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1. Strategies to prevent surgical site infections in acute-care hospitals: 2022 Update

Author

Calderwood, Michael S, Anderson, Deverick J, Bratzler, Dale W, Dellinger, E Patchen, Garcia-Houchins, Sylvia, Maragakis, Lisa L, Nyquist, Ann-Christine, Perkins, Kiran M, Preas, Michael Anne, Saiman, Lisa, Schaffzin, Joshua K, Schweizer, Marin, Yokoe, Deborah S, and Kaye, Keith S

Subjects
Medical Microbiology, Biomedical and Clinical Sciences, Health Sciences, Infectious Diseases, Prevention, 8.1 Organisation and delivery of services, Health and social care services research, Infection, Good Health and Well Being, Humans, Surgical Wound Infection, Infection Control, Hospitals, United States, Medical and Health Sciences, Epidemiology, Biomedical and clinical sciences, Health sciences
Abstract

The intent of this document is to highlight practical recommendations in a concise format designed to assist acute-care hospitals in implementing and prioritizing their surgical-site infection (SSI) prevention efforts. This document updates the Strategies to Prevent Surgical Site Infections in Acute Care Hospitals published in 2014. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA). It is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise.

Published
2023

3. The association between influenza vaccine effectiveness and egg-based manufacturing technology: literature review and US expert consensus

Author

Chatterjee, Archana, primary, Ambrose, Karita, additional, Canaday, David H., additional, Delair, Shirley, additional, Ezike, Ngozi, additional, Huber, Victor C., additional, Jhaveri, Ravi, additional, Nyquist, Ann-Christine, additional, Sporer, Abigail, additional, Varman, Meera, additional, Vivekanandan, Renuga, additional, Wojcik, Radek, additional, and Jandhyala, Ravi, additional

Published
2023
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6. State of the union on COVID-19: What we knew then, what we know now

Author

Saporta-Keating, Sara R. and Nyquist, Ann-Christine

Subjects
Infection, Coronaviruses, Health, Health care industry
Abstract

It is now 2021, and our understanding of the novel coronavirus first reported in Wuhan, China in December 2019 has drastically expanded due largely to the extensive number of individuals [...]

Published
2021

7. The association between influenza vaccine effectiveness and egg-based manufacturing technology: literature review and US expert consensus.

Author

Chatterjee, Archana, Ambrose, Karita, Canaday, David H., Delair, Shirley, Ezike, Ngozi, Huber, Victor C., Jhaveri, Ravi, Nyquist, Ann-Christine, Sporer, Abigail, Varman, Meera, Vivekanandan, Renuga, Wojcik, Radek, and Jandhyala, Ravi

Subjects
FLU vaccine efficacy, LITERATURE reviews, TECHNICAL literature, INFLUENZA vaccines, VACCINE manufacturing
Abstract

Influenza is associated with significant disease burden in the US and is currently best controlled by vaccination programs. Influenza vaccine effectiveness (VE) is low and may be reduced by several factors, including egg adaptations. Although non-egg-based influenza vaccines reportedly have greater VE in egg-adapted seasons, evidence for egg adaptations' reduction of VE is indirect and dissociated, apart from two previous European consensuses. This study replicated the methodology used in a 2020 literature review and European consensus, providing an updated review and consensus opinion of 10 US experts on the evidence for a mechanistic basis for reduction of VE due to egg-based manufacturing methods. A mechanistic basis was assumed if sufficient evidence was found for underlying principles proposed to give rise to such an effect. Evidence for each principle was brought forward from the 2020 review and identified here by structured literature review and expert panel. Experts rated the strength of support for each principle and a mechanistic basis for reduction of VE due to egg-based influenza vaccine manufacture in a consensus method (consensus for strong/very strong evidence = ≥ 3.5 on 5-point Likert scale). Experts assessed 251 references (from previous study: 185; this study: 66). The majority of references for all underlying principles were rated as strong or very strong supporting evidence (52–86%). Global surveillance, WHO candidate vaccine virus selection, and manufacturing stages involving eggs were identified as most likely to impact influenza VE. After review of extensive evidence for reduction of VE due to egg-based influenza vaccine manufacture, influenza experts in the US joined those in Europe in unanimous agreement for a mechanistic basis for the effect. Vaccine providers and administrators should consider use of non-egg-based influenza vaccine manufacture to reduce the risk of egg adaptations and likely impact on VE. [ABSTRACT FROM AUTHOR]

Published
2024
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9. Contributors

