Healthcare worker influenza vaccination and sickness absence - an ecological study

被引:67
作者
Pereira, Miguel [1 ]
Williams, Sian [2 ]
Restrick, Louise [3 ]
Cuninon, Paul [4 ]
Hopkinson, Nicholas S. [5 ,6 ,7 ]
机构
[1] Natl Heart & Lung Inst, London, England
[2] London Resp Network, London, England
[3] London Resp Network & Whittington Hlth, London, England
[4] Natl Heart & Lung Inst, Occupat & Environm Resp Dis, London, England
[5] Royal Brompton & Harefield NHS Fdn Trust, London Resp Network, Resp Med, London, England
[6] Royal Brompton & Harefield NHS Fdn Trust, NIHR Resp Biomed Res Unit, London, England
[7] Imperial Coll London, London, England
关键词
Healthcare worker; influenza; occupational health; vaccination; LONG-TERM-CARE; HOME STAFF; MORTALITY; IMMUNIZATION; RESIDENTS; MORBIDITY;
D O I
10.7861/clinmedicine.17-6-484
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although Influenza vaccination is recommended for healthcare workers, vaccination rates in UK healthcare workers are only around 50%. We investigated the association between NHS sickness absence rates (using data from Health and Social Care Information Centre quarterly reports), staff vaccination rates and influenza vaccine efficacy (from Public Health England), influenza deaths (from the Office of National Statistics) and staff satisfaction (from www.NHSstaffsurveys. com). Data from 223 healthcare trusts covered approximately 800,000 staff in each of four influenza seasons from 2011; overall staff sickness rate was roughly 4.5%. Annual vaccination rates varied between 44% and 54%. Higher NHS trust vaccination rates were associated with reduced sickness absence (beta = -0.425 [95% CI -0.658 to -0.192], p<0.001). Thus, a 10% increase in vaccination rate would be associated with a 10% fall in sickness absence rate. Influenza vaccination for NHS staff is associated with reduced sickness absence rates.
引用
收藏
页码:484 / 489
页数:6
相关论文
共 21 条
[1]   Effect of Influenza Vaccination of Healthcare Personnel on Morbidity and Mortality Among Patients: Systematic Review and Grading of Evidence [J].
Ahmed, Faruque ;
Lindley, Megan C. ;
Allred, Norma ;
Weinbaum, Cindy M. ;
Grohskopf, Lisa .
CLINICAL INFECTIOUS DISEASES, 2014, 58 (01) :50-57
[2]  
[Anonymous], 2015, VACC HES HEALTHC WOR
[3]  
[Anonymous], 2009, off. J. Eur. Union, P71
[4]   Sustained low influenza vaccination rates in US healthcare workers [J].
Caban-Martinez, Alberto J. ;
Lee, David J. ;
Davila, Evelyn P. ;
LeBlanc, William G. ;
Arheart, Kristopher L. ;
McCollister, Kathryn E. ;
Christ, Sharon L. ;
Clarke, Tainya ;
Fleming, Lora E. .
PREVENTIVE MEDICINE, 2010, 50 (04) :210-212
[5]   Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial [J].
Carman, WF ;
Elder, AG ;
Wallace, LA ;
McAulay, K ;
Walker, A ;
Murray, GD ;
Stott, DJ .
LANCET, 2000, 355 (9198) :93-97
[6]   Incidence and recall of influenza in a cohort of Glasgow healthcare workers during the 1993-4 epidemic: Results of serum testing and questionnaire [J].
Elder, AG ;
ODonnell, B ;
McCruden, EAB ;
Symington, IS ;
Carman, WF .
BRITISH MEDICAL JOURNAL, 1996, 313 (7067) :1241-1242
[7]  
England Public Health, 2016, HEALTHC WORK VACC CL
[8]   Effectiveness of an influenza vaccine programme for care home staff to prevent death, morbidity, and health service use among residents: cluster randomised controlled trial [J].
Hayward, Andrew C. ;
Harling, Richard ;
Wetten, Sally ;
Johnson, Anne M. ;
Munro, Susan ;
Smedley, Julia ;
Murad, Shahed ;
Watson, John M. .
BRITISH MEDICAL JOURNAL, 2006, 333 (7581) :1241-1244B
[9]   Influenza vaccination for healthcare workers in the UK: appraisal of systematic reviews and policy options [J].
Kliner, Merav ;
Keenan, Alex ;
Sinclair, David ;
Ghebrehewet, Sam ;
Garner, Paul .
BMJ OPEN, 2016, 6 (09)
[10]   Effect of Influenza Vaccination of Nursing Home Staff on Mortality of Residents: A Cluster-Randomized Trial [J].
Lemaitre, Magali ;
Meret, Thierry ;
Rothan-Tondeur, Monique ;
Belmin, Joel ;
Lejonc, Jean-Louis ;
Luquel, Laurence ;
Piette, Francois ;
Salom, Michel ;
Verny, Marc ;
Vetel, Jean-Marie ;
Veyssier, Pierre ;
Carrat, Fabrice .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2009, 57 (09) :1580-1586