Consistency of self-reported and documented historical influenza vaccination status of US healthcare workers.
Consistency of self-reported and documented historical influenza vaccination status of US healthcare workers.
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DOI：
10.1111/irv.12988
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发表时间：
2022-09
影响因子：
4.4
通讯作者：
Groom, Holly
中科院分区：
文献类型：
--
作者：
Regan, Annette K.;Wesley, Meredith G.;Gaglani, Manjusha;Kim, Sara S.;Edwards, Laura J.;Murthy, Kempapura;Jeddy, Zuha;Naleway, Allison L.;Flannery, Brendan;Dawood, Fatimah S.;Groom, Holly
医护人员 (HCP) 是每年流感疫苗接种的优先群体。很少有研究评估 HCP 回忆先前流感疫苗接种状况的有效性，尤其是之前一个以上季节的疫苗接种情况。使用来自美国两个医疗系统的 947 名 HCP 的流感疫苗接种随机对照试验的数据，我们评估了参与者自我报告与前五个流感季节流感疫苗接种状况的管理记录文件之间的一致性；计算卡帕系数和灵敏度值。行政记录文档被认为是黄金标准。记录的疫苗接种来源包括电子病历、员工健康记录、外部免疫提供者和国家免疫信息系统。在 683 名既往有流感免疫信息的 HCP 中，89.7%（95% CI：87.2%，91.9%）的 HCP 能够自我报告调查前一个季节的疫苗接种状况。到前第五季时，82.6%（95% CI：79.5%、85.3%）的 HCP 能够进行自我报告。在自我报告疫苗接种状况的 HCP 中，自我报告与记录的疫苗接种状况之间的一致性范围从第五季的 81.9%（95% CI：77.2%、86.7%）到访谈前一季的 90.5%（95% CI：87.2%、93.9%）。与之前所有五个季节都接种过疫苗的 HCP 相比，仅在前五个季节中的某些季节接种疫苗的 HCP (18.3%) 在回忆中出现 ≥2 个错误的情况更常见（55.7% 对 4.3%）。自我报告的疫苗接种状况是持续接种疫苗的医护人员历史流感疫苗接种信息的可靠来源，但对于有不一致疫苗接种史的人来说不太可靠。
Healthcare personnel (HCP) are a priority group for annual influenza vaccination. Few studies have assessed the validity of recall of prior influenza vaccination status among HCP, especially for more than one preceding season. Using data from a randomized controlled trial of influenza vaccination among 947 HCP from two US healthcare systems, we assessed agreement between participant self‐report and administrative record documentation of influenza vaccination status during the preceding five influenza seasons; kappa coefficients and sensitivity values were calculated. Administrative record documentation was considered the gold standard. Documented vaccination sources included electronic medical records, employee health records, outside immunization providers, and the state immunization information system. Among 683 HCP with prior influenza immunization information, 89.7% (95% CI: 87.2%, 91.9%) of HCP were able to self‐report their vaccination status for the season preceding the survey. By the fifth preceding season, 82.6% (95% CI: 79.5%, 85.3%) of HCP were able to self‐report. Among HCP who self‐reported their vaccination status, agreement between self‐report and documented vaccination status ranged from 81.9% (95% CI: 77.2%, 86.7%) for the fifth season to 90.5% (95% CI: 87.2%, 93.9%) for the season preceding interview. HCP who received vaccine for only some of the preceding five seasons (18.3%) more commonly had ≥2 errors in their recall compared with those vaccinated all five preceding seasons (55.7% vs. 4.3%). Self‐reported vaccination status is a reliable source for historical influenza vaccination information among HCP who are consistently vaccinated but less reliable for those with a history of inconsistent vaccination.
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