Author

Abel, Robin, primary, Abman, Steven H., additional, Alton, Eric, additional, Ambruso, Daniel R., additional, Anderson, William Carl, additional, Balakrishnan, Karthik, additional, Balfour-Lynn, Ian Michael, additional, Bamford, Anna, additional, Bar-Yoseph, Ronen, additional, Berman-Rosenzweig, Erika, additional, Bhatla, Deepika, additional, Blatter, Joshua A., additional, Boesch, R. Paul, additional, Bruzoni, Matias, additional, Bush, Andrew, additional, Bye, Michael, additional, Carlsen, Kai Håkon, additional, Chang, Anne B., additional, Chao, Stephanie D., additional, Chatwin, Michelle, additional, Chaudhari, Bimal Pankaj, additional, Chitty, Lyn, additional, Collins, Nicola, additional, Cooper, Dan M., additional, Corren, Jonathan, additional, Cotton, Robin T., additional, Coverstone, Andrea, additional, Crowley, Suzanne, additional, Cunningham, Steve, additional, Cutting, Garry R., additional, Czovek, Dorottya, additional, Daley, Charles L., additional, Davies, Gwyneth, additional, Davies, Jane C., additional, de Alarcòn, Alessandro, additional, DeBoer, Emily M., additional, De Guzman, Marietta Morales, additional, Dell, Sharon D., additional, Deterding, Robin, additional, Deutsch, Gail H., additional, Devadason, Sunalene, additional, Fox Ditcham, William Graham, additional, Dorsey, Jill, additional, Ducharme, Francine M., additional, Engelhardt, John, additional, Everard, Mark L., additional, Fan, Leland L., additional, Faro, Albert, additional, Ferkol, Thomas, additional, Fleming, Louise, additional, Fonceca, Angela Mary, additional, Ganatra, Hammad A., additional, Garcia, Amy Michelle, additional, Gozal, David, additional, Gray, Diane, additional, Greenough, Anne, additional, Griesenbach, Uta, additional, Grigg, Jonathan, additional, Hagood, James S., additional, Hammer, Jürg, additional, Hamvas, Aaron, additional, Harcourt, Jonny, additional, Hauk, Pia J., additional, Heininger, Ulrich, additional, Henderson, Alexander John, additional, Henry, Marianna M., additional, Hewitt, Richard J., additional, Highsmith, Heather Young, additional, Hillman, Noah H., additional, Hoch, Heather Ellen, additional, Hyun, Jeong S., additional, Isa, Mas Suhaila, additional, Jaffé, Adam, additional, Jennings, Lance C., additional, Jobe, Alan H., additional, Kamdar, Ankur A., additional, Katira, Bhushan, additional, Kavanagh, Brian P., additional, Kemp, James, additional, Kercsmar, Carolyn M., additional, Kheirandish-Gozal, Leila, additional, King, Wilson, additional, Kingma, Paul, additional, Knight-Madden, Jennifer, additional, Knutsen, Alan Paul, additional, Kornecki, Alik, additional, Krishnan, Usha, additional, Kurland, Geoffrey, additional, Simon Lam, Hugh, additional, Langston, Claire, additional, Lee, Ada, additional, Leigh, Margaret W., additional, Lesser, Daniel, additional, Lloyd, Clare M., additional, Mandalakas, Anna Maria, additional, Marostica, Paulo J.C., additional, Martiniano, Stacey L., additional, Maybee, Jennifer, additional, McDowell, Karen M., additional, Michelson, Peter, additional, Miller, Aaron Samuel, additional, Miller, Claire Kane, additional, Mirza, Ayesha, additional, Murdoch, David R., additional, Newth, Christopher J.L., additional, Nicholson, Andrew Gordon, additional, Nick, Jerry A., additional, Nicolais, Christina J., additional, Noah, Terry L., additional, Nogee, Lawrence M., additional, Noyes, Blakeslee, additional, Numa, Andrew H., additional, Nyquist, Ann-Christine, additional, O'Brodovich, Hugh, additional, Ochs, Matthias, additional, Olin, J. Tod, additional, Olsen, Øystein, additional, Owens, Catherine, additional, Panitch, Howard B., additional, Pasterkamp, Hans, additional, Payne, Donald, additional, Pentiuk, Scott, additional, Prager, Jeremy, additional, Praud, Jean-Paul, additional, Prayle, Andrew P., additional, Prentice, Bernadette, additional, Putnam, Philip E., additional, Quittner, Alexandra L., additional, Radom-Aizik, Shlomit, additional, Rao, Suchitra, additional, Rathore, Mobeen, additional, Redding, Gregory J., additional, Rutter, Michael, additional, Saez-Flores, Estefany, additional, Saglani, Sejal, additional, Schneider, Rayfel, additional, Schowengerdt, Kenneth O., additional, Scotta, Marcelo C., additional, Semple, Thomas, additional, Sherlock, Laurie, additional, Singh, Ram N., additional, Slavin, Raymond G., additional, Sly, Peter, additional, Smevik, Bjarne, additional, Smith, Keely Garrett, additional, Spahr, Jonathan, additional, Stark, James M., additional, Starke, Jeffrey R., additional, Stein, Renato T., additional, Stillwell, Paul C., additional, Stokes, Dennis C., additional, Swarr, Daniel T., additional, Sweet, Stuart Charles, additional, Szefler, Stanley James, additional, Tambyah, Paul, additional, Tan, Christelle Xian-Ting, additional, Temprano, James, additional, Thorson, Chad M., additional, Trapnell, Bruce C., additional, Varisco, Brian Michael, additional, Vece, Timothy J., additional, Vyas, Harish G., additional, Wakeman, Ruth, additional, Wallis, Colin, additional, Wambach, Jennifer, additional, Weiner, Daniel J., additional, Werno, Anja M., additional, Wert, Susan E., additional, Whitsett, Jeffrey A., additional, Wilmott, Robert William, additional, Wood, Robert E., additional, Wootten, Christopher Todd, additional, Wright, Marie, additional, Wright, Sarah, additional, Yeung, Rae S.M., additional, Yoshida, Takeshi, additional, Young, Carolyn, additional, Young, Lisa R., additional, Zar, Heather J., additional, Zeitlin, Pamela Leslie, additional, and Zielinski, David, additional

Published
2019
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10. Influenza

