MMWR Morb Mortal Wkly Rep. 2013 Sep 27;62(38):781-6.
Routine influenza vaccination of health-care personnel (HCP) every influenza season can reduce influenza-related illness and its potentially serious consequences among HCP and their patients. To protect HCP and their patients, the Advisory Committee on Immunization Practices (ACIP) recommends that all HCP be vaccinated against influenza during each influenza season. To estimate influenza vaccination coverage among HCP during the 2012-13 season, CDC conducted an opt-in Internet panel survey of 1,944 self-selected HCP during April 1-16, 2013. This report summarizes the results of that survey, which found that, overall, 72.0% of HCP reported having had an influenza vaccination for the 2012-13 season, an increase from 66.9% vaccination coverage during the 2011-12 season. By occupation type, coverage was 92.3% among physicians, 89.1% among pharmacists, 88.5% among nurse practitioners/physician assistants, and 84.8% among nurses. By occupational setting, vaccination coverage was highest among hospital-based HCP (83.1%) and was lowest among HCP at long-term care facilities (LTCF) (58.9%). Vaccination coverage was higher for HCP in occupational settings offering vaccination on-site at no cost for one (75.7%) or multiple (86.2%) days compared with HCP in occupational settings not offering vaccination on-site at no cost (55.3%). Widespread implementation of comprehensive influenza vaccination strategies that focus on improving access to vaccination services is needed to improve HCP vaccination coverage. Influenza vaccination of HCP in all health-care settings might be increased by providing 1) HCP with information on vaccination benefits and risks for themselves and their patients, 2) vaccinations in the workplace at convenient locations and times, and 3) influenza vaccinations at no cost.
常规的流感疫苗接种每年都可以减少医护人员(HCP)患流感的几率,及其对医护人员和患者产生的潜在严重后果。为了保护医护人员和患者,免疫实践咨询委员会(ACIP)建议每年流感季节都要对所有医护人员进行流感疫苗接种。为了估计 2012-13 年流感季节医护人员的流感疫苗接种率,疾病预防控制中心(CDC)于 2013 年 4 月 1 日至 16 日,通过互联网自愿参与小组调查了 1944 名自我选择的医护人员。本报告总结了该调查结果,结果显示,总体而言,有 72.0%的医护人员表示在 2012-13 年接种了流感疫苗,比 2011-12 年的 66.9%有所增加。按职业类型划分,医生的接种率为 92.3%,药剂师为 89.1%,执业护士/医师助理为 88.5%,护士为 84.8%。按职业场所划分,医院医护人员的接种率最高(83.1%),长期护理机构(LTCF)的医护人员接种率最低(58.9%)。在为 HCP 提供免费现场接种服务(1 天或多天)的职业场所中,HCP 的接种率高于未提供免费现场接种服务的职业场所(55.3%)。需要广泛实施综合流感疫苗接种策略,重点是改善疫苗接种服务的可及性,以提高医护人员的疫苗接种率。通过以下措施可以提高所有卫生保健环境中医护人员的流感疫苗接种率:1)为医护人员提供有关疫苗接种对自己和患者的益处和风险的信息;2)在方便的地点和时间在工作场所接种疫苗;3)免费接种流感疫苗。