Mandatory employee vaccination as a strategy for early and comprehensive health care personnel immunization coverage: Experience from 10 influenza seasons
Mandatory employee vaccination as a strategy for early and comprehensive health care personnel immunization coverage: Experience from 10 influenza seasons
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DOI：
10.1016/j.ajic.2020.01.015
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发表时间：
2020-10-01
影响因子：
4.9
通讯作者：
Babcock, Hilary M.
中科院分区：
文献类型：
--
作者：
Blank, Christopher;Gemeinhart, Nancy;Babcock, Hilary M.
工作背景：流感在美国造成数千人死亡，并在卫生保健设施中提出了特别的挑战，人们的患病率更高，不良后果的风险增加。每年的流感疫苗接种长期以来一直被推荐，雇主政策的影响可能性卫生保健人员immunized.Methods：这是一个大型医疗机构保持的疫苗接种数据的审查，以评估强制性的卫生保健人员疫苗接种政策在2008-2009年期间实施的影响。结果：强制性流感疫苗接种政策实施前，流感季节医护人员疫苗接种率为70%，强制性流感疫苗接种政策实施后，医护人员疫苗接种率迅速上升至98.4%。在随后的9年中，疫苗接种率超过97%。宗教和医疗豁免在学术医疗中心减少，在社区医院保持一致。在接种疫苗的员工，接种疫苗的高峰期转移到9月下旬或10月初相比，10月下旬或11月初之前的强制性policy.Conclusions：需要接种疫苗导致持续增加的工作人员接种疫苗覆盖率在学术医疗中心和社区医院。强制性政策似乎也鼓励提前接种疫苗。(C)2020感染控制和流行病学专业人员协会，Inc.爱思唯尔公司出版All rights reserved.
Background: Influenza is responsible for thousands of deaths in the United States and presents particular challenges in health care facilities with a greater prevalence of people at increased risk for adverse outcomes. Annual influenza vaccination has long been recommended, and employer policies influence the likelihood health care personnel are immunized.Methods: This is a review of vaccination data maintained by a large health care organization to assess the effects of a mandatory health care personnel vaccination policy implemented during 2008-2009. Vaccination rates, timing of immunizations, and requests for medical or religious exemptions were assessed from 2006-2007 to 2017-2018.Results: The health care personnel vaccination rate was 70% during the influenza season before the mandatory policy was implemented and increased to 98.4% immediately afterward. Vaccination rates exceeded 97% during the subsequent 9 years. Religious and medical exemptions decreased at academic medical centers and remained consistent at community hospitals. Among immunized employees, the peak date for vaccination shifted to late September or early October compared to late October or early November before the mandatory policy.Conclusions: Requiring vaccination led to sustained increases in staff vaccination coverage at academic medical centers and community hospitals. The mandatory policy also appeared to encourage earlier vaccination. (C) 2020 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.