Author

Rao, Suchitra, primary, Nyquist, Ann-Christine, additional, and Stillwell, Paul C., additional

Published
2019
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11. The association between influenza vaccine effectiveness and egg-based manufacturing technology: A systematic review and US expert consensus

Author

Chatterjee, Archana, primary, Ambrose, Karita, additional, Canaday, David, additional, Delair, Shirley, additional, Ezike, Ngozi, additional, Huber, Victor, additional, Jandhyala, Ravi, additional, Jhaveri, Ravi, additional, Nyquist, Ann-Christine, additional, Sporer, Abigail, additional, Varman, Meera, additional, Vivekanandan, Renuga, additional, and Wojcik, Radek, additional

Published
2023
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12. Preschool-Aged Household Contacts as a Risk Factor for Viral Respiratory Infections in Healthcare Personnel

Author

Most, Zachary M, primary, Nyquist, Ann-Christine, additional, Radonovich, Lewis J, additional, Rodriguez-Barradas, Maria C, additional, Price, Connie Savor, additional, Simberkoff, Michael S, additional, Bessesen, Mary T, additional, Cummings, Derek A T, additional, Rattigan, Susan M, additional, Warren-Gash, Charlotte, additional, Gaydos, Charlotte A, additional, Gibert, Cynthia L, additional, Gorse, Geoffrey J, additional, and Perl, Trish M, additional

Published
2023
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13. Severe respiratory illness associated with a nationwide outbreak of enterovirus D68 in the USA (2014): a descriptive epidemiological investigation

Author

Midgley, Claire M, Watson, John T, Nix, W Allan, Curns, Aaron T, Rogers, Shannon L, Brown, Betty A, Conover, Craig, Dominguez, Samuel R, Feikin, Daniel R, Gray, Samantha, Hassan, Ferdaus, Hoferka, Stacey, Jackson, Mary Anne, Johnson, Daniel, Leshem, Eyal, Miller, Lisa, Nichols, Janell Bezdek, Nyquist, Ann-Christine, Obringer, Emily, Patel, Ajanta, Patel, Megan, Rha, Brian, Schneider, Eileen, Schuster, Jennifer E, Selvarangan, Rangaraj, Seward, Jane F, Turabelidze, George, Oberste, M Steven, Pallansch, Mark A, and Gerber, Susan I

Published
2015
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22. Outpatient healthcare personnel knowledge and attitudes towards infection prevention measures for protection from respiratory infections

Author

Bessesen, Mary T., primary, Rattigan, Susan, additional, Frederick, John, additional, Cummings, Derek A.T., additional, Gaydos, Charlotte A., additional, Gibert, Cynthia L., additional, Gorse, Geoffrey J., additional, Nyquist, Ann-Christine, additional, Price, Connie S., additional, Reich, Nicholas G., additional, Simberkoff, Michael S., additional, Brown, Alexandria C., additional, Radonovich, Lewis J., additional, Perl, Trish M., additional, and Rodriguez-Barradas, Maria C., additional

Published
2021
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23. Infectious shock and toxic shock syndrome diagnoses in hospitals, Colorado, USA

Author

Smit, Michael A., Nyquist, Ann-Christine, and Todd, James K.

Subjects
Databases -- Usage, Toxic shock syndrome -- Diagnosis -- Care and treatment -- Genetic aspects, Epidemiology -- Research, CD-ROM catalog, Database, CD-ROM database, Health
Abstract

First described in 1978, toxic shock syndrome (TSS) is a severe febrile illness now confirmed to be caused by exotoxin-producing strains of Staphyloccocus aureus and Streptococcus pyogenes (1). Investigations based [...]

Published
2013
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24. Influence of Preseason Antibodies Against Influenza Virus on Risk of Influenza Infection Among Healthcare Personnel

Author

Gorse, Geoffrey J, primary, Rattigan, Susan M, additional, Kirpich, Alexander, additional, Simberkoff, Michael S, additional, Bessesen, Mary T, additional, Gibert, Cynthia, additional, Nyquist, Ann-Christine, additional, Price, Connie Savor, additional, Gaydos, Charlotte A, additional, Radonovich, Lewis J, additional, Perl, Trish M, additional, Rodriguez-Barradas, Maria C, additional, and Cummings, Derek A T, additional

Published
2021
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25. Take-home kits to detect respiratory viruses among healthcare personnel: Lessons learned from a cluster randomized clinical trial

Author

Los, Jenna, primary, Gaydos, Charlotte A., additional, Gibert, Cynthia L., additional, Gorse, Geoffrey J., additional, Lykken, Jacquelyn, additional, Nyquist, Ann-Christine, additional, Price, Connie S., additional, Radonovich, Lewis J., additional, Rattigan, Susan, additional, Reich, Nicholas, additional, Rodriguez-Barradas, Maria, additional, Simberkoff, Michael, additional, Bessesen, Mary, additional, Brown, Alexandria, additional, Cummings, Derek A.T., additional, and Perl, Trish M., additional

Published
2021
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26. Case-based surveillance of influenza hospitalizations during 2004-2008, Colorado, USA

Author

Proff, Rosemary, Gershman, Ken, Lezotte, Dennis, and Nyquist, Ann-Christine

Subjects
Company distribution practices, Hospital care -- Health aspects, Influenza -- Causes of, Influenza -- Distribution, Influenza -- Diagnosis, Influenza -- Drug therapy, Influenza -- Research
Abstract

Each year, in the United States, influenza infections cause an estimated 36,000 deaths (1) and >200,000 hospitalizations (2). The Centers for Disease Control and Prevention (CDC) monitors seasonal influenza activity [...]

