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Prevention of Nosocomial Influenza
Objective: To study compliance with preventive strategies at a university hospital during an outbreak of nosocomial influenza A during the winter of 1988, and the rates of vaccination of healthcare workers and of nosocomial influenza following changes in vaccine practices after the outbreak. Design:...
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| Published in: | Infection control and hospital epidemiology 1996-10, Vol.17 (10), p.641-648 |
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| container_end_page | 648 |
| container_issue | 10 |
| container_start_page | 641 |
| container_title | Infection control and hospital epidemiology |
| container_volume | 17 |
| creator | Adal, Karim A. Flowers, Richard H. Anglim, Anne M. Hayden, Frederick G. Titus, Maureen G. Coyner, Betty J. Farr, Barry M. |
| description | Objective: To study compliance with preventive strategies at a university hospital during an outbreak of nosocomial influenza A during the winter of 1988, and the rates of vaccination of healthcare workers and of nosocomial influenza following changes in vaccine practices after the outbreak. Design: Retrospective review of employee health, hospital epidemiology, hospital computing, and clinical microbiology records. Setting: A university hospital. Interventions: Unvaccinated personnel with exposure within the previous 72 hours to an unisolated case of influenza were offered influenza vaccine and 14 days of amantadine hydrochloride prophylaxis. Personnel with exposure more than 72 hours before evaluation were offered vaccine. A mobile cart was introduced for vaccinating personnel after the 1988 outbreak. Results: An outbreak of influenza with 10 nosocomial cases occurred in 1988. Only 4% of exposed employees had been vaccinated previously and 23% of exposed, unvaccinated employees agreed to take vaccine, amantadine, or both. A mobile-cart vaccination program was instituted, and annual vaccination rates steadily increased from 26.3% in 1989 to 1990 to 38% in 1993 to 1994 (P |
| doi_str_mv | 10.1017/S0195941700002927 |
| format | article |
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Design: Retrospective review of employee health, hospital epidemiology, hospital computing, and clinical microbiology records. Setting: A university hospital. Interventions: Unvaccinated personnel with exposure within the previous 72 hours to an unisolated case of influenza were offered influenza vaccine and 14 days of amantadine hydrochloride prophylaxis. Personnel with exposure more than 72 hours before evaluation were offered vaccine. A mobile cart was introduced for vaccinating personnel after the 1988 outbreak. Results: An outbreak of influenza with 10 nosocomial cases occurred in 1988. Only 4% of exposed employees had been vaccinated previously and 23% of exposed, unvaccinated employees agreed to take vaccine, amantadine, or both. A mobile-cart vaccination program was instituted, and annual vaccination rates steadily increased from 26.3% in 1989 to 1990 to 38% in 1993 to 1994 (P<.0001). The relative frequency of documented cases of influenza in employees with symptoms of influenza decreased significantly during this period (P=.025), but nosocomial influenza rates among patients did not change significantly. Conclusion: A mobile-cart influenza vaccination program was associated with a significant increase in compliance among healthcare workers, but a majority still remained unvaccinated. The rate of nosocomial influenza among patients was not reduced by the modest increase in the vaccination rate, but influenza rates remained acceptably low, perhaps due to respiratory isolation of patients and furlough of employees with influenza.