ArticleInfection control and hospital epidemiology2018
Protecting Healthcare Personnel in Outpatient Settings: The Influence of Mandatory Versus Nonmandatory Influenza Vaccination Policies on Workplace Absenteeism During Multiple Respiratory Virus Seasons.
Article in Infection control and hospital epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Impact of Influenza and Influenza-Like Illness on Work Productivity Outcomes: A Systematic Literature Review.PharmacoEconomics · 2023Pooled it
- Short Sickness Absenteeism Rate in a Large Tertiary Hospital: The Role of Fitness for Work and Influenza Vaccination.Epidemiologia (Basel, Switzerland) · 2026Article
- Nationwide Patterns and Predictors of Sick Leave Among Healthcare Workers in Kuwait, 2022.Healthcare (Basel, Switzerland) · 2026Article
- Absenteeism of Healthcare Personnel in the COVID-19 Era: A Systematic Review of the Literature and Implications for the Post-Pandemic Seasons.Healthcare (Basel, Switzerland) · 2023Review
- Influenza vaccination from the perspective of health care workers at university hospitals.PloS one · 2023Observational
- Article
- Decreased influenza vaccination coverage among Chinese healthcare workers during the COVID-19 pandemic.Infectious diseases of poverty · 2022Article
- Association Between State-Issued COVID-19 Vaccine Mandates and Vaccine Administration Rates in 12 US States and the District of Columbia.JAMA health forum · 2022Article
- Roles for Pathogen Interference in Influenza Vaccination, with Implications to Vaccine Effectiveness (VE) and Attribution of Influenza Deaths.Infectious disease reports · 2022Review
- Vaccination policies for healthcare personnel: Current challenges and future perspectives.Vaccine: X · 2022Article
- Seasonal influenza vaccination of healthcare workers: a narrative review.International journal of occupational medicine and environmental health · 2022Review
- Health Care-Acquired Viral Respiratory Diseases.Infectious disease clinics of North America · 2021Review
- Article
- Influenza Vaccination Programs for Healthcare Personnel: Organizational Issues and Beyond.International journal of environmental research and public health · 2021Article
- A Systematic Review and Meta-Analysis of Seasonal Influenza Vaccination of Health Workers.Vaccines · 2021Review
- Factors influencing flu vaccination in nursing students at Palermo University.Journal of preventive medicine and hygiene · 2020Article
- Article
- Influenza Vaccination and Healthcare Personnel Compliance.Current treatment options in infectious diseases · 2020Review
- Recommendations for Mandatory Influenza Vaccinations for Health Care Personnel From AMDA's Infection Advisory Subcommittee.Journal of the American Medical Directors Association · 2020Article
- A rapid evidence appraisal of influenza vaccination in health workers: An important policy in an area of imperfect evidence.Vaccine: X · 2019Review
Corrections and comments
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Authors and funding
15 authors at 12 institutions in 1 country.
Funding
Abstract
OBJECTIVE To determine the effect of mandatory and nonmandatory influenza vaccination policies on vaccination rates and symptomatic absenteeism among healthcare personnel (HCP). DESIGN Retrospective observational cohort study. SETTING This study took place at 3 university medical centers with mandatory influenza vaccination policies and 4 Veterans Affairs (VA) healthcare systems with nonmandatory influenza vaccination policies. PARTICIPANTS The study included 2,304 outpatient HCP at mandatory vaccination sites and 1,759 outpatient HCP at nonmandatory vaccination sites. METHODS To determine the incidence and duration of absenteeism in outpatient settings, HCP participating in the Respiratory Protection Effectiveness Clinical Trial at both mandatory and nonmandatory vaccination sites over 3 viral respiratory illness (VRI) seasons (2012-2015) reported their influenza vaccination status and symptomatic days absent from work weekly throughout a 12-week period during the peak VRI season each year. The adjusted effects of vaccination and other modulating factors on absenteeism rates were estimated using multivariable regression models. RESULTS The proportion of participants who received influenza vaccination was lower each year at nonmandatory than at mandatory vaccination sites (odds ratio [OR], 0.09; 95% confidence interval [CI], 0.07-0.11). Among HCP who reported at least 1 sick day, vaccinated HCP had lower symptomatic days absent compared to unvaccinated HCP (OR for 2012-2013 and 2013-2014, 0.82; 95% CI, 0.72-0.93; OR for 2014-2015, 0.81; 95% CI, 0.69-0.95). CONCLUSIONS These data suggest that mandatory HCP influenza vaccination policies increase influenza vaccination rates and that HCP symptomatic absenteeism diminishes as rates of influenza vaccination increase. These findings should be considered in formulating HCP influenza vaccination policies. Infect Control Hosp Epidemiol 2018;39:452-461.
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