Published
2009

27. Effectiveness of seven-valent pneumococcal conjugate vaccine against invasive pneumococcal disease: a matched case-control study

Author

Whitney, Cynthia G., Pilishvili, Tamor, Farley, Monica M., Schaffner, William, Craig, Allen S., Lynfield, Ruth, Nyquist, Ann-Christine, Gershman, Kenneth A., Vazquez, Marietta, Bennett, Nancy M., Reingold, Arthur, Thomas, Ann, Glode, Mary P., Zell, Elizabeth R., Jorgensen, James H., Beall, Bernard, and Schuchat, Anne

Subjects
Pneumococcal infections -- Prevention, Pneumococcal vaccine -- Product development, Pneumococcal vaccine -- Evaluation
Published
2006

28. Electronic surveillance system for monitoring surgical antimicrobial prophylaxis

Author

Voit, Sara Bornstein, Todd, James K., Nelson, Bernard, and Nyquist, Ann-Christine

Subjects
Company business management, American Academy of Pediatrics, Surgery -- Complications and side effects, Surgery -- Analysis, Surgery -- Prognosis, Electronic surveillance -- Management, Electronic surveillance -- Standards
Abstract

Objectives. Antimicrobial surgical prophylaxis comprises one third of all antibiotic use in pediatric hospitals and 80% of all antibiotic use in surgery. Previous studies reported that antimicrobial surgical prophylaxis is often inconsistent with recommended guidelines. An electronic surveillance system was developed to measure antimicrobial utilization and to identify opportunities to improve and monitor the administration of antibiotics for surgical prophylaxis. Methods. A retrospective cohort study was conducted on patients with selected inpatient surgical procedures performed from May 1999 to April 2000 at 4 US children's hospitals. International Classification of Diseases, Ninth Revision surgical procedure codes were divided into clean or unclean categories, and an electronic surveillance system was designed using antibiotic and microbiologic culture utilization data to measure appropriate antimicrobial use associated with the surgical procedure. A medical chart review was conducted to validate the electronic system. Results. Ninety percent of cases were classified properly by the electronic surveillance system as confirmed by medical chart review. Surgical antibiotic prophylaxis was not in accordance with the American Academy of Pediatrics (AAP) guidelines for almost half of all procedures. Prolonged antimicrobial administration in clean surgical procedures was the most frequent deviation from guidelines. Statistical differences between the index hospital and the comparison hospitals reflect both over- and underutilization of surgical prophylaxis with significant opportunity to improve prophylaxis for all hospitals. Conclusions. Antimicrobial surgical prophylaxis at the children's hospitals studied is not always consistent with published AAP guidelines. This electronic surveillance system provides a rapid, reproducible, and validated tool to measure easily the efforts to improve adherence to AAP surgical prophylaxis guidelines. ABBREVIATIONS. AAP, American Academy of Pediatrics; ESS, electronic surveillance system; ICD-9, International Classification of Diseases, Ninth Revision; PHIS, Pediatric Hospital Information System., Surgical site infections result in increased morbidity and mortality and may be preventable with adequate antimicrobial prophylaxis. (1,2) The consequences of these infections include increased morbidity and increased patient care [...]

Published
2005

29. Neutropenia

Author

Nyquist, Ann-Christine, primary, Nuss, Rachelle, additional, and Lane, Peter A., additional

Published
2011
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30. Contributors

