Doctors accepting flu vaccination is the sensible and responsible choice.
Doctors accepting flu vaccination is the sensible and responsible choice.
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医生接受流感疫苗接种是明智且负责任的选择。
DOI：
10.1136/bmj.d7199
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Dunning J
中科院分区：
文献类型：
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作者：
Dunning J
帕特尔那篇轻松有趣的文章最后写道：“毕竟，人类流感能有多严重？”答案是，对于男性和女性来说，流感可能是毁灭性的，甚至是致命的。这对于生病和脆弱的病人来说尤其如此。帕特尔没有抓住要点：我们应该接种疫苗，这不仅是为了让我们在漫长的冬夜里努力工作，也是为了防止我们患上流感，尽管感觉很糟糕，但我们仍在努力工作，感染我们的病人。医生不能依靠对症状的回忆来判断他们是否感染了流感或是否受到了流感的保护。在我们对2009年流感大流行期间75家不同NHS医院的1520名流感患者的研究中，我们确定了30例可能的医院获得性感染。其中26人患有严重的基础疾病。只有12人在发病后48小时内接受了适当的抗病毒药物治疗，超过一半的人需要加强护理，8人死亡。3虽然我们不知道有多少人是被医院工作人员感染的，但这些发现显然支持了今年秋天的运动，以提高我们在医疗工作者疫苗接种方面的零散记录。
Patel’s jaunty and amusing article concludes with:“after all, how bad can man flu be?” 1 The answer is that, for men and women, flu can be devastating and even lethal. This is especially true for sick and vulnerable patients. Patel misses the point: we should be vaccinated not only to keep us hard at work through those long winter days and nights, but also to prevent us getting flu and, despite feeling lousy, struggling in to work and infecting our patients. Doctors cannot rely on recollection of symptoms to know whether they have been infected or are protected against flu. 2In our study of 1520 patients with flu in 75 different NHS hospitals during the 2009 pandemic, we identified 30 cases of probable hospital acquired infection. Of these, 26 had serious underlying illnesses. Only 12 were treated with appropriate antiviral drugs within 48 hours of onset, more than half needed escalated care, and eight died. 3 Although we do not know how many were infected by hospital staff, these findings clearly support this autumn’s campaign to boost our patchy record on healthcare worker vaccination.