Impact of Communicative and Informative Strategies on Influenza Vaccination Adherence and Absenteeism from Work of Health Care Professionals Working at the University Hospital of Palermo, Italy: A Quasi-Experimental Field Trial on Twelve Influenza Seasons
Impact of Communicative and Informative Strategies on Influenza Vaccination Adherence and Absenteeism from Work of Health Care Professionals Working at the University Hospital of Palermo, Italy: A Quasi-Experimental Field Trial on Twelve Influenza Seasons
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DOI：
10.3390/vaccines8010005
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发表时间：
2020-03-01
期刊：
影响因子：
7.8
通讯作者：
Restivo, Vincenzo
中科院分区：
文献类型：
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作者：
Costantino, Claudio;Casuccio, Alessandra;Restivo, Vincenzo
每年，约有20%的卫生保健工作者（HCW）感染流感，继续工作并鼓励病毒传播。流感疫苗接种覆盖率和从巴勒莫大学医院（UH）的医务人员之间的工作缺勤进行了分析之前和之后的几项举措，以提高医务人员对流感疫苗接种的认识。在过去的四个流感季节，在医院单位内进行疫苗管理，在社交媒体和巴勒莫卫生局机构网站上建立专门的网页，并为拒绝接种疫苗的医务工作者强制编制异议表。在采取这些策略后，流感疫苗接种覆盖率从5.2%上升到（2014/2015赛季）至37.2%（2018/2019赛季）（p < 0.001），接种HCW的平均年龄从48.1岁（95%CI：45.7-50.5）显著降低至35.9岁（95%CI：35.0-36.8）。据观察，巴勒莫市卫生保健员因急性病而损失的工作日有所减少。害怕不良反应和不认为自己是感染流感的高危人群是拒绝接种疫苗的主要原因。在巴勒莫的UH采取的战略使疫苗接种依从性显著增加，缺勤率显著减少。
Every year, about 20% of health care workers (HCWs) acquire influenza, continuing to work and encouraging virus spreading. Influenza vaccination coverage rates and absenteeism from work among HCWs of the University Hospital (UH) of Palermo were analyzed before and after the implementation of several initiatives in order to increase HCWs' awareness about influenza vaccination. Vaccines administration within hospital units, dedicated web pages on social media and on the UH of Palermo institutional web site, and mandatory compilation of a dissent form for those HCWs who refused vaccination were carried out during the last four influenza seasons. After the introduction of these strategies, influenza vaccination coverage went up from 5.2% (2014/2015 season) to 37.2% (2018/2019 season) (p < 0.001), and mean age of vaccinated HCWs significantly decreased from 48.1 years (95% CI: 45.7-50.5) to 35.9 years (95% CI: 35.0-36.8). A reduction of working days lost due to acute sickness among HCWs of the UH of Palermo was observed. Fear of adverse reactions and not considering themselves as a high-risk group for contracting influenza were the main reasons reported by HCWs that refused vaccination. Strategies undertaken at the UH of Palermo allowed a significant increase in vaccination adherence and a significant reduction of absenteeism from work.