Author

Abzug, Mark J., primary, Albano, Edythe, additional, Amin, Nimisha, additional, Anderson, Mark E., additional, Anderson, Marsha S., additional, Apkon, Susan D., additional, Armstrong-Wells, Jennifer, additional, Arndt, Daniel, additional, Arnold, Donald H., additional, Bajaj, Lalit, additional, Baker, Christopher D., additional, Balasubramaniam, Vivek, additional, Barker, Jennifer M., additional, Barnes, Barrett H., additional, Barry, James S., additional, Berman, Stephen, additional, Bernard, Timothy J., additional, Brayden, Robert, additional, Brent, Alison, additional, Burch, Joanna M., additional, Burgos-Zavoda, Arelis, additional, Campbell, Jeffrey B., additional, Campbell, William, additional, Casperson, Kelly, additional, Chambers, Betsey, additional, Chen, Maida Lynn, additional, Chester, Marc, additional, Chiesa, Antonia, additional, Child, Jason, additional, Collins, Abigail, additional, Colson, Steven, additional, Cook, Mary N., additional, Crewalk, Julie-Ann, additional, Curtis, Donna, additional, Davidson, Jesse, additional, DeBiasi, Roberta L., additional, Deterding, Robin R., additional, Dominguez, Samuel R., additional, Elias, Ellen Roy, additional, Emery, Kathryn D., additional, Federico, Monica J., additional, Federico, Steven G., additional, Ferguson, Catherine C., additional, Fox, David, additional, Fuzak, Julia, additional, Gajewski, Kelly K., additional, Gallagher, Renata C., additional, Gien, Jason, additional, Gilroy, Christine, additional, Glodé, Mary P., additional, Goldenberg, Neil A., additional, Goldson, Edward, additional, Greene, Carol L., additional, Grubenhoff, Joseph, additional, Grunzke, Mindy L., additional, Gupta, Sameer, additional, Gutierrez, Greg, additional, Halbower, Ann C., additional, Halstead, Sarah, additional, Hambidge, Simon J., additional, Henderson, Megan G., additional, Hoffenberg, Edward J., additional, Hurtado, Christine Waasdorp, additional, Ipaktchi, Kyros, additional, Jernigan, Ed, additional, Kailin, Joshua A., additional, Kamath, Beena D., additional, Kanathur, Naveen, additional, Kappy, Michael S., additional, Kaul, Paritosh, additional, Kedia, Sita, additional, Kelminson, Karen L., additional, Kelsey, Megan, additional, Kerby, Gwendolyn, additional, Klein, Ulrich, additional, Knupp, Kelly, additional, Knuti, Kristine, additional, Koch, Mark G., additional, Kramer, Robert E., additional, Kurbegov, Amethyst C., additional, Laguna, Theresa, additional, Lane, Peter A., additional, LaPage, Martin J., additional, Leve, Meegan, additional, Levisohn, Paul, additional, Liu, Edwin, additional, Lu, Brandy, additional, Mack, Cara L., additional, Maes, Jody Ann, additional, Mahar, Patrick, additional, Mandt, Maria, additional, Mazor, Suzan, additional, McFarland, Elizabeth J., additional, Melnicoe, Lora, additional, Moe, Paul G., additional, Moon, Thomas J., additional, Morelli, Joseph, additional, Mukkada, Vincent, additional, Nuss, Rachelle, additional, Nyquist, Ann-Christine, additional, O’Connor, Judith A., additional, Ogle, John W., additional, O’Leary, Sean T., additional, Oliver, Scott C.N., additional, Pan, Carolyn K., additional, Panepinto, Julie A., additional, Parker, Sarah, additional, Parsons, Julie, additional, Patel, Roopal, additional, Pengel, K. Brooke, additional, Peterson, John, additional, Pickler, Laura, additional, Pohlman, Garrett, additional, Poole, Steven R., additional, Rappaport, Lara, additional, Reed, John H., additional, Rhodes, Jason T., additional, Roback, Mark, additional, Rosenberg, Adam, additional, Roswell, Kelley, additional, Sabo, Tonia, additional, Sass, Amy E., additional, Schaffer, Michael S., additional, Scharer, Gunter H., additional, Schmitt, Barton D., additional, Scott, Stephen M., additional, Seibold, Leo K., additional, Shlay, Judith C., additional, Sigel, Eric J., additional, Sills, Marion R., additional, Simoes, Eric A.F., additional, Sirotnak, Andrew, additional, Smith, Joseph M., additional, Soden, Jason, additional, Soep, Jennifer B., additional, Spiro, David M., additional, Stroud, Britt, additional, Thompson, Henry R., additional, Tsai, Anne Chun-Hui, additional, Valdez, Sondra, additional, Wadwa, R. Paul, additional, Wagener, Jeffrey S., additional, Walsh, Michael, additional, Wang, George S., additional, Wathen, Joe, additional, Wells, Kathryn, additional, White, Andrew, additional, Wilson, Anne, additional, Woodruff, Samantha A., additional, Wray, Carter, additional, Yeung, Elizabeth, additional, Yoon, Patricia J., additional, Young, Janine, additional, Young, Lester, additional, Zachar, Pamela A., additional, Zaritsky, Joshua J., additional, Zawadzki, Lucy, additional, Zemanick, Edith T., additional, and Zimbelman, Julie D., additional

Published
2011
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32. Impact of mandatory vaccination of healthcare personnel on rates of influenza and other viral respiratory pathogens

Author

Simberkoff, Michael S., Rattigan, Susan M., Gaydos, Charlotte A., Gibert, Cynthia L., Gorse, Geoffrey J., Nyquist, Ann-Christine, Price, Connie S., Reich, Nicholas, Rodriguez-Barradas, Maria C., Bessesen, Mary, Brown, Alexandria, Cummings, Derek A.T., Radonovich, Lewis J., and Perl, Trish M.

Abstract

AbstractObjective:The implementation of mandatory influenza vaccination policies among healthcare personnel (HCP) is controversial. Thus, we examined the affect of mandatory influenza vaccination policies among HCP working in outpatient settings.Setting:Four Veterans’ Affairs (VA) health systems and three non-VA medical centers.Methods:We analyzed rates of influenza and other viral causes of respiratory infections among HCP working in outpatient sites at 4 VA health systems without mandatory influenza vaccination policies and 3 non-VA health systems with mandatory influenza vaccination policies.Results:Influenza vaccination was associated with a decreased risk of influenza (odds ratio, 0.17; 95% confidence interval [CI], 0.13–0.22) but an increased risk of other respiratory viral infections (incidence rate ratio, 1.26; 95% CI, 1.02–1.57).Conclusions:Our fitted regression models suggest that if influenza vaccination rates in clinics where vaccination was not mandated had equalled those where vaccine was mandated, HCP influenza infections would have been reduced by 52.1% (95% CI, 51.3%–53.0%). These observations, their possible causes, and additional strategies to reduce influenza and other viral respiratory illnesses among HCP working in ambulatory clinics warrant further investigation.

Published
2022
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34. Influence of Preseason Antibodies Against Influenza Virus on Risk of Influenza Infection Among Healthcare Personnel.

