Influenza Immunization in Nursing Homes: Who Does Not Get Immunized and Whose Status Is Unknown?
Influenza Immunization in Nursing Homes: Who Does Not Get Immunized and Whose Status Is Unknown?
复制标题
疗养院的流感免疫：谁没有接种疫苗，谁的状况未知？
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
B. Bardenheier
中科院分区：
文献类型：
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作者：
J. Marsteller;R. Tiggle;R. Remsburg;A. Shefer;B. Bardenheier
Objective.确定与未接受流感疫苗接种和免疫状态未知的患者相关的疗养院居民和设施特征。设计二级数据分析使用多项逻辑回归的数据，从全国养老院调查，一个全国代表性的建立为基础的调查。设置.对1 423个所有资质和认证的护理设施进行了系统抽样，抽样概率与床位数成比例。患者1999年7月至12月期间，共有7 350名年龄在65岁或65岁以上的人随机抽样住在养老院（每个设施约6人）。主要结果测量。居民免疫状况。结果15%的居民没有接种疫苗，19%的人免疫状况不明。在多变量分析中，缺乏免疫接种和未知免疫接种状态分别与新入院、没有或未知肺炎球菌免疫接种、设施未能进行免疫接种筛查和在病历中记录接种有关。高危状态和工作人员免疫要求没有影响。单独分析显示，免疫状态未知的居民与接种疫苗和未接种疫苗的居民在统计学上有显著差异。结论这项研究表明，居民和设施的特点与未能进行流感免疫接种。设施应考虑针对年轻、新入院和住宿护理居民进行流感免疫接种，因为他们更有可能被错过。进一步研究的障碍，具体到养老院居民的选择或机会免疫接种可能是必要的。
Objective. To identify nursing home resident and facility characteristics associated with patients not receiving influenza immunization and having unknown immunization status. Design. Secondary data analysis using multinomial logistic regression of data from the National Nursing Home Survey, a nationally representative establishment-based survey. Setting. A total of 1,423 nursing facilities of all ownerships and certifications systematically sampled with probability proportional to number of beds. Patients. A total of 7,350 randomly sampled people aged 65 years or older residing in nursing homes between July and December 1999 (approximately 6 per facility). Main Outcome Measure. Immunization status of residents. Results. Fifteen percent of residents were not immunized and 19% had unknown immunization status. In multivariate analysis, lack of immunization and unknown immunization status were each separately associated with being newly admitted, with no or unknown pneumococcal immunization, and with facility failures to screen for immunization and to record inoculation in the medical record. High-risk status and staff immunization requirements had no effect. Separate analyses showed that residents with unknown immunization status are statistically significantly different from both those vaccinated and those not vaccinated. Conclusion. This study indicates that both resident and facility characteristics are associated with failure to be immunized for influenza. Facilities should consider targeting younger, newly admitted, and residential care residents for influenza immunization, since they are more likely to be missed. Further research into the barriers to immunization specific to nursing home resident choice or opportunity may be warranted.
DOI：
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发表时间：
2001
期刊：
The Journal of family practice
影响因子：
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作者：
Zimmerman,RK;Silverman,M;Janosky,JE;Mieczkowski,TA;Wilson,SA;Bardella,IJ;Medsger,AR;Terry,MA;Ball,JA;Nowalk,MP
通讯作者：
Nowalk,MP