Subscribe to RSS
DOI: 10.1055/s-0029-1233996
© Georg Thieme Verlag KG Stuttgart · New York
Argumente für eine verpflichtende Influenzaimpfung
Arguments for mandatory influenza vaccinationPublication History
eingereicht: 12.12.2008
akzeptiert: 28.5.2009
Publication Date:
31 July 2009 (online)
Zusammenfassung
Unser Artikel nimmt aus arbeitsmedizinischer, ethischer, infektiologischer, juristischer und virologischer Sicht Stellung zur Frage der Rechtmäßigkeit der verpflichtenden Influenzaimpfung für Mitarbeiter im Gesundheitswesen.
Nach unserem Ermessen ist eine Influenzaimpfpflicht für Beschäftigte die immunsupprimierte Patienten und Altenheimbewohner betreuen erforderlich, sollten die Maßnahmen zur Steigerungen der Impfraten versagen. Mitarbeiter die eine Influenzaimpfung ablehnen, sollten ihre Ablehnung schriftlich dokumentieren und in unkritischen Bereichen der Patientenversorgung eingesetzt werden.
Summary
The question about the legality of implementation mandatory flu vaccination for healthcare workers will be commented from different points of view: occupational medicine, medical ethics, infection control, virology and legal system.
In our opinion an annual influenza vaccination should be required for health care workers who care for immunocompromised patients and residents in long-term care if there will be a failure of voluntary vaccination programs. An informed declination should be obtained from employees who decline vaccination and these healthcare workers ought to work in uncritical areas of patient care.
Schlüsselwörter
Influenza - Grippe - Mitarbeiter im Gesundheitswesen - verpflichtende Impfung - Vakzine
Keywords
influenza - healthcare workers - mandatory vaccination
Literatur
- 1 Anikeeva O, Braunack-Mayer A, Rogers W. Requiering Influenza Vaccination for Health Care Workers. Am J Public Health. 2009; 99 24-29
- 2 Carman W F, Elder A G, Wallace L A. Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet. 2000; 355 93-97
- 3 Glezen W P. Herd protection against influenza. J Clin Virol. 2006; 37 237-234
-
4 Greene L R, Cain T A, Dolan S A. et al .APIC Position Paper: Influenza
immunization of Healthcare Personnel. Ladbar unter: http://www.apic.org/AM/Template.cfm?Section = Home1& TEMPLATE= /CM/ContenDisplay.cfm& CONTENTFILEID = 11 049. Letzter Zugriff 20.5.2009
- 5 Hayward A C, Harling R, Wetten S. et al . Effectiveness of an influenza vaccine programme for home staff to prevent death, morbidity, and health service use among residents: cluster randomised controlled trial. BMJ. 2006; 333 (7581) 1241
- 6 Helms C M, Polgreen P M. Should influenza immunisation be mandatory for healthcare workers? Yes. BMJ. 2008; 337 a2142
- 7 Isaacs D, Leask J. Should influenza immunisation be mandatory for healthcare workers? No. BMJ. 2008; 337 a2140
- 8 Marckmann G. Impfprogramme im Spannungsfeld zwischen individueller Autonomie und allgemeinem Wohl. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2008; 51 175-183
- 9 Nace D A, Hoffmann E L, Resnick N M, Handler S M. Achieving and sustaining high rates of influenza immunization among long-term staff. J Am Med Dir Assoc. 2007; 8 128-133
- 10 Nichol K L, Lind A, Margolis K L. et al . The effectiveness of vaccination against influenza in healthy, working adults. N Engl J Med. 1995; 333 889-893
- 11 Nichol K L, Nordin J, Mullooly J, Lask R, Fillbrandt K M. Influenza vaccination and reduction in hospitalizations for cardiac disease and stroke among the elderly. N Engl J Med. 2003; 348 1322-1332
- 12 Poland G A, Tosh P, Jacobson R M. Requiring influenza vaccination for health care workers: seven truths we must accept. Vaccine. 2005; 23 2251-2255
- 13 Talbot T R. Improving rates of influenza vaccination among healthcare workers: educate; motivate; mandate?. Infect Control Hosp Epidemiol. 2008; 29 107-110
- 14 van Delden J J, Ashcroft R, Dawson A, Marckmann G, Upshur R, Verweij M F. The ethics of mandatory vaccination against influenza for health care workers. Vaccine. 2008; 26 5562-5566
- 15 Wang C S, Wang S T, Lai C T, Lin L J, Chou P. Impact of influenza vaccination on major cause-specific mortality. Vaccine. 2007; 25 1196-1203
- 16 Wicker S, Rabenau H F, Doerr H W, Allwinn R. Influenza vaccination compliance among health care workers in a German university hospital. Infection. 2009; 37 197-202
Dr. med. Sabine Wicker
Betriebsärztlicher Dienst, Klinikum
der Johann Wolfgang Goethe-Universität Frankfurt
Theodor-Stern-Kai
7
60590 Frankfurt am Main
Phone: 069/63014511
Fax: 069/63016385
Email: Sabine.Wicker@kgu.de