Vaccination policies for healthcare workers in Europe.
Vaccination policies for healthcare workers in Europe.
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DOI：
10.1016/j.vaccine.2013.10.046
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发表时间：
2014-01-01
期刊：
影响因子：
5.5
通讯作者：
Poland, G. A.
中科院分区：
文献类型：
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作者：
Maltezou, H. C.;Poland, G. A.
卫生保健工作者罹患疫苗可预防疾病的风险增加，接种疫苗是合理的，以保护他们免受职业接触，并防止对易感患者构成威胁的疫苗可预防疾病的传播。对欧洲卫生保健工作者疫苗接种政策的审查显示，各国在推荐疫苗、实施框架（强制性或推荐性）、卫生保健工作者目标群体和卫生保健环境方面存在显著差异。此外，现有的少数已发表的研究表明，欧洲卫生保健工作者对vpd的免疫存在显著差距。为了实现更高的vpd疫苗接种覆盖率，需要提出更强有力的建议。对于可能传染给易感患者的疾病（流感、麻疹、腮腺炎、风疹、乙型肝炎、百日咳、水痘），应考虑强制接种疫苗的问题。卫生保健员接受疫苗接种和强制疫苗接种是一项挑战，似乎是vpd特有的。
Health-care workers (HCWs) are at increased risk for acquisition of vaccine-preventable diseases (VPDs) and vaccination is justified in order to protect them from occupational exposure and to prevent the spread of VPDs that pose a threat to susceptible patients. Review of European vaccination policies for HCWs revealed significant differences between countries in terms of recommended vaccines, implementation frame (mandatory or recommendation), target HCW groups and health-care settings. Further, the few published studies available identified indicate significant immunity gaps among HCWs against VPDs in Europe. In order to achieve higher vaccination coverage against VPDs stronger recommendations are needed. The issue of mandatory vaccination should be considered for diseases that can be transmitted to susceptible patients (influenza, measles, mumps, rubella, hepatitis B, pertussis, varicella). The acceptance of vaccinations and of mandatory vaccinations by HCWs is a challenge and appears to be VPD-specific.