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Médecine du travail du personnel hospitalier

Can we achieve high uptakes of influenza vaccination of healthcare workers in hospitals? A cross-sectional survey of acute NHS trusts in England

Auteur     M Edelstein
Auteur     R Pebody
Volume     142
Numéro     2
Pages     438-447
Publication     Epidemiology and infection
ISSN     1469-4409
Date     Feb 2014
Résumé     It is unknown which intervention strategies are used or effective to increase influenza vaccine uptake by healthcare workers (HCWs) in acute hospitals in England. We undertook a survey in acute hospitals, described strategies employed from 2008 to 2012 and used multivariable binomial regression to identify those effective. Eighty out of 166 trusts responded and reported 25 strategies. Every intervention showed increased use: peer vaccination from 3·8% to 38·8% (+921%); educational DVDs from 3·8% to 22·5% (+492%); Twitter from 2·5% to 12·5% (+400%) and Facebook from 1·3% to 6·3% (+384%). Peer vaccination increased uptake by 7·3% [95% confidence interval (CI) 1·1-13·6, P = 0·02] overall; educational DVDs by 9·7% overall (95% CI 1·8-17·6, P = 0·02), 11·9% in non-doctor, non-nurse HCWs (95% CI 0·9-22·8, P = 0·03). For doctors, using a champion doctor increased uptake by 17·8% (95% CI 7·6-28·0, P < 0·01). No intervention increased uptake by nurses. Increasing uptake requires multi-intervention strategies targeted at different HCW groups.

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