scholarly journals Impact of the Raising Immunizations Safely and Effectively (RISE) Program on Healthcare Worker Influenza Immunization Rates in Long Term Care Settings

2012 ◽  
Vol 13 (9) ◽  
pp. 806-810 ◽  
Author(s):  
David A. Nace ◽  
Steven M. Handler ◽  
Erika L. Hoffman ◽  
Subashan Perera
2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 210-211
Author(s):  
C. Byrne ◽  
L.A. Palmer ◽  
D.H. Barch ◽  
N.M. Jarrett ◽  
A. Helburn ◽  
...  

2006 ◽  
Vol 27 (4) ◽  
pp. 383-387 ◽  
Author(s):  
Lona Mody ◽  
Kenneth M. Langa ◽  
Preeti N. Malani

Objective.To assess the response of long-term care facilities (LTCFs) to the 2004-2005 influenza vaccine shortage and the impact on resident and healthcare worker (HCW) immunization rates.Methods.A 12-item questionnaire was sent to 824 randomly selected LTCFs in December 2004. The following 2 open-ended questions were also asked: “How did you cope with the vaccine shortage?” and “Who helped you get your supply?” Immunization rates reported by LTCF administrators for 2003-2003 and 2003-2004 were compared with those for 2004-2005. Immunization rates were defined as the proportion of all eligible residents and HCWs who received influenza vaccine.Results.Responses were received from 380 LTCFs (46.3%), which had a total of 38,447 beds. Resident mean influenza immunization rates (±SD) decreased from 85% ± 15.3% in 2002-2003 and 85.1% ± 15.3% in 2003-2004 to 81.9% ± 19.4% in the 2004-2005 influenza season (P = .025). The immunization rates among HCWs also decreased from 51% in 2002-2003 and 2003-2004 to 38.4% in 2004-2005 (P<.001). In response to one of the open-ended questions, 96 facilities (25.3%) reported that they obtained vaccine from 2 or more sources. Eight percent commented on specific intensified infection control efforts, and only 2.3% commented on emergency preparedness.Conclusions.The influenza vaccine shortage in 2004-2005 impacted immunization practices of LTCFs across the United States, leading to decreases in both resident and HCW vaccination rates. The significant decrease in vaccination rates in LTCFs is of concern and has broad implications for policy makers working on emergency preparedness for a possible pandemic of influenza.


Author(s):  
Margaret O’Donoghue ◽  
Jacqueline M. C. Ho ◽  
Didier Pittet ◽  
Lorna K. P. Suen

Abstract Background Hand hygiene is a critical component of infection control. Much of the focus on improving hand hygiene in healthcare settings has been directed towards healthcare worker compliance but its importance for patients, including those in long-term care facilities (LTCFs), is increasingly being recognised. Alcohol-based hand rub (ABHR) can lead to improved compliance. We aimed to determine acceptability and tolerability of two ABHRs for hand hygiene of elderly LTCF residents using a modified version of the WHO protocol. Methods Thirty six elderly LTCF residents participated in this crossover study. A modified and translated (Chinese) version of the WHO protocol for evaluation of two or more ABHRs was used to determine product acceptability and tolerability for one gel (bottle with reclosable cap) and one foam (pump). During the 3-day testing period, participants were provided with their own portable bottle of ABHR. A research nurse objectively assessed the skin integrity of the hands at baseline and throughout the study. Skin moisture content was determined using a Scalar Moisture Checker Probe (Science Technology Resources, Ca, USA). Participants rated ABHR tolerability and acceptability using the WHO checklist at the end of each test period. Results Both products passed the WHO criteria for acceptability and tolerability. The foam (86%) scored higher than the gel (51%) for ease of use possibly because some participants found the cap of the gel bottle difficult to open due to finger stiffness. No evidence of damage to skin integrity was observed. Overall, skin moisture content had improved by the end of the study. Residents preferred either of the test products to the liquid formulation currently in use by the LTCF. Conclusions Overall, the elderly were willing to use ABHR for hand hygiene. Both products were well tolerated and preferred over the usual product provided by the LTCF. However, forgetfulness and difficulty rubbing the product over the hands due to finger stiffness posed a challenge for some residents. This could be overcome by using healthcare worker-assisted hand hygiene at specified times each day and prompts to serve as reminders to perform hand hygiene.


2007 ◽  
Vol 55 (11) ◽  
pp. 1741-1747 ◽  
Author(s):  
Kelly L. Sand ◽  
Joanne Lynn ◽  
Barbara Bardenheier ◽  
Hsien Seow ◽  
David A. Nace

2021 ◽  
Vol 29 (4) ◽  
pp. S101-S102
Author(s):  
Robert Kohn ◽  
Melanie Brown ◽  
Carla Hasson ◽  
Thomas Sheeran ◽  
Laura Stanton ◽  
...  

2013 ◽  
Vol 41 (8) ◽  
pp. 743-745 ◽  
Author(s):  
Cara J. Person ◽  
Jessica A. Nadeau ◽  
Joshua K. Schaffzin ◽  
Lynn Pollock ◽  
Barbara J. Wallace ◽  
...  

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