Advertisement

Health care personnel immunization programs: An assessment of knowledge and practice among infection preventionists in US health care facilities

  • Ruth M. Carrico
    Correspondence
    Address correspondence to Ruth M. Carrico, PhD, RN, FSHEA, CIC, Associate professor, Department of Health Promotion and Behavioral Sciences, School of Public Health and Information Sciences, University of Louisville, 485 East Gray Street, Louisville, KY 40202.
    Affiliations
    Division of Infectious Diseases, University of Louisville School of Medicine, Louisville, KY

    Department of Health Promotion and Behavioral Sciences, University of Louisville School of Public Health and Information Sciences, Louisville, KY
    Search for articles by this author
  • Timothy Wiemken
    Affiliations
    Division of Infectious Diseases, University of Louisville School of Medicine, Louisville, KY

    Department of Health Promotion and Behavioral Sciences, University of Louisville School of Public Health and Information Sciences, Louisville, KY
    Search for articles by this author
  • Kelly Westhusing
    Affiliations
    Division of Infectious Diseases, University of Louisville School of Medicine, Louisville, KY

    Department of Health Promotion and Behavioral Sciences, University of Louisville School of Public Health and Information Sciences, Louisville, KY
    Search for articles by this author
  • Diana Christensen
    Affiliations
    Division of Infectious Diseases, University of Louisville School of Medicine, Louisville, KY

    Department of Health Promotion and Behavioral Sciences, University of Louisville School of Public Health and Information Sciences, Louisville, KY
    Search for articles by this author
  • W. Paul McKinney
    Affiliations
    Department of Health Promotion and Behavioral Sciences, University of Louisville School of Public Health and Information Sciences, Louisville, KY

    Center for Health Hazards Preparedness, University of Louisville School of Public Health and Information Sciences, Louisville, KY
    Search for articles by this author
Published:January 14, 2013DOI:https://doi.org/10.1016/j.ajic.2012.08.013

      Background

      Guidelines exist that recommend specific vaccines for health care personnel and supporting documents provide guidance for program development and implementation, but the extent to which those guidelines have been implemented in health care personnel immunization programs has not been fully explored. This project aimed to evaluate current practices in US health care facilities concerning health care personnel immunization programs.

      Methods

      A Web-based survey was deployed to 13,670 infection preventionists to assess 5 major program areas: (1) immunization program management; (2) vaccines provided to health care personnel; (3) vaccine handling practices; (4) training provided for the individual(s) responsible for the program; and (5) quality indicators for the program. A scoring scale was developed that demonstrated an overall measure of program performance.

      Results

      The Web-based survey resulted in 1,006 completed responses. When assessing overall program performance, the median vaccine program score was 47.6%. Respondents certified in infection prevention (CIC) scored significantly higher in overall program performance than respondents not certified (54% vs, 43%, respectively, P = .003).

      Conclusion

      Results of the survey have identified a number of education and training opportunities that can be addressed by professional associations using available evidence-based and proven implementation materials as resource documents.

      Key Words

      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

        • Scheckler W.E.
        • Brimhall D.
        • Buck A.S.
        • Farr B.M.
        • Friedman C.
        • Garibaldi R.A.
        • et al.
        Requirements for infrastructure and essential activities of infection control and epidemiology in hospitals: a consensus panel report. Society for Healthcare Epidemiology of America.
        Am J Infect Control. 1998; 26: 47-60
        • Friedman C.
        • Barnette M.
        • Buck A.S.
        • Ham R.
        • Harris J.
        • Hoffman P.
        • et al.
        Requirements for infrastructure and essential activities of infection control and epidemiology in out-of hospital settings: a consensus panel report. Society for Healthcare Epidemiology of America.
        Infect Control Hosp Epidemiol. 1999; 20 (695-705)
        • Carrico R.
        • Rebmann T.
        • English J.F.
        • Mackey J.
        • Cronin S.N.
        Infection prevention and control competencies for hospital-based healthcare personnel.
        Am J Infect Control. 2008; 36: 691-701
        • CDC
        Immunization of health care personnel: recommendations of the Advisory Committee on Immunization Practices (ACIP).
        MMWR. 2011; 60: 1-45
        • CDC
        Immunization of health care workers: recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC).
        MMWR. 1997; 46
      1. CDC. Epidemiology and prevention of vaccine-preventable diseases. The Pink Book. 12th Edition (April 2011). 2011:1-42. Available from: http://www.cdc.gov/vaccines/pubs/pinkbook/index.html. Accessed March 30, 2012.

      2. CDC. Vaccine storage and handling guide 2011. Available from: www.cdc.gov/vaccines/recs/storage/default.htm. Accessed March 30, 2012.