Author

Gorse, Geoffrey J, Rattigan, Susan M, Kirpich, Alexander, Simberkoff, Michael S, Bessesen, Mary T, Gibert, Cynthia, Nyquist, Ann-Christine, Price, Connie Savor, Gaydos, Charlotte A, Radonovich, Lewis J, Perl, Trish M, Rodriguez-Barradas, Maria C, and Cummings, Derek A T

Subjects
MEDICAL personnel, INFLUENZA A virus, INFLUENZA viruses, VIRUS diseases, N95 respirators, INFLUENZA prevention, INFLUENZA epidemiology, ORTHOMYXOVIRUS infections, INFLUENZA vaccines, HEMAGGLUTINATION tests, RESEARCH, RESEARCH methodology, MEDICAL care, EVALUATION research, COMPARATIVE studies, RANDOMIZED controlled trials, RESEARCH funding, VIRAL antibodies, STATISTICAL sampling, INFLUENZA A virus, H1N1 subtype, INFLUENZA A virus, H3N2 subtype
Abstract

Background: The association of hemagglutination inhibition (HAI) antibodies with protection from influenza among healthcare personnel (HCP) with occupational exposure to influenza viruses has not been well-described.Methods: The Respiratory Protection Effectiveness Clinical Trial was a cluster-randomized, multisite study that compared medical masks to N95 respirators in preventing viral respiratory infections among HCP in outpatient healthcare settings for 5180 participant-seasons. Serum HAI antibody titers before each influenza season and influenza virus infection confirmed by polymerase chain reaction were studied over 4 study years.Results: In univariate models, the risk of influenza A(H3N2) and B virus infections was associated with HAI titers to each virus, study year, and site. HAI titers were strongly associated with vaccination. Within multivariate models, each log base 2 increase in titer was associated with 15%, 26% and 33%-35% reductions in the hazard of influenza A(H3N2), A(H1N1), and B infections, respectively. Best models included preseason antibody titers and study year, but not other variables.Conclusions: HAI titers were associated with protection from influenza among HCP with routine exposure to patients with respiratory illness and influenza season contributed to risk. HCP can be reassured about receiving influenza vaccination to stimulate immunity. [ABSTRACT FROM AUTHOR]

Published
2022
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36. Contributors