</description><identifier>ISSN: 0899-823X</identifier><identifier>EISSN: 1559-6834</identifier><identifier>DOI: 10.1017/S0195941700002927</identifier><identifier>PMID: 8899437</identifier><language>eng</language><publisher>Thorofare, NJ: SLACK Incorporated</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Amantadine - therapeutic use ; Antiviral Agents - therapeutic use ; Biological and medical sciences ; Chemoprevention ; Chi-Square Distribution ; Child ; Child, Preschool ; Cross Infection - prevention & control ; Disease outbreaks ; Disease Outbreaks - prevention & control ; Epidemics ; Epidemiology ; Health care industry ; Hospital Bed Capacity, 500 and over ; Hospitals, University ; Human viral diseases ; Humans ; Immunization ; Immunization Programs - methods ; Immunization Programs - trends ; Infant ; Infections ; Infectious diseases ; Influenza A virus ; Influenza vaccines ; Influenza, Human - epidemiology ; Influenza, Human - prevention & control ; Influenza, Human - transmission ; Internships ; Longitudinal Studies ; Medical sciences ; Middle Aged ; Nosocomial infection ; Nursing ; Patient Isolation ; Population Surveillance ; Program Evaluation ; Treatment Refusal ; Vaccination ; Vaccination - trends ; Viral diseases ; Viral diseases of the respiratory system and ent viral diseases ; Virginia - epidemiology</subject><ispartof>Infection control and hospital epidemiology, 1996-10, Vol.17 (10), p.641-648</ispartof><rights>Copyright 1996 The Society for Healthcare Epidemiology of America, Inc., and SLACK Incorporated</rights><rights>1996 INIST-CNRS</rights><rights>Copyright Slack, Incorporated Oct 1996</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-f524e35297fae8adb2abf1dc28d142b4b280b09373841f5d7d02d35d90d557273</citedby><cites>FETCH-LOGICAL-c345t-f524e35297fae8adb2abf1dc28d142b4b280b09373841f5d7d02d35d90d557273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3247995$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8899437$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adal, Karim A.</creatorcontrib><creatorcontrib>Flowers, Richard H.</creatorcontrib><creatorcontrib>Anglim, Anne M.</creatorcontrib><creatorcontrib>Hayden, Frederick G.</creatorcontrib><creatorcontrib>Titus, Maureen G.</creatorcontrib><creatorcontrib>Coyner, Betty J.</creatorcontrib><creatorcontrib>Farr, Barry M.</creatorcontrib><title>Prevention of Nosocomial Influenza</title><title>Infection control and hospital epidemiology</title><addtitle>Infect Control Hosp Epidemiol</addtitle><description>Objective: To study compliance with preventive strategies at a university hospital during an outbreak of nosocomial influenza A during the winter of 1988, and the rates of vaccination of healthcare workers and of nosocomial influenza following changes in vaccine practices after the outbreak. Design: Retrospective review of employee health, hospital epidemiology, hospital computing, and clinical microbiology records. Setting: A university hospital. Interventions: Unvaccinated personnel with exposure within the previous 72 hours to an unisolated case of influenza were offered influenza vaccine and 14 days of amantadine hydrochloride prophylaxis. Personnel with exposure more than 72 hours before evaluation were offered vaccine. A mobile cart was introduced for vaccinating personnel after the 1988 outbreak. Results: An outbreak of influenza with 10 nosocomial cases occurred in 1988. Only 4% of exposed employees had been vaccinated previously and 23% of exposed, unvaccinated employees agreed to take vaccine, amantadine, or both. A mobile-cart vaccination program was instituted, and annual vaccination rates steadily increased from 26.3% in 1989 to 1990 to 38% in 1993 to 1994 (P<.0001). The relative frequency of documented cases of influenza in employees with symptoms of influenza decreased significantly during this period (P=.025), but nosocomial influenza rates among patients did not change significantly. Conclusion: A mobile-cart influenza vaccination program was associated with a significant increase in compliance among healthcare workers, but a majority still remained unvaccinated. The rate of nosocomial influenza among patients was not reduced by the modest increase in the vaccination rate, but influenza rates remained acceptably low, perhaps due to respiratory isolation of patients and furlough of employees with influenza.