Influenza immunization in nursing homes: who does not get immunized and whose status is unknown?

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Jill A MarstellerBarbara Bardenheier

Abstract

To identify nursing home resident and facility characteristics associated with patients not receiving influenza immunization and having unknown immunization status. Secondary data analysis using multinomial logistic regression of data from the National Nursing Home Survey, a nationally representative establishment-based survey. A total of 1,423 nursing facilities of all ownerships and certifications systematically sampled with probability proportional to number of beds. A total of 7,350 randomly sampled people aged 65 years or older residing in nursing homes between July and December 1999 (approximately 6 per facility). Immunization status of residents. Fifteen percent of residents were not immunized and 19% had unknown immunization status. In multivariate analysis, lack of immunization and unknown immunization status were each separately associated with being newly admitted, with no or unknown pneumococcal immunization, and with facility failures to screen for immunization and to record inoculation in the medical record. High-risk status and staff immunization requirements had no effect. Separate analyses showed that residents with unknown immunization status are statistically significantly different from both those vaccinated...Continue Reading

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Citations

Feb 12, 2010·American Journal of Public Health·Yue Li, Dana B Mukamel
Apr 1, 2011·Journal of the American Medical Directors Association·Shubing Cai, Helena Temkin-Greener
Feb 5, 2010·Journal of the American Medical Directors Association·Barbara H BardenheierAbigail Shefer
Mar 14, 2016·American Journal of Infection Control·Jasmine L TraversCarolyn T A Herzig
Apr 7, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·T Christopher BondWilliam McClellan
Jul 8, 2014·The Cochrane Database of Systematic Reviews·Roger E Thomas, Diane L Lorenzetti
Jul 14, 2018·Journal of Racial and Ethnic Health Disparities·Stacey C BarrettKenneth A Rasinski
May 31, 2018·The Cochrane Database of Systematic Reviews·Roger E Thomas, Diane L Lorenzetti
Apr 11, 2021·Journal of the American Medical Directors Association·Melissa R RiesterAndrew R Zullo

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