van den Dool C, Bonten M J M, Hak E, Wallinga J
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Vaccine. 2009 Oct 19;27(44):6261-7. doi: 10.1016/j.vaccine.2009.07.104. Epub 2009 Aug 15.
Nowadays health care worker (HCW) vaccination is widely recommended. Although the benefits of this strategy have been demonstrated in long-term care settings, no studies have been performed in regular hospital departments. We adapt a previously developed model of influenza transmission in a long-term care nursing home department to study the effects of HCW vaccination in hospital wards. We study both the effectiveness and efficiency in reducing the hazard rates of influenza virus infection for patients. Most scenarios under study show a similar or higher impact of hospital HCW vaccination than has been predicted for the long-term care nursing home department. Therefore, it seems justified to extend the recommendations for HCW vaccination, based on results in the long-term care setting, to short-term care settings as well.
如今,医护人员接种疫苗已得到广泛推荐。尽管这一策略的益处已在长期护理机构中得到证实,但尚未在普通医院科室开展相关研究。我们采用先前开发的长期护理养老院科室流感传播模型,来研究医护人员接种疫苗在医院病房的效果。我们研究了降低患者感染流感病毒风险率的有效性和效率。大多数研究情景显示,医院医护人员接种疫苗的影响与长期护理养老院科室相比相似或更高。因此,基于长期护理机构的结果,将医护人员接种疫苗的建议扩展到短期护理机构似乎是合理的。