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amantadine - therapeutic use</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Chemoprevention</subject><subject>Chi-Square Distribution</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross Infection - prevention & control</subject><subject>Disease outbreaks</subject><subject>Disease Outbreaks - prevention & control</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Health care industry</subject><subject>Hospital Bed Capacity, 500 and over</subject><subject>Hospitals, University</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunization Programs - methods</subject><subject>Immunization Programs - trends</subject><subject>Infant</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Influenza A virus</subject><subject>Influenza vaccines</subject><subject>Influenza, Human - epidemiology</subject><subject>Influenza, Human - prevention & control</subject><subject>Influenza, Human - transmission</subject><subject>Internships</subject><subject>Longitudinal Studies</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nosocomial infection</subject><subject>Nursing</subject><subject>Patient Isolation</subject><subject>Population Surveillance</subject><subject>Program Evaluation</subject><subject>Treatment Refusal</subject><subject>Vaccination</subject><subject>Vaccination - trends</subject><subject>Viral diseases</subject><subject>Viral diseases of the respiratory system and ent viral diseases</subject><subject>Virginia - epidemiology</subject><issn>0899-823X</issn><issn>1559-6834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><recordid>eNqFkU1LAzEQhoMotVZ_gAehFPW2mslHkxyl-FEoKqjgbcluEtiy3dRkV9Bfb6RLET2YyxzeZ97MvIPQMeALwCAunzAorhgInB5RROygIXCusqmkbBcNsVQqk4S-7qODGJcJEkrBAA1kEhgVQzR5DPbdNm3lm7F343sffelXla7H88bVnW0-9SHac7qO9qivI_Ryc_08u8sWD7fz2dUiKynjbeY4YZZyooTTVmpTEF04MCWRBhgpWEEkLrCigkoGjhthMDGUG4UN54IIOkLnG9918G-djW2-qmJp61o31ncxF5Lj5IT_BYELQUHJBE5-gUvfhSYtkZM0KQg2nSYINlAZfIzBunwdqpUOHzng_Dvl_E_KqeekN-6KlTXbjj7WpJ_2uo6lrl3QTVnFLUYJS3fgCTvbYMvY-vDzX0KxyGlaF1Ke9Au3_4yj</recordid><startdate>19961001</startdate><enddate>19961001</enddate><creator>Adal, Karim A.</creator><creator>Flowers, Richard H.</creator><creator>Anglim, Anne M.</creator><creator>Hayden, Frederick G.</creator><creator>Titus, Maureen G.</creator><creator>Coyner, Betty J.</creator><creator>Farr, Barry M.</creator><general>SLACK Incorporated</general><general>Slack</general><general>Cambridge University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>19961001</creationdate><title>Prevention of Nosocomial Influenza</title><author>Adal, Karim A. ; Flowers, Richard H. ; Anglim, Anne M. ; Hayden, Frederick G. ; Titus, Maureen G. ; Coyner, Betty J. ; Farr, Barry M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-f524e35297fae8adb2abf1dc28d142b4b280b09373841f5d7d02d35d90d557273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amantadine - therapeutic use</topic><topic>Antiviral Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Chemoprevention</topic><topic>Chi-Square Distribution</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross Infection - prevention & control</topic><topic>Disease outbreaks</topic><topic>Disease Outbreaks - prevention & control</topic><topic>Epidemics</topic><topic>Epidemiology</topic><topic>Health care industry</topic><topic>Hospital Bed Capacity, 500 and over</topic><topic>Hospitals, University</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Immunization</topic><topic>Immunization Programs - methods</topic><topic>Immunization Programs - trends</topic><topic>Infant</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Influenza A virus</topic><topic>Influenza vaccines</topic><topic>Influenza, Human - epidemiology</topic><topic>Influenza, Human - prevention & control</topic><topic>Influenza, Human - transmission</topic><topic>Internships</topic><topic>Longitudinal Studies</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nosocomial infection</topic><topic>Nursing</topic><topic>Patient Isolation</topic><topic>Population Surveillance</topic><topic>Program Evaluation</topic><topic>Treatment Refusal</topic><topic>Vaccination</topic><topic>Vaccination - trends</topic><topic>Viral diseases</topic><topic>Viral diseases of the respiratory system and ent viral diseases</topic><topic>Virginia - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adal, Karim A.</creatorcontrib><creatorcontrib>Flowers, Richard H.</creatorcontrib><creatorcontrib>Anglim, Anne M.