Flowchart Determination of Measles Vaccination in Medical Staff

Abstract

  Few medical institutions perform adequate measures for measles vaccination because of problems such as overhead and labor costs. Therefore, we developed a flowchart based on the vaccination guidelines of the Japanese Society of Environmental Infections, and used this flowchart to control vaccination against measles for the staff in our hospital. Using the flowchart showed that 14.4% of staff needed one vaccination against measles, 5.3% needed two vaccinations against measles, 43.2% did not need vaccination against measles, and 37.1% needed antibody measurement. Measles antibody measurement by the enzyme-immunoassay method showed that 23.5% of staff needed one vaccination against measles, and 5.3% needed two vaccinations against measles. The flowchart reduced cost per staff member by 49.5% compared with vaccination after measles antibody measurement in all staff. Therefore, the use of the flowchart collected all necessary information efficiently and led to reduction in expenditure.