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DOI: 10.1055/s-0029-1233996
© Georg Thieme Verlag KG Stuttgart · New York
Argumente für eine verpflichtende Influenzaimpfung
Arguments for mandatory influenza vaccinationPublikationsverlauf
eingereicht: 12.12.2008
akzeptiert: 28.5.2009
Publikationsdatum:
31. Juli 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
MissingFormLabel
- 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
MissingFormLabel
- 3
Glezen W P.
Herd protection against influenza.
J Clin Virol.
2006;
37
237-234
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 6
Helms C M, Polgreen P M.
Should influenza
immunisation be mandatory for healthcare workers? Yes.
BMJ.
2008;
337
a2142
MissingFormLabel
- 7
Isaacs D, Leask J.
Should influenza immunisation
be mandatory for healthcare workers? No.
BMJ.
2008;
337
a2140
MissingFormLabel
- 8
Marckmann G.
Impfprogramme im Spannungsfeld zwischen individueller Autonomie
und allgemeinem Wohl.
Bundesgesundheitsbl Gesundheitsforsch
Gesundheitsschutz.
2008;
51
175-183
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 13
Talbot T R.
Improving rates of influenza vaccination among healthcare workers:
educate; motivate; mandate?.
Infect Control Hosp Epidemiol.
2008;
29
107-110
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
Dr. med. Sabine Wicker
Betriebsärztlicher Dienst, Klinikum
der Johann Wolfgang Goethe-Universität Frankfurt
Theodor-Stern-Kai
7
60590 Frankfurt am Main
Telefon: 069/63014511
Fax: 069/63016385
eMail: Sabine.Wicker@kgu.de