</creatorcontrib><creatorcontrib>Hayden, Frederick G.</creatorcontrib><creatorcontrib>Titus, Maureen G.</creatorcontrib><creatorcontrib>Coyner, Betty J.</creatorcontrib><creatorcontrib>Farr, Barry M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Infection control and hospital epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adal, Karim A.</au><au>Flowers, Richard H.</au><au>Anglim, Anne M.</au><au>Hayden, Frederick G.</au><au>Titus, Maureen G.</au><au>Coyner, Betty J.</au><au>Farr, Barry M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevention of Nosocomial Influenza</atitle><jtitle>Infection control and hospital epidemiology</jtitle><addtitle>Infect Control Hosp Epidemiol</addtitle><date>1996-10-01</date><risdate>1996</risdate><volume>17</volume><issue>10</issue><spage>641</spage><epage>648</epage><pages>641-648</pages><issn>0899-823X</issn><eissn>1559-6834</eissn><abstract>Objective: To study compliance with preventive strategies at a university hospital during an outbreak of nosocomial influenza A during the winter of 1988, and the rates of vaccination of healthcare workers and of nosocomial influenza following changes in vaccine practices after the outbreak. Design: Retrospective review of employee health, hospital epidemiology, hospital computing, and clinical microbiology records. Setting: A university hospital. Interventions: Unvaccinated personnel with exposure within the previous 72 hours to an unisolated case of influenza were offered influenza vaccine and 14 days of amantadine hydrochloride prophylaxis. Personnel with exposure more than 72 hours before evaluation were offered vaccine. A mobile cart was introduced for vaccinating personnel after the 1988 outbreak. Results: An outbreak of influenza with 10 nosocomial cases occurred in 1988. Only 4% of exposed employees had been vaccinated previously and 23% of exposed, unvaccinated employees agreed to take vaccine, amantadine, or both. A mobile-cart vaccination program was instituted, and annual vaccination rates steadily increased from 26.3% in 1989 to 1990 to 38% in 1993 to 1994 (P<.0001). The relative frequency of documented cases of influenza in employees with symptoms of influenza decreased significantly during this period (P=.025), but nosocomial influenza rates among patients did not change significantly. Conclusion: A mobile-cart influenza vaccination program was associated with a significant increase in compliance among healthcare workers, but a majority still remained unvaccinated. The rate of nosocomial influenza among patients was not reduced by the modest increase in the vaccination rate, but influenza rates remained acceptably low, perhaps due to respiratory isolation of patients and furlough of employees with influenza.</abstract><cop>Thorofare, NJ</cop><pub>SLACK Incorporated</pub><pmid>8899437</pmid><doi>10.1017/S0195941700002927</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0899-823X |
| ispartof | Infection control and hospital epidemiology, 1996-10, Vol.17 (10), p.641-648 |
| issn | 0899-823X 1559-6834 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78501420 |
| source | Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Aged, 80 and over Amantadine - therapeutic use Antiviral Agents - therapeutic use Biological and medical sciences Chemoprevention Chi-Square Distribution Child Child, Preschool Cross Infection - prevention & control Disease outbreaks Disease Outbreaks - prevention & control Epidemics Epidemiology Health care industry Hospital Bed Capacity, 500 and over Hospitals, University Human viral diseases Humans Immunization Immunization Programs - methods Immunization Programs - trends Infant Infections Infectious diseases Influenza A virus Influenza vaccines Influenza, Human - epidemiology Influenza, Human - prevention & control Influenza, Human - transmission Internships Longitudinal Studies Medical sciences Middle Aged Nosocomial infection Nursing Patient Isolation Population Surveillance Program Evaluation Treatment Refusal Vaccination Vaccination - trends Viral diseases Viral diseases of the respiratory system and ent viral diseases Virginia - epidemiology |
| title | Prevention of Nosocomial Influenza |
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