Essential Hospitals Institute of the America's Essential Hospitals, Washington, DC.
Geriatric Research Education and Clinical Center, Specialty Care Center of Innovation and Division of Infectious Diseases, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH; Division of Infectious Diseases and HIV Medicine, Department of Medicine and Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, OH.
J Am Med Dir Assoc. 2020 Jan;21(1):25-28.e2. doi: 10.1016/j.jamda.2019.11.008.
Preventing influenza infections is a national health priority, particularly among geriatric and adults with frailty who reside in post-acute and long-term care (PALTC) settings. Older adults account for more than 70% of deaths from influenza, a reflection of decreased vaccine effectiveness in that age group. Annually vaccinating health care personnel (HCP) working with these patients against influenza is critical to reducing influenza morbidity and mortality among patients. PALTC HCP have the lowest influenza vaccination rate when compared to HCP in other settings. The Advisory Committee on Immunization Practices recommends that all HCP receive an annual influenza vaccination, including those who do not have direct patient care responsibilities. Here, we discuss the importance of influenza vaccination for HCP, detail recommendations for influenza vaccination practice and procedures for PALTC settings, and offer support to PALTC settings and their staff on influenza vaccinations.
预防流感感染是国家卫生重点,尤其是在老年人群体和患有虚弱症的成年人中,他们居住在康复和长期护理(PALTC)环境中。老年人占流感死亡人数的 70%以上,这反映出该年龄段疫苗效果下降。每年为与这些患者一起工作的医护人员(HCP)接种流感疫苗对于降低患者的流感发病率和死亡率至关重要。与其他环境中的 HCP 相比,PALTC HCP 的流感疫苗接种率最低。免疫实践咨询委员会建议所有 HCP 每年接种流感疫苗,包括那些没有直接患者护理责任的 HCP。在这里,我们讨论了流感疫苗接种对 HCP 的重要性,详细说明了针对 PALTC 环境的流感疫苗接种实践和程序的建议,并为 PALTC 环境及其工作人员提供了流感疫苗接种方面的支持。