Division of Infectious Diseases, University of Louisville School of Medicine, Louisville, KY 40202, USA.
Am J Infect Control. 2013 Jul;41(7):581-4. doi: 10.1016/j.ajic.2012.08.013. Epub 2013 Jan 11.
Guidelines exist that recommend specific vaccines for health care personnel and supporting documents provide guidance for program development and implementation, but the extent to which those guidelines have been implemented in health care personnel immunization programs has not been fully explored. This project aimed to evaluate current practices in US health care facilities concerning health care personnel immunization programs.
A Web-based survey was deployed to 13,670 infection preventionists to assess 5 major program areas: (1) immunization program management; (2) vaccines provided to health care personnel; (3) vaccine handling practices; (4) training provided for the individual(s) responsible for the program; and (5) quality indicators for the program. A scoring scale was developed that demonstrated an overall measure of program performance.
The Web-based survey resulted in 1,006 completed responses. When assessing overall program performance, the median vaccine program score was 47.6%. Respondents certified in infection prevention (CIC) scored significantly higher in overall program performance than respondents not certified (54% vs, 43%, respectively, P = .003).
Results of the survey have identified a number of education and training opportunities that can be addressed by professional associations using available evidence-based and proven implementation materials as resource documents.
现已有针对医护人员的特定疫苗推荐指南，相关支持文件也为项目开发和实施提供了指导，但这些指南在医护人员免疫计划中的实施程度尚未得到充分探索。本项目旨在评估美国医疗机构中与医护人员免疫计划相关的现行实践。
采用基于网络的调查向 13670 名感染预防专家进行评估，涵盖 5 个主要项目领域：（1）免疫计划管理；（2）提供给医护人员的疫苗；（3）疫苗处理实践；（4）为负责该计划的个人提供的培训；（5）计划的质量指标。制定了一个评分标准，以展示计划绩效的整体衡量标准。
网络调查共收到 1006 份完整回复。在评估整体计划绩效时，疫苗计划的中位数评分为 47.6%。接受过感染预防认证（CIC）的受访者在整体计划绩效方面的得分明显高于未接受过认证的受访者（分别为 54%和 43%，P =.003）。
调查结果确定了一些教育和培训机会，专业协会可以利用现有的循证和经过验证的实施材料作为资源文件来解决这些问题。
