Impact of mandatory vaccination of healthcare personnel on rates of influenza and other viral respiratory pathogens
Autor: | Trish M. Perl, Alexandria C. Brown, Connie S. Price, Susan M Rattigan, Ann-Christine Nyquist, Mary T. Bessesen, Maria C. Rodriguez-Barradas, Lewis J. Radonovich, Michael S. Simberkoff, Charlotte A. Gaydos, Cynthia L. Gibert, Nicholas G. Reich, Geoffrey J. Gorse, ResPECT Study Team, Derek A. T. Cummings |
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Rok vydání: | 2021 |
Předmět: |
Microbiology (medical)
medicine.medical_specialty Epidemiology business.industry Health Personnel Vaccination Odds ratio Rate ratio Mandatory vaccination Confidence interval Respiratory pathogens Infectious Diseases Influenza Vaccines Influenza Human Emergency medicine Ambulatory Health care Humans Medicine business Delivery of Health Care |
Zdroj: | Infection Control & Hospital Epidemiology. 43:1216-1220 |
ISSN: | 1559-6834 0899-823X |
Popis: | Objective:The implementation of mandatory influenza vaccination policies among healthcare personnel (HCP) is controversial. Thus, we examined the affect of mandatory influenza vaccination policies among HCP working in outpatient settings.Setting:Four Veterans’ Affairs (VA) health systems and three non-VA medical centers.Methods:We analyzed rates of influenza and other viral causes of respiratory infections among HCP working in outpatient sites at 4 VA health systems without mandatory influenza vaccination policies and 3 non-VA health systems with mandatory influenza vaccination policies.Results:Influenza vaccination was associated with a decreased risk of influenza (odds ratio, 0.17; 95% confidence interval [CI], 0.13–0.22) but an increased risk of other respiratory viral infections (incidence rate ratio, 1.26; 95% CI, 1.02–1.57).Conclusions:Our fitted regression models suggest that if influenza vaccination rates in clinics where vaccination was not mandated had equalled those where vaccine was mandated, HCP influenza infections would have been reduced by 52.1% (95% CI, 51.3%–53.0%). These observations, their possible causes, and additional strategies to reduce influenza and other viral respiratory illnesses among HCP working in ambulatory clinics warrant further investigation. |
Databáze: | OpenAIRE |
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