caa a22 4500 388033029 CHVBK 20180307124957.0 cr unu---uuuuu 161130e199805 xx s 000 0 eng 10.1086/647825 doi S0195941700087622 pii (NATIONALLICENCE)cambridge-10.1086/647825 Influenza Immunization: Improving Compliance of Healthcare Workers [Elektronische Daten] OBJECTIVE: In spite of yearly recalls, influenza immunization rates of healthcare workers (HCWs) remained low (10%) at the University Hospitals of Geneva. This study was conducted to identify HCWs' reasons for rejection of immunization, to design specific intervention methods based on these reasons, and to evaluate the impact of such interventions. METHODS: Three departments with high-risk patients (geriatrics, obstetrics, and pediatrics) were selected as main targets. Questionnaires were distributed in these units. Based on HCWs' perceptions, different intervention methods were designed and used either in these departments only (educational conferences, on-site availability of a vaccination nurse) or in the whole institution (posters, personal letters). Immunization rates were collected throughout the institution. RESULTS: 797 completed questionnaires from 1,092 HCWs (73%) were returned. Major reasons for immunization rejection were confidence that their bodies' self-defense mechanisms would ward off infection (32%), perception of low exposure risk (23%), and doubts concerning vaccine efficacy (19%). The use of intervention methods designed to address these factors increased influenza immunization rates in the three targeted departments from 13% (95% confidence interval [CI95], 11.4-15.6) in 1995 and 1996 to 37% (CI95, 34.5-40.3) in the following season (P<.001). In all other departments, immunization rates rose from 9% (CI95, 8.5-10.3) to 23%% (CI95, 21.6-24.1; P<.001). Nurses were, and remained, more reluctant to be immunized compared to other HCWs. CONCLUSIONS: Influenza immunization rates can be increased significantly by specific interventions based on local concerns of HCWs, among which educational conferences and the on-site availability of a vaccination nurse appeared important Copyright © The Society for Healthcare Epidemiology of America 1998 Harbarth Stephan Infection Control Program, University Hospitals of Geneva, Geneva, Switzerland Siegrist Claire-Anne Center for Neonatal Vaccination, University Hospitals of Geneva, Geneva, Switzerland Schira Jean-Claude Department of Employee Health, University Hospitals of Geneva, Geneva, Switzerland Wunderli Werner Laboratory of Virology, University Hospitals of Geneva, Geneva, Switzerland Pittet Didier Infection Control Program, University Hospitals of Geneva, Geneva, Switzerland Infection Control & Hospital Epidemiology Cambridge University Press 19/5(1998-05), 337-342 0899-823X 19:5<337 1998 19 ICE https://doi.org/10.1086/647825 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1086/647825 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Harbarth Stephan Infection Control Program, University Hospitals of Geneva, Geneva, Switzerland NATIONALLICENCE 700 1- Siegrist Claire-Anne Center for Neonatal Vaccination, University Hospitals of Geneva, Geneva, Switzerland NATIONALLICENCE 700 1- Schira Jean-Claude Department of Employee Health, University Hospitals of Geneva, Geneva, Switzerland NATIONALLICENCE 700 1- Wunderli Werner Laboratory of Virology, University Hospitals of Geneva, Geneva, Switzerland NATIONALLICENCE 700 1- Pittet Didier Infection Control Program, University Hospitals of Geneva, Geneva, Switzerland NATIONALLICENCE 773 0- Infection Control & Hospital Epidemiology Cambridge University Press 19/5(1998-05), 337-342 0899-823X 19:5<337 1998 19 ICE CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge