South Metropolitan Public Health Unit, Fremantle, Western Australia.
J Hosp Infect. 2009 Nov;73(3):203-9. doi: 10.1016/j.jhin.2009.07.028. Epub 2009 Sep 26.
To increase local influenza vaccination uptake among healthcare workers (HCWs), a co-ordinated, area-wide influenza vaccination campaign was undertaken in 2008 for five hospitals in the South Metropolitan Area Health Service of Perth, Western Australia (WA). The programme included standardised marketing and data collection, with a consent form completed by each recipient. Denominator data were obtained from the WA Department of Health's staff database. Vaccination coverage at each hospital was calculated and compared with that of 2007, with predictors for vaccination determined using a follow-up cross-sectional survey. A total of 6387 influenza vaccinations were administered. The coverage rate was above 55% in all but one hospital (range: 48.8-76.5%) whereas in 2007 no hospital achieved 55% (range: 29-51%). Allied health professionals attained the highest coverage (57.7%), followed by doctors (51.9%), nurses (49.6%) and patient support staff (48.6%). Of HCWs who worked half-time or more, 58.8% were vaccinated. The main reasons for vaccination were to prevent influenza, limit spread, and the programme's availability. The survey revealed that HCWs who perceived that they were susceptible to influenza, that it was a serious disease and that immunisation was effective and important were significantly more likely to be vaccinated. An area-wide approach to HCW influenza vaccination can substantially improve uptake. Regular working party meetings, consistent marketing, standardised data collection and analysis, and senior management support were key elements and could be used by others to attain good vaccination coverage among HCWs.
为提高医护人员（HCWs）的本地流感疫苗接种率，2008 年在西澳大利亚州珀斯南部都会区卫生服务的五家医院开展了一次协调的、全地区范围的流感疫苗接种运动。该计划包括标准化的营销和数据收集，并由每位接受者填写同意书。分母数据从西澳大利亚州卫生部的员工数据库中获得。计算了每家医院的疫苗接种覆盖率，并与 2007 年进行了比较，使用后续横断面调查确定了疫苗接种的预测因素。共接种了 6387 剂流感疫苗。除了一家医院（范围：48.8-76.5%）外，所有医院的覆盖率均超过 55%，而 2007 年没有一家医院达到 55%（范围：29-51%）。辅助卫生专业人员的覆盖率最高（57.7%），其次是医生（51.9%）、护士（49.6%）和患者支持人员（48.6%）。在兼职或以上工作的 HCWs 中，有 58.8%接受了疫苗接种。接种疫苗的主要原因是预防流感、限制传播，以及该计划的可获得性。调查显示，认为自己容易感染流感、流感是一种严重疾病以及免疫接种有效且重要的 HCWs 更有可能接种疫苗。针对 HCW 流感疫苗接种的全地区方法可以大大提高接种率。定期工作组会议、一致的营销、标准化的数据收集和分析以及高级管理层的支持是关键要素，其他人可以借鉴这些要素来实现 HCWs 良好的疫苗接种覆盖率。
