccinated, to create visible and positive attitudes towards the vaccine, and to increase the diffusion of information about the vaccination campaign. Conclusion: This qualitative study has found potential measures to be applied specifically to medical students to improve their vaccination coverage in our country.

scholarly journals Vaccination Coverage in Cancer Outpatients: An Interventional Multicenter Before-and-After Study

2021 ◽  
Author(s):  
Pierre Riviere ◽  
Nicolas Penel ◽  
Karine Faure ◽  
Guillaume Marie ◽  
Abeer Najem ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Cancer Patients ◽  
Vaccination Coverage ◽  
Internal Control ◽  
Vaccination Campaign ◽  
Treatment Center ◽  
Educational Training ◽  
Post Intervention ◽  
Day Hospitals ◽  
The Impact

Abstract Purpose: Despite widely disseminated guidelines, pneumococcal and influenza vaccination coverage (VC) remains insufficient in cancer patients receiving chemotherapy. We aimed to perform an interventional study to evaluate and improve VC in cancer patients treated in the medical oncology departments of three North-of-France hospitals. Methods: A standardized questionnaire assessed VC in adult cancer patients receiving anticancer treatment in three day hospitals from December 2–7, 2019. Subsequently (January 2020), we organized educational training sessions for medical staff in each hospital to discuss the current vaccination guidelines. To assess the impact of training on pneumococcal and influenza VC, we re-administered the same questionnaire in March 2020. Because there were no specific guidelines on Diphtheria-Tetanus-Pertussis (DTP) vaccination and no improvement was expected, DTP VC acted as an internal control. Results: In total, 272 patients were enrolled in the “before study” in all three hospitals; 156 patients were enrolled in the “after study” in only two hospitals, as data collection in the third was impossible because of COVID-19 pandemic national containment. The predictors were age for DTP VC, treatment center for pneumococcal VC, and age, sex, and tumor histology (adenocarcinoma vs. others) for influenza VC. Influenza VC was significantly improved post-intervention (42.6% vs. 55.1%, p=0.0169), especially in fragile patients, whereas pneumococcal VC was not (11.8% vs. 15.4%, p=0.3575).Conclusion:As expected, VC was very low in cancer patients, consistent with the literature. The intervention’s impact was limited for pneumococcal VC. The increased influenza VC may reflect the result of the national influenza vaccination campaign.

scholarly journals Gaps in maternal influenza vaccine uptake in Northern Territory: A need for a year-round influenza vaccination campaign

2019 ◽  
Vol 43 ◽  
Author(s):  
Priya Darshene Janagaraj ◽  
Pari Shanmuga Raman Gurusamy ◽  
Rosalind Webby
Keyword(s):  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Vaccination Campaign ◽  
Northern Territory ◽  
Public Hospitals ◽  
Vaccine Uptake ◽  
High Morbidity ◽  
Indigenous Status ◽  
Significant Difference ◽  
Maternal Influenza

Introduction: Maternal influenza vaccination was introduced in 2010 due to the high morbidity and mortality associated with influenza in pregnancy. The aim of this study was to assess the maternal influenza vaccination uptake in Northern Territory public hospitals and identify gaps to improve uptake. Methods: Birth data from Northern Territory (NT) public hospitals obtained from the Perinatal Register for deliveries in 2016 were merged with vaccination records from the NT immunisation register. Results: There were 3,392 viable pregnancies in NT public hospitals in 2016 with 45.6% vaccination coverage against influenza. There was a statistically significant difference in coverage with 68.5% in Indigenous vs 31.7% in non-Indigenous deliveries (p<0.001), yielding an odds ratio of 4.67 (95% CI 4.02, 5.42) for maternal influenza vaccination across Indigenous status. Influenza vaccination coverage for preterm births (<37 weeks) was low especially in non–Indigenous mothers at 27.2% vs 65.05% in Indigenous mothers (p<0.001). A distinct immunisation administration pattern was noted for 2016 with 58.9% of vaccinations occurring between April and June regardless of Indigenous status and maternal gestational age. This correlated with the annual influenza immunisation campaign by the NT and Commonwealth. Conclusion: A year-round maternal influenza vaccination campaign is crucial to avoid missed opportunities and increase vaccination protection for mother and baby. Antenatal influenza vaccination campaign with health care workers education and increasing patient awareness should continue throughout the year.

Vaccination coverage in cancer outpatients: An interventional multicenter before/after study.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e24026-e24026
Author(s):  
Pierre Rivière ◽  
Nicolas Penel ◽  
Karine Faure ◽  
Guillaume Marie ◽  
Sophie Panaget
Keyword(s):  
Influenza Vaccination ◽  
Cancer Patients ◽  
Vaccination Coverage ◽  
Internal Control ◽  
Medical Oncology ◽  
Vaccination Campaign ◽  
Interventional Study ◽  
Anticancer Treatment ◽  
Similar Survey ◽  
The Impact

