Department of infectious diseases, Institut de Veille Sanitaire (InVS) (French Institute for Public Health Surveillance), Saint-Maurice, France.
BMC Public Health. 2010 Mar 25;10:159. doi: 10.1186/1471-2458-10-159.
Nursing home residents bear a substantial burden of influenza morbidity and mortality. Vaccination of residents and healthcare workers (HCWs) is the main strategy for prevention. Despite recommendations, influenza vaccination coverage among HCWs remains generally low.
During the 2007-2008 influenza season, we conducted a nationwide survey to estimate influenza vaccination coverage of HCWs and residents in nursing homes for elderly people in France and to identify determinants of vaccination rates. Multivariate analysis were performed with a negative binomial regression.
Influenza vaccination coverage rates were 33.6% (95% CI: 31.9-35.4) for HCWs and 91% (95% CI: 90-92) for residents. Influenza vaccination uptake of HCWs varied by occupational category. Higher vaccination coverage was found in private elderly care residences, when free vaccination was offered (RR: 1.89, 1.35-2.64), in small nursing homes (RR: 1.54, 1.31-1.81) and when training sessions and staff meetings on influenza were organized (RR: 1.20, 1.11-1.29). The analysis by occupational category showed that some determinants were shared by all categories of professionals (type of nursing homes, organization of training and staff meetings on influenza). Higher influenza vaccination coverage was found when free vaccination was offered to recreational, cleaning, administrative staff, nurses and nurse assistants, but not for physicians.
This nationwide study assessed for the first time the rate of influenza vaccination among residents and HCWs in nursing homes for elderly in France. Better communication on the current recommendations regarding influenza vaccination is needed to increase compliance of HCWs. Vaccination programmes should include free vaccination and education campaigns targeting in priority nurses and nurse assistants.
养老院居民在流感发病率和死亡率方面负担沉重。为预防起见，为居民和医护人员（HCW）接种疫苗是主要策略。尽管有建议，但 HCW 的流感疫苗接种覆盖率仍普遍较低。
在 2007-2008 年流感季节，我们在法国进行了一项全国性调查，以估计养老院中 HCW 和居民的流感疫苗接种覆盖率，并确定疫苗接种率的决定因素。采用负二项回归进行多变量分析。
HCW 的流感疫苗接种覆盖率为 33.6%（95%CI：31.9-35.4），居民为 91%（95%CI：90-92）。HCW 的流感疫苗接种率因职业类别而异。在私人养老院提供免费疫苗接种时（RR：1.89，1.35-2.64），在小型疗养院中（RR：1.54，1.31-1.81），当组织流感培训课程和员工会议时（RR：1.20，1.11-1.29），发现疫苗接种覆盖率更高。按职业类别进行的分析表明，某些决定因素为所有类别的专业人员所共有（疗养院类型，流感培训和员工会议的组织）。为娱乐，清洁，行政人员，护士和护士助理提供免费疫苗接种时，发现流感疫苗接种率更高，但医生除外。
这项全国性研究首次评估了法国养老院中居民和 HCW 的流感疫苗接种率。需要就当前流感疫苗接种建议进行更好的沟通，以提高 HCW 的依从性。疫苗接种计划应包括免费疫苗接种和针对护士和护士助理的教育活动。
