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Effectiveness of an influenza vaccine programme for care home staff to prevent death, morbidity, and health service use among residents
 — cluster randomised controlled trial
Author(s)Andrew C Hayward, Richard Harling, Sally Wetten
Journal titleBritish Medical Journal, vol 333 no 7581, 16 December 2006
Pagespp 1241-1244
Sourcehttp://www.bmj.com
KeywordsInfluenza ; Immunisation ; Care home staff ; Preventative medicine ; Residents [care homes] ; Ill health ; Death ; Health services ; Usage [services] ; Clinical surveys.
AnnotationVaccinating care home staff against influenza can prevent deaths, health service use, and influenza-like illnesses in residents during periods of moderate influenza activity. This cluster randomised controlled trial was carried out in a large private chain of UK care homes during the winters of 2003/4 and 2004/5. Participants were 1703 nursing home staff and 2004 residents in 44 care homes (22 intervention homes and 22 matched controls). Vaccination was offered to staff in the intervention homes by not in the control homes. In 2003/4, vaccine coverage in full-time staff was 48.2% (407/884) and 5.9% (51/859) in control homes. IN 2004/5, uptake rates were 45.2% (365/844) and 2.5% (28/800). National influenza rates were substantially below average in 2004/5. In the 2003/4 period of influenza activity, significant decreases were found in mortality of residents in intervention homes compared with control homes, consultation with general practitioners (GPs) for influenza-like illness and admission to hospital with influenza-like illness. No significant differences were found in 2004/5 or during periods of no influenza activity in 2003/4. (RH).
Accession NumberCPA-070125203 A
ClassmarkCJM: LLF: QRM: LK2: KX: CH: CW: L: QLD: 3G *

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