Author

Adderson, Elisabeth E., primary, Adler-Shohet, Felice C., additional, Amieva, Manuel R., additional, Armstrong, Gregory L., additional, Arvelo, Wences, additional, Arvin, Ann M., additional, Asher, David M., additional, Ashkenazi, Shai, additional, Ault, Kevin A., additional, Baker, Carol J., additional, Barson, William J., additional, Bell, Beth P., additional, Bell, Michael J., additional, Benjamin, Daniel K., additional, Bialek, Stephanie R., additional, Blythe, Margaret J., additional, Bocchini, Joseph A., additional, Boeckh, Michael, additional, Bower, William A., additional, Boyer, Kenneth M., additional, Braden, Christopher R., additional, Bradley, John S., additional, Brady, Michael T., additional, Bratcher, Denise, additional, Braverman, Paula K., additional, Bresee, Joseph S., additional, Brook, Itzhak, additional, Brown, Kevin E., additional, Browning, John C., additional, Buckingham, Steven C., additional, Buescher, E. Stephen, additional, Burns, Jane L., additional, Cappello, Michael, additional, Carter, Bryan D., additional, Chadwick, Ellen Gould, additional, Chesney, Patricia Joan, additional, Childs, James E., additional, Christenson, John C., additional, Cleary, Thomas G., additional, Coffin, Susan E., additional, Connelly, Beverly L., additional, Cotton, C. Michael, additional, Cox, Elaine, additional, Cramer, Robert Andrew, additional, Crockett, Maryanne E., additional, Crowe, James E., additional, Cunningham, Dennis J., additional, Darville, Toni, additional, Dasch, Gregory A., additional, Daum, Robert S., additional, de la Morena, Maite, additional, Demmler, Gail J., additional, Despommier, Dickson D., additional, Diefenbach, Karen A., additional, Dominguez, Elidia, additional, Downs, Stephen M., additional, Dvorak, Christopher C., additional, Edwards, Kathryn, additional, Edwards, Morven S., additional, Englund, Janet A., additional, Erard, Véronique, additional, Eremeeva, Marina E., additional, Finelli, Lyn, additional, Finn, Adam, additional, Fiore, Anthony E., additional, Fischer, Marc, additional, Fitch, Sarah J., additional, Flynn, Patricia M., additional, Fortenberry, J. Dennis, additional, Fox, LeAnne M., additional, Freedman, David O., additional, Gans, Hayley A., additional, Gerber, Michael A., additional, Gigliotti, Francis, additional, Gilligan, Peter, additional, Gold, Benjamin D., additional, Goldman, David L., additional, Goldstein, Brahm, additional, Goldstein, Susan T., additional, Gould, Jane M., additional, Green, Michael, additional, Greene, Sharon K., additional, Greenwald, Mark J., additional, Grom, Alexei A., additional, Grossman, Leigh B., additional, Guerra, Marta A., additional, Gutierrez, Kathleen, additional, Guzman-Cottrill, Judith A., additional, Hall, Caroline Breese, additional, Harper, Marvin B., additional, Haslam, David B., additional, Hayes, Edward B., additional, Hendley, J. Owen, additional, Henrickson, Kelly J., additional, Henry, Marion C.W., additional, Hilinski, Joseph A., additional, Hotez, Peter J., additional, Ingram, David L., additional, Jackson, Mary Anne, additional, Jacobs, Richard F., additional, Karlowicz, M. Gary, additional, Katz, Ben Z., additional, Keystone, Jay S., additional, Kimberlin, David W., additional, Kleiman, Martin B., additional, Klein, Jerome O., additional, Kline, Mark W., additional, Koh, Andrew Y., additional, Koranyi, Katalin I., additional, Korgenski, E. Kent, additional, Leggiadro, Robert J., additional, Levy, Moise L., additional, Lewis, David B., additional, Lieberman, Jay M., additional, Limaye, Abhijit, additional, Lohr, Jacob A., additional, Lorber, Bennett, additional, Long, Sarah S., additional, Low, Donald E., additional, Lowell, Gina, additional, Lowenthal, Elizabeth, additional, Lujan-Zilbermann, Jorge, additional, Luzuriaga, Katherine, additional, MacDonald, Noni E., additional, Maldonado, Yvonne A., additional, Mani, Chitra S., additional, Marcinak, John F., additional, Marcon, Mario J., additional, Marshall, Gary S., additional, Martin, Stacey W., additional, Massung, Robert F., additional, Mast, Eric E., additional, Mazzulli, Tony, additional, McCracken, George H., additional, McGregor, Robert S., additional, McIntosh, Kenneth, additional, McLean, Catherine A., additional, McLeod, Rima, additional, McMillan, Julia A., additional, McQuiston, Jennifer H., additional, Meissner, H. Cody, additional, Menon, Manoj P., additional, Michaels, Marian G., additional, Miller, Melissa B., additional, Millon, Juan Carlos, additional, Modlin, John F., additional, Moore, Matthew R., additional, Moore, Zack S., additional, Moran, Mary M., additional, Moro, Pedro L., additional, Moss, R. Lawrence, additional, Murray, Dennis L., additional, Nadel, Simon, additional, Nataro, James P., additional, Neely, Michael N., additional, Nizet, Victor, additional, Norrby-Teglund, Anna, additional, Nyquist, Ann-Christine, additional, Ochoa, Theresa J., additional, O'Hara, Sara M., additional, Orenstein, Walter A., additional, Ortega-Barria, Eduardo, additional, Overturf, Gary D., additional, Paddock, Christopher D., additional, Painter, John A., additional, Pappas, Diane E., additional, Parise, Monica E., additional, Pass, Robert F., additional, Patterson, Thomas F., additional, Pavia, Andrew T., additional, Pelton, Stephen I., additional, Peter, Georges, additional, Peters, Timothy R., additional, Petri, William A., additional, Pickering, Larry K., additional, Pizzo, Philip A., additional, Pollard, Andrew J., additional, Poutanen, Susan M., additional, Powell, Dwight A., additional, Prince, Alice S., additional, Prober, Charles G., additional, Rangel, Shawn J., additional, Rawstron, Sarah Anne, additional, Reed, Michael D., additional, Reller, Megan E., additional, Richards, Frank O., additional, Rodgers, Gail L., additional, Romero, Luz I., additional, Rotbart, Harley A., additional, Rowley, Anne H., additional, Rubin, Lorry G., additional, Ruiz-Palacios, Guillermo M., additional, Sáez-Llorens, Xavier, additional, Saiman, Lisa, additional, Sauberan, Jason B., additional, Sawyer, Mark H., additional, Schantz, Peter M., additional, Schlager, Theresa A., additional, Schutze, Gordon E., additional, Schwartz, Benjamin, additional, Schwartz, Richard H., additional, Schwarzwald, Heidi, additional, Shah, Samir S., additional, Shane, Andi L., additional, Shapiro, Eugene D., additional, Shetty, Avinash K., additional, Siegel, Jane D., additional, Siegel, Robert D., additional, Sipe, Walter E.B., additional, Skarbinski, Jacek, additional, Smith, P. Brian, additional, Snyder, John D., additional, Solaymani-Mohammadi, Shahram, additional, Staat, Mary Allen, additional, Starke, Jeffrey R., additional, Steinbach, William J., additional, Stephens, Ina, additional, St. Geme, Joseph W., additional, Subbarao, Kanta, additional, Sullivan, John L., additional, Sutton, Deanna A., additional, Sutton, Madeline Y., additional, Swerdlow, David L., additional, Tauxe, Robert V., additional, Thompson, Herbert A., additional, Thomson, Richard B., additional, Thorell, Emily A., additional, Todd, James K., additional, Toltzis, Philip, additional, Tsai, Theodore F., additional, Wald, Ellen R., additional, Wallace, Richard J., additional, Weinberg, Geoffrey A., additional, Weiss, Avery H., additional, White, A. Clinton, additional, Widdowson, Marc-Alain, additional, Williams, Ian T., additional, Williams, John V., additional, Willoughby, Rodney E., additional, Wilson, Craig M., additional, Winkelstein, Jerry A., additional, Workowski, Kimberly, additional, Wright, Terry W., additional, Yazigi, Nada, additional, Yogev, Ram, additional, Young, Edward J., additional, and Zaoutis, Theoklis E., additional

Published
2008
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38. Risk Factors for Healthcare Personnel Infection With Endemic Coronaviruses (HKU1, OC43, NL63, 229E): Results from the Respiratory Protection Effectiveness Clinical Trial (ResPECT)

Author

Cummings, Derek A T, primary, Radonovich, Lewis J, additional, Gorse, Geoffrey J, additional, Gaydos, Charlotte A, additional, Bessesen, Mary T, additional, Brown, Alexandria C, additional, Gibert, Cynthia L, additional, Hitchings, Matthew D T, additional, Lessler, Justin, additional, Nyquist, Ann-Christine, additional, Rattigan, Susan M, additional, Rodriguez-Barradas, Maria C, additional, Price, Connie Savor, additional, Reich, Nicholas G, additional, Simberkoff, Michael S, additional, and Perl, Trish M, additional

Published
2020
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41. Risk Factors for Healthcare Personnel Infection With Endemic Coronaviruses (HKU1, OC43, NL63, 229E): Results from the Respiratory Protection Effectiveness Clinical Trial (ResPECT).

