Advertisement

Barriers to influenza vaccine acceptance A survey of physicians and nurses

  • Scott Weingarten
    Affiliations
    Department of Medicine, Division of General Internal Medicine, Los Angeles, California, USA

    Department of Nursing Research, Cedars-Sinai Medical Center, University of California at Los Angeles School of Medicine, Los Angeles, California, USA
    Search for articles by this author
  • Mary Riedinger
    Correspondence
    Reprint requests: Mary Riedinger, RN, Cedars-Sinai Medical Center, Department of Medicine, Room Becker 113, 8700 Beverly Blvd., Los Angeles, CA 90048.
    Affiliations
    Department of Medicine, Division of General Internal Medicine, Los Angeles, California, USA

    Department of Nursing Research, Cedars-Sinai Medical Center, University of California at Los Angeles School of Medicine, Los Angeles, California, USA
    Search for articles by this author
  • Linda Burnes Bolton
    Affiliations
    Department of Medicine, Division of General Internal Medicine, Los Angeles, California, USA

    Department of Nursing Research, Cedars-Sinai Medical Center, University of California at Los Angeles School of Medicine, Los Angeles, California, USA
    Search for articles by this author
  • Peggy Miles
    Affiliations
    Department of Medicine, Division of General Internal Medicine, Los Angeles, California, USA

    Department of Nursing Research, Cedars-Sinai Medical Center, University of California at Los Angeles School of Medicine, Los Angeles, California, USA
    Search for articles by this author
  • Mark Ault
    Affiliations
    Department of Medicine, Division of General Internal Medicine, Los Angeles, California, USA

    Department of Nursing Research, Cedars-Sinai Medical Center, University of California at Los Angeles School of Medicine, Los Angeles, California, USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      The Immunization Practices Advisory Committee (ACIP) recommends that health care providers who contact high-risk patients receive influenza immunization annually. There are few available data on hospital employees' acceptance of these recommendations or their attitudes about influenza immunization. In a hospital where no formal influenza immunization program was in place, a survey of 193 nursing personnel and physicians showed that only 2.1% received the 1986–1987 trivalent influenza vaccine and 3.2% the monovalent A/Taiwan/1/86 vaccine before the 1986–1987 influenza season. An influenza-like illness developed in a total of 35.3% of hospital employees during the influenza season, and 76.6% of them cared for patients while ill. Fear of adverse reactions, avoidance of medications, and the inconvenience of vaccine administration were frequently cited reasons for declining immunization. Hospital employees would be more inclined to receive future influenza immunization if vaccine administration were more accessible and if they were informed that immunization were a national health care policy. During the influenza season, nurses and physicians should be considered a uniformly susceptible reservoir of infection capable of transmitting influenza to patients. Moreover, ACIP guidelines alone probably will not lead to acceptable immunization rates among health care providers; organized institutional efforts to promote immunization of health care providers may be required.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Blumenfeld H.L.
        • Kilbourne E.D.
        • Louria D.B.
        • Rogers D.E.
        Studies on influenza in the pandemic of 1957–1958.1. An epidemiologic, clinical and serologic investigation of an intrahospital epidemic, with a note on vaccination efficacy.
        J Clin Invest. 1959; 38: 199-212
        • Kapila R.
        • Lintz D.I.
        • Tecson F.T.
        • Ziskin L.
        • Louria D.B.
        A nosocomial outbreak of influenza A.
        Chest. 1977; 71: 576-579
        • Van Voris L.P.
        • Belsbe R.B.
        • Shaffer J.L.
        Nosocomial influenza B virus infection in the elderly.
        Ann Intern Med. 1982; 96: 153-158
        • Fralick R.A.
        Absenteeism among hospital staff during influenza epidemic.
        Can Med Assoc J. 1985; 133: 641-642
        • Fedson D.S.
        Influenza prevention and control: past practices and future prospects.
        Am J Med. 1987; 82 (suppl): 42-47
        • Centers for Disease Control
        Prevention and control of influenza.
        Ann Intern Med. 1984; 101: 218-227
        • Centers for Disease Control
        Recommendations of the Immunization Practices Advisory Committee (ACIP): prevention and control of influenza.
        MMWR. 1987; 36: 373-387
        • Centers for Disease Control
        Recommendations for prevention and control of influenza.
        Ann Intern Med. 1986; 105: 399-404
        • Fedson D.S.
        Immunizations for health care workers and patients in hospitals.
        in: Wenzel R.P. Prevention and control of nosocomial infections. Williams & Wilkins, Baltimore1987: 116-174
        • LeForce F.M.
        Immunizations, immunoprophylaxis, and chemoprophylaxis to prevent selected infections.
        JAMA. 1987; 257: 2464-2470
        • Weingarten S.
        • Staniloff H.
        • Ault M.
        • Miles P.
        • Bamberger M.
        • Meyer R.D.
        Do hospital employees benefit from the influenza vaccine?-A placebo-controlled clinical trial.
        J Gen Intern Med. 1988; 3: 32-37
        • Weingarten S.
        • Friedlander M.
        • Rascon D.
        • Ault M.
        • Morgan M.
        • Miles P.
        • Meyer R.D.
        Influenza surveillance in an acute care hospital.
        Arch Intern Med. 1988; 148: 113-116
        • Centers for Disease Control
        Influenza A (H1N1) associated with mild illness in a nursing home-Maine.
        MMWR. 1987; 36: 57-59
        • Hoffman P.C.
        • Dixon R.E.
        Control of influenza in the hospital.
        Ann Intern Med. 1977; 87: 725-728
        • Pachucki C.T.
        • Lentino J.R.
        • Jackson G.G.
        Attitudes and behavior of health care personnel regarding the use and efficacy of influenza vaccine.
        J Infect Dis. 1985; 151: 1170-1171
        • Centers for Disease Control
        Antigenic variation of recent influenza A (H1N1) viruses.
        MMWR. 1986; 35: 510-512