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Healthcare Personnel

Healthcare Personnel . All paid and unpaid persons working in healthcare settings who have the potential for exposure to patients and/or to infectious materials. Measles. Between 2001 and 2010 approximately 60 reported measles cases annually in the U.S.

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Healthcare Personnel

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  1. Healthcare Personnel • All paid and unpaid persons working in healthcare settings who have the potential for exposure to patients and/or to infectious materials

  2. Measles • Between 2001 and 2010 approximately 60 reported measles cases annually in the U.S. • During 2011, 222 measles cases and 17 measles outbreaks reported to CDC from 31 states • One out of three persons who had measles in the U.S. in 2011 hospitalized

  3. Healthcare Personnel and MMR Vaccine • Adequate vaccination for measles, mumps, and rubella for healthcare personnel born during or after 1957 consists of • two doses of a live measles- and mumps-containing vaccine, and • at least one dose of a rubella-containing vaccine • Doses of MMR vaccine should be separated by at least 4 weeks

  4. Healthcare Personnel and MMR Vaccine • For unvaccinated personnel who were born before 1957 and lack laboratory evidence of measles, mumps and/or rubella immunity or laboratory confirmation of disease, healthcare facilities should consider vaccination with two doses of MMR vaccine

  5. Healthcare Personnel and Hepatitis B • Unvaccinated healthcare personnel who are at risk of blood or needle-stick injury should be vaccinated with three appropriately spaced doses of hepatitis B vaccine as soon as they begin training, before they can potentially be exposed

  6. Hepatitis B Vaccine Schedule *The third dose must be separated from the first dose by at least 16 weeks

  7. Hepatitis B • Healthcare personnel who have contact with patients or exposure to blood should be tested for antibody to hepatitis B surface antigen or anti-HBs 1 to 2 months after completion of the 3-dose series

  8. Hepatitis B • Nonresponders should receive a second 3-dose series and be retested • ACIP recommends a maximum of 6 total doses of hepatitis B vaccine • Healthcare personnel without documentation of a complete series or those with an incomplete vaccination history should complete the 3-dose series

  9. Influenza Vaccine • Influenza vaccine is the primary strategy for preventing influenza • Recommended annually for all eligible persons 6 months of age and older including healthcare personnel

  10. Influenza Vaccines • TIV or LAIV can be administered to eligible healthcare personnel without contraindications • LAIV can be administered to eligible healthcare personnel who work in any healthcare setting, except those who care for immunocompromised hospitalized persons who require care in a protective environment

  11. Pertussis and Healthcare Personnel • Healthcare personnel are at increased risk for acquiring and transmitting pertussis • Immunity to pertussis wanes- whether from vaccine or disease • Tdap vaccination can reduce the risk of disease and prevent transmission

  12. Tdap and Healthcare Personnel • All healthcare personnel, regardless of age, should receive a single dose of Tdap as soon as feasible if they have not previously received a dose of Tdap • Tdap vaccine should be administered regardless of the interval from the last dose of a tetanus toxoid-containing vaccine

  13. Varicella • All healthcare personnel should have documented evidence of immunity to varicella • Evidence of immunity for healthcare personnel includes: • documentation of 2 doses of varicella vaccine administered at least 28 days apart • clinician verified history or diagnosis of varicella or herpes zoster • laboratory evidence of immunity, or • laboratory confirmation of disease

  14. Documentation of Immunity • Documentation of vaccination and other evidence of immunity, such as serologic testing, should be readily available at the work location • Healthcare personnel should have a copy of the vaccines they have received and the results of all serologic tests performed

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