e24026 Background: Despite largely diffused guidelines, Pneumococcal and Influenza vaccination coverage (VC) remains insufficient in cancer patients receiving chemotherapy. We evaluated VC and carried out an interventional study to improve VC in cancer patients treated in 3 medical oncology departments in 3 hospitals of North-of-France. Methods: Using a standardized questionnaire, we assessed the VC in adult cancer patients receiving anticancer treatment in day hospital between 02 and 07 Dec. 2019. Then, in each hospital, we organized trainings with physicians to discuss the current vaccination guidelines (January 2020). Finally, to assess the impact of this intervention on Pneumococcal and Influenza VC, we have conducted a similar survey using the same questionnaire in March 2020. Since there were no specific guidelines on Diphtheria-Tetanus-Pertussis (DTP) VC and we did not expect an improvement, we have monitored DTP VC as internal control. Results: 272 patients have been enrolled in the “before study” in the 3 hospitals, whereas 156 patients have been enrolled in the “after study” in only 2 hospitals (the after-study was not feasible in 3rd hospital because of COVID-19 pandemic national containment). Predictors associated with DTP VC was age, with Pneumococcal VC was center and with Influenza VC were age, gender and tumor histology (adenocarcinoma vs others). Influenza VC was significantly improved after intervention (42.6 vs 55.1% with p = 0.016) especially in fragile patients, but Pneumococcal VC was not (11.8 vs 15.4% with p = 0.357). Conclusions: As expected, VC was very low in cancer patients, our figures are consistent with literature data. The impact of intervention (training of physicians) is limited without improvement of Pneumococcal VC. We presume that this increase in Influenza VC mainly reflects the overall result of national Influenza vaccination campaign.

scholarly journals A Tool for Early Estimation of Influenza Vaccination Coverage in Spanish General Population and Healthcare Workers in The 2018-19 Season. The Gripómetro

2021 ◽  
Author(s):  
Javier Díez-Domingo ◽  
Esther Redondo Marguello ◽  
Raúl Ortiz Lejarazu Leonardo ◽  
Ángel Gil Miguel ◽  
José María Guillén Ortega ◽  
...  
Keyword(s):  
General Population ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Real Time ◽  
Vaccination Coverage ◽  
Health Care Professionals ◽  
Vaccine Coverage ◽  
Vaccination Campaign ◽  
Risk Groups ◽  
Time Data

Abstract Background: Electronic vaccine registries are not yet widely established. There is a need to real-time monitor influenza vaccine coverage, which may raise awareness to risk groups and professionals, and eventually allow to adopt tailored measures during the vaccination campaign. To evaluate the utility of the “Gripómetro”, a demographic study designed to monitor national and regional influenza vaccine coverage on a weekly basis in Spain. Methods: Quantitative study based on surveys of the Spanish population between 18-80 years and a sample of primary care doctors and nurses randomly selected. Pre-proportional fixation has been established by Autonomous Communities and age group to guarantee the representativeness of all the autonomies. Results: Interviews were conducted in 3400 households of general population and 807 respondents among health care professionals. We found that the results of influenza vaccination coverage obtained by the Gripómetro for 2018-2019 season were mostly comparable with the official data presented by the Ministry of Health after the end of the vaccination campaign. Conclusions: The Gripómetro is a robust research method that provides real-time data and trends for influenza vaccine coverage along with other useful information related to vaccination such as intention to vaccinate, motivation and barriers to vaccination.

scholarly journals Flu vaccination coverage among healthcare workers: a comparison between 2018 and 2019 campaigns

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Varadi ◽  
O G B Vacchi ◽  
V Moretti ◽  
D Pozzi ◽  
L Chirico ◽  
...  
Keyword(s):  
Public Health ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Healthcare Workers ◽  
Influenza Infection ◽  
Vaccination Campaign ◽  
Flu Vaccination ◽  
Public Health Professionals ◽  
Flu Shot ◽  
Official Data

Abstract Background In Italy, recommended annual influenza vaccination is free to healthcare workers (HCWs) to prevent flu spread. No official data are available on HCWs' vaccination coverage (VC), which minimum target is set at 75%. Aim of this study is to compare 2019-20 and 2018-19 flu vaccination coverage in order to evaluate last year campaign effectiveness. Methods 2019-20 flu vaccination campaign efforts at Udine Hospital (Italy) were improved with the aid of public health residents to tackle HCWs convenience concerns. From October 29th to December 5th 2019, dedicated areas and days were increased, informative course about influenza vaccination (efficacy, benefits and safety) toward HCWs were conducted. Data about HCWs getting their flu shot within the hospital were traced and analyzed, grouping different categories. Results During 2019-20 flu season, vaccinated HCWs were 29.1% (1,169/4,012), while they were 22.7% (955/4,203) in 2018-19 (p &lt; 0.0001). The 2019-20 campaign resulted to be effective among doctors (45.0% vs 38.4%; p = 0.0132), residents (52.4% vs 40.7%; p = 0.0003) and nurses (24.1% vs 17.3%; p &lt; 0.0001). The less compliant category was midwives, who maintained the worse vaccination coverage in both seasons (20.4% and 24.1%; p = 0.6555). Regarding other HCWs in 2019-20, 18.6% were vaccinated (in 2018-19 14.0%, p = 0.002). Conclusions A significant improvement in vaccination coverage during 2019-20 flu season was reached by the specific vaccination campaign for all categories except midwives. Despite this, the global vaccination coverage is still far from the desired target and more must be done to fill this gap. Evidence of HCWs categories for which this intervention was more effective, could be useful in planning next flu vaccination strategies. Key messages Continuous efforts made by public health professionals in promoting flu vaccination show their effect on healthcare workers flu shot adherence. A planned vaccination agenda and educative course about influenza infection and benefits of vaccination, seem to be good strategies to improve vaccination coverage.

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