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Encouraging influenza vaccination for nursing home staff reduced mortality and influenza like illness in the residents

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 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 ★★★★★☆☆


Embedded ImageDesign:

matched pair, cluster randomised, controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

blinded {residents}.*

Embedded ImageFollow up period:

November to March (influenza season) in 2 consecutive years.

Embedded ImageSetting:

50 private nursing homes in England, UK

Embedded ImageParticipants:

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).

Embedded ImageIntervention:

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 …

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  • * See glossary.

  • Information provided by author.

  • For correspondence: Dr A C Hayward, University College London Centre for Infectious Disease Epidemiology, London, UK. a.hayward{at}

  • Source of funding: UK Department of Health.