Author

Cummings, Derek A T, Radonovich, Lewis J, Gorse, Geoffrey J, Gaydos, Charlotte A, Bessesen, Mary T, Brown, Alexandria C, Gibert, Cynthia L, Hitchings, Matthew D T, Lessler, Justin, Nyquist, Ann-Christine, Rattigan, Susan M, Rodriguez-Barradas, Maria C, Price, Connie Savor, Reich, Nicholas G, Simberkoff, Michael S, and Perl, Trish M

Subjects
WORK environment, OCCUPATIONAL roles, AEROSOLS, CONFIDENCE intervals, SICK people, COVID-19, MEDICAL personnel, CROSS infection, RESPIRATORY infections, RISK assessment, DESCRIPTIVE statistics, PERSONAL protective equipment, ODDS ratio, COVID-19 pandemic, DISEASE risk factors
Abstract

Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) presents a large risk to healthcare personnel (HCP). Quantifying the risk of coronavirus infection associated with workplace activities is an urgent need. Methods We assessed the association of worker characteristics, occupational roles and behaviors, and participation in procedures with the risk of endemic coronavirus infection among HCP who participated in the Respiratory Protection Effectiveness Clinical Trial (ResPECT), a cluster randomized trial to assess personal protective equipment to prevent respiratory infections and illness conducted from 2011 to 2016. Results Among 4689 HCP seasons, we detected coronavirus infection in 387 (8%). HCP who participated in an aerosol-generating procedure (AGP) at least once during the viral respiratory season were 105% (95% confidence interval, 21%–240%) more likely to be diagnosed with a laboratory-confirmed coronavirus infection. Younger individuals, those who saw pediatric patients, and those with household members <5 years of age were at increased risk of coronavirus infection. Conclusions Our analysis suggests that the risk of HCP becoming infected with an endemic coronavirus increases approximately 2-fold with exposures to AGPs. Our findings may be relevant to the coronavirus disease 2019 (COVID-19) pandemic; however, SARS-CoV-2, the virus that causes COVID-19, may differ from endemic coronaviruses in important ways. Clinical Trials Registration NCT01249625. [ABSTRACT FROM AUTHOR]

Published
2021
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43. 410. Influence of Pre-season Antibody Titers to Influenza on Influenza Risk in a Cohort of Healthcare Personnel

Author

Rattigan, Susan M, primary, Gorse, Geoffrey, additional, Kirpich, Alexander, additional, Cummings, Derek, additional, Rodriguez-Barradas, Maria C, additional, Simberkoff, Michael, additional, Bessesen, Mary T, additional, Gibert, Cynthia L, additional, Nyquist, Ann-Christine, additional, Price, Connie S, additional, Reich, Nicholas, additional, Brown, Alexandria, additional, Radonovich, Lewis, additional, and Perl, Trish M, additional

Published
2019
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44. 1205. Healthcare Personnel Knowledge, Attitudes, and Beliefs Towards Infection Prevention and Control Measures for Protection from Respiratory Infections

Author

Bessesen, Mary T, primary, Radonovich, Lewis, additional, Rattigan, Susan M, additional, Cummings, Derek, additional, Rodriguez-Barradas, Maria C, additional, Simberkoff, Michael, additional, Gibert, Cynthia L, additional, Nyquist, Ann-Christine, additional, Price, Connie S, additional, Gorse, Geoffrey, additional, Gaydos, Charlotte A, additional, and Perl, Trish M, additional

Published
2019
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45. 1204. Increased Risk of Respiratory Infections Among Healthcare Personnel (HCP) Caring for Children

Author

Nyquist, Ann-Christine, primary, Rattigan, Susan M, additional, Gibert, Cynthia L, additional, Gorse, Geoffrey, additional, Perl, Trish M, additional, Price, Connie S, additional, Radonovich, Lewis, additional, Rodriguez-Barradas, Maria C, additional, Simberkoff, Michael, additional, Bessesen, Mary T, additional, Gaydos, Charlotte A, additional, and Cummings, Derek, additional

Published
2019
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48. 1716. Results of the Respiratory Protection Effectiveness Clinical Trial (ResPECT)

Author

Radonovich, Lewis, primary, Simberkoff, Michael S, additional, Bessesen, Mary, additional, Brown, Alexandria C, additional, Cummings, Derek, additional, Gaydos, Charlotte, additional, Los, Jenna, additional, Krosche, Amanda, additional, Gibert, Cynthia, additional, Gorse, Geoffrey, additional, Nyquist, Ann-Christine, additional, Reich, Nicholas, additional, Rodriguez-Barradas, Maria, additional, Price, Connie, additional, and Perl, Trish, additional

Published
2018
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