Improving influenza vaccination uptake among healthcare workers by on-site influenza vaccination campaign in a tertiary children hospital
Improving influenza vaccination uptake among healthcare workers by on-site influenza vaccination campaign in a tertiary children hospital
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DOI：
10.1080/21645515.2019.1575164
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发表时间：
2019-02-25
影响因子：
4.8
通讯作者：
Oguz, Melahat Melek
中科院分区：
文献类型：
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作者：
Oguz, Melahat Melek
儿童患流感并发症的风险更高。本文的目的是，估计流感疫苗接种覆盖率的卫生保健工作者（HCWs）在三级儿童医院，评估HCWs的态度和做法，并评估是否HCWs疫苗接种率提高现场接种运动。这是一项前后试验，在2017-2018年流感季节在三级儿童医院进行。疫苗接种小组访问了所有参与者，并通过匿名问卷的方式收集了有关既往疫苗接种、HCW态度和信念的信息。此外，现场为所有与会者提供了流感疫苗。共有572名HCW参与了本研究（回复率：94.2%）。2016-17赛季的覆盖率为10.8%，2017-18赛季为39.9%（p < 0.0001）。多变量回归分析显示，年龄小于35岁（OR：2.09），在上一个季节接种疫苗（OR：47.02）和参与者的专业类别（临床医生为参考组; OR：1.73支持人员和OR：0.23护士）与2017-18季节的疫苗接种率显著相关[95%CI]。在2017-2018赛季，没有一个有接种疫苗不良经历的参与者接种疫苗。90%缺乏疫苗知识的参与者在2017-2018赛季接种了疫苗。经过现场疫苗接种活动后，医务人员的流感疫苗接种覆盖率显著提高。为了实现目标疫苗接种覆盖率，我们应该打破偏见与全面的教育计划。
Children are at higher risk of influenza complications. The goals of this article are, estimating influenza vaccination coverage of Health Care Workers (HCWs) in tertiary children hospital, evaluating attitudes and practices of HCWs and evaluating whether HCWs vaccination uptake improved with onsite vaccination campaign. This was a before-after trial, which was carried out in a tertiary children hospital at 2017-2018 influenza season. The vaccination team visited all participants and collected information about previous vaccination uptake, attitudes and beliefs of HCWs by means of an anonymous questionnaire. Moreover, the influenza vaccine was offered onsite to all participants. A total of 572 HCWs participated in this study (response rate: 94.2%). Coverage was 10.8% in 2016-17 season and 39.9% in 2017-18 season (p < 0.0001). Multivariate regression analysis showed that being younger than 35 years (OR: 2.09), being vaccinated in previous season (OR: 47.02) and professional category of the participant (clinicians being reference group; OR: 1.73 for support staff and OR: 0.23 for nurses,) were significantly associated with vaccination uptake in 2017-18 season [95% CI]. None of the participants with former bad experience about vaccination was vaccinated in 2017-2018 season. And 90% of the participants having lack of knowledge about the vaccine were vaccinated in 2017-2018 season. After onsite vaccination campaign, influenza vaccination coverage improved significantly among HCWs. In order to achieve target vaccination coverage we should break down the prejudices with a comprehensive education program.