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- disease transmission (professional-to-patient)
- health services
- homes for the aged
- influenza vaccines
- influenza (human)
- nursing homes
- occupational diseases
Q Does encouraging influenza vaccination for nursing home staff reduce mortality and influenza like illness in the residents?
Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Infectious disease ★★★★★★☆ Geriatrics ★★★★★☆☆
METHODS
Design:
matched pair, cluster randomised, controlled trial.
Allocation:
concealed.*
Blinding:
blinded {residents}†.*
Follow up period:
November to March (influenza season) in 2 consecutive years.
Setting:
50 private nursing homes in England, UK
Participants:
3284 staff members and 2604 residents in 2003−2004 and 3492 staff members and 2661 residents in 2004−2005 (residents mean age 83 y, 70% women).
Intervention:
staff members in the intervention homes (n = 1610 in 2003−2004 and 1726 in 2004−2005) were actively encouraged by the lead nurse to get the influenza vaccine, and 3 vaccination sessions were offered in the care home each October. Staff members in the control homes (n = 1674 in 2003−2004 and 1766 in 2004−2005) were …