title: Use of a mobile cart influenza program for vaccination of hospital employees.
abstract: OBJECTIVE
  Rates of annual influenza vaccination of healthcare workers (HCWs) remained low in our university hospital. This study was conducted to evaluate the impact of a mobile cart influenza vaccination program on HCW vaccination.
  
  
  METHODS
  From 2000 to 2002, the employee health service continued its annual influenza vaccination program and the mobile cart program was implemented throughout the institution. This program offered influenza vaccination to all employees directly on the units. Each employee completed a questionnaire. Vaccination rates were analyzed using the Mantel-Haenszel test.
  
  
  RESULTS
  The program proposed vaccination to 50% to 56% of the employees. Among the nonvaccinated employees, 52% to 53% agreed to be vaccinated. The compliance with vaccination varied from 61% to 77% among physicians and medical students and from 38% to 55% among nurses and other employees. Vaccination of the chief or associate professor of the unit was associated with a higher vaccination rate of the medical staff (P < .01). Altogether, the vaccination program led to an increase in influenza vaccination among employees from 6% in 1998 and 7% in 1999 before the mobile cart program to 32% in 2000, 35% in 2001, and 32% in 2002 (P < .001).
  
  
  CONCLUSIONS
  The mobile cart program was associated with a significantly increased vaccination acceptance. Our study was able to identify HCW groups for which the mobile cart was effective and highlight the role of the unit head in its success.
authors.affiliation: Comité de Lutte contre les Infections Nosocomiales, Hôpital de la Conception, Marseille, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Sartor
authors.forename: Hervé
authors.initials: H
authors.lastname: Tissot-Dupont
authors.forename: Christine
authors.initials: C
authors.lastname: Zandotti
authors.forename: Françoise
authors.initials: F
authors.lastname: Martin
authors.forename: Pierre
authors.initials: P
authors.lastname: Roques
authors.forename: Michel
authors.initials: M
authors.lastname: Drancourt
mesh_terms: D001291:Attitude of Health Personnel; D005602:France; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017589:Immunization Programs / Q000379:methods* / Q000706:statistics & numerical data*; D017053:Infection Control / Q000379:methods / Q000706:statistics & numerical data; D007252:Influenza Vaccines / Q000627:therapeutic use*; D007251:Influenza, Human / Q000517:prevention & control*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010564:Personnel, Hospital / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines