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Santoro PE, Paladini A, Borrelli I, Amantea C, Rossi MF, Fortunato C, Gualano MR, Marchetti A, Cadeddu C, Moscato U. Vaccine-preventable diseases: Immune response in a large population of healthcare students. Vaccine 2024; 42:930-936. [PMID: 38246845 DOI: 10.1016/j.vaccine.2024.01.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 01/04/2024] [Accepted: 01/12/2024] [Indexed: 01/23/2024]
Abstract
BACKGROUND Students in medicine and other health professions are exposed to numerous occupational hazards, primarily biological hazards, during their academic careers at university. The aim of the present study was to investigate the seroprevalence characteristics of anti-HBsAg, anti-Measles, anti-Mumps, anti-Rubella and anti-Varicella IgG antibodies in healthcare students of a large teaching hospital in Rome. METHODS To accomplish the study's aims, antibody serology data were gathered from students of Medicine and Surgery, Dentistry, and Health Professions at the Catholic University of the Sacred Heart (Rome Campus) during their first Health Surveillance visit, that took place from 2013 to 2023. RESULTS Our study sample included 2523 students, 44.4 % were protected against Hepatitis B, 87.3 % against measles, 85.5 % against mumps, 94.6 % rubella and 95.2 % against varicella. Differences in antibody coverage between age groups were statistically significant (p < 0.001), except for mumps. It found a lower probability of having seronegative anti-HBVs with an older date since the presumed primary vaccination. CONCLUSION In our sample, seropositivity rate against vaccine-preventable diseases, especially for Hepatitis B, was often inadequate to prevent possible biological risks connected with the activities carried out on the ward.
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Affiliation(s)
- Paolo Emilio Santoro
- Department of Life Science and Public Health, Università Cattolica del Sacro Cuore, Rome 00168, Italy; Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Andrea Paladini
- Section of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome 00168, Italy
| | - Ivan Borrelli
- Department of Life Science and Public Health, Università Cattolica del Sacro Cuore, Rome 00168, Italy
| | - Carlotta Amantea
- Section of Occupational Health, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome 00168, Italy.
| | - Maria Francesca Rossi
- Section of Occupational Health, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome 00168, Italy
| | - Corinna Fortunato
- Department of Biomedical Sciences and Public Health, Section of Hygiene, Preventive Medicine and Public Health, Università Politecnica delle Marche, Ancona, Italy
| | - Maria Rosaria Gualano
- Saint Camillus International University of Health Sciences, UniCamillus, Rome, Italy
| | - Antonio Marchetti
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Chiara Cadeddu
- Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, Netherlands
| | - Umberto Moscato
- Department of Life Science and Public Health, Università Cattolica del Sacro Cuore, Rome 00168, Italy; Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Francesco Vito 1, 00168 Rome, Italy; Section of Occupational Health, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome 00168, Italy; Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Francesco Vito 1, 00168 Rome, Italy
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Mercogliano M, Fiorilla C, Esposito F, Sorrentino M, Mirizzi PD, Parisi A, Tajani A, Buonocore G, Triassi M, Palladino R. Knowledge and attitude factors associated with the prevalence of Tdap (tetanus, diphtheria, and acellular pertussis) booster vaccination in healthcare workers in a large academic hospital in Southern Italy in 2022: a cross-sectional study. Front Public Health 2023; 11:1173482. [PMID: 37522000 PMCID: PMC10374026 DOI: 10.3389/fpubh.2023.1173482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 06/13/2023] [Indexed: 08/01/2023] Open
Abstract
Introduction In Europe, there is still suboptimal tetanus, diphtheria, and acellular pertussis (Tdap) booster coverage. This study aimed to assess coverage status, knowledge, and attitude on Tdap vaccination in healthcare workers (HcWs) of the University Hospital "Federico II" in Naples, Southern Italy, in 2022, to improve current vaccination strategies. Methods A cross-sectional study was conducted using a validated anonymous questionnaire. Knowledge and attitude were measured as scores. Multivariable logistic and linear regression models were employed to identify correlates of Tdap booster and knowledge and attitude toward the vaccination, as appropriate. Models were controlled for age, sex, profession, department, and job seniority. Results A total of 206 questionnaires were administered among HcWs, and 143 (69.4%) were medical doctors. In total, 71 (34.47%) HcWs received the Tdap booster. Those who have worked 5-9 years at the hospital had a 78% lower likelihood of being vaccinated with the Tdap booster (5-9 years-OR: 0.22, CI: 0.06 | 0.85) as compared with newly hired HcWs. No differences in the average knowledge score were found. Other healthcare workers had a lower attitude as compared to medical doctors (Other-Coef. -2.15; CI: -4.14 | -0.15) and, as compared with those who worked in a clinical department, those who worked in a diagnostic-therapeutic department or medical management had 3.1 and 2.0 lower attitude scores, on average, respectively (diagnostic-therapeutic-Coef. -3.12, CI: -5.13 | -1.12; public health-Coef. -1.98, CI: -3.41 | -0.56). Discussion The study findings support the necessity to implement public health strategies and improve knowledge and attitude toward vaccinations and specifically highlight the importance of Tdap booster every 10 years as a prevention tool to protect high-risk populations.
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Affiliation(s)
| | - Claudio Fiorilla
- Department of Public Health, University “Federico II” of Naples, Naples, Italy
| | - Federica Esposito
- Department of Public Health, University “Federico II” of Naples, Naples, Italy
| | - Michele Sorrentino
- Department of Public Health, University “Federico II” of Naples, Naples, Italy
| | | | - Antonio Parisi
- Department of Public Health, University “Federico II” of Naples, Naples, Italy
| | - Andrea Tajani
- Department of Public Health, University “Federico II” of Naples, Naples, Italy
| | - Gaetano Buonocore
- Clinical Directorate, University Hospital “Federico II” of Naples, Naples, Italy
| | - Maria Triassi
- Department of Public Health, University “Federico II” of Naples, Naples, Italy
- Interdepartmental Research Center in Healthcare Management and Innovation in Healthcare (CIRMIS), Naples, Italy
| | - Raffaele Palladino
- Department of Public Health, University “Federico II” of Naples, Naples, Italy
- Interdepartmental Research Center in Healthcare Management and Innovation in Healthcare (CIRMIS), Naples, Italy
- Department of Primary Care and Public Health, School of Public Health, Imperial College, London, United Kingdom
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Minardi V, Gallo R, Possenti V, Contoli B, Di Fonzo D, D'Andrea E, Masocco M. Influenza Vaccination Uptake and Prognostic Factors among Health Professionals in Italy: Results from the Nationwide Surveillance PASSI 2015-2018. Vaccines (Basel) 2023; 11:1223. [PMID: 37515039 PMCID: PMC10386716 DOI: 10.3390/vaccines11071223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 07/04/2023] [Accepted: 07/07/2023] [Indexed: 07/30/2023] Open
Abstract
(1) Influenza causes a significant health and socio-economic burden every year, and health personnel (HP) are at higher risk of exposure to respiratory pathogens than the general population. (2) The study's purpose was to describe and compare influenza vaccine uptake and its prognostic factors among Medical Doctors (MDs) and Non-Medical Health Personnel (NMHP) vs. Non-HP (NHP). We analyzed 2014-2018 data (n = 105,608) from the Italian Behavioral Risk Factor Surveillance System PASSI that, since 2008, has been collecting health-related information continuously in sampled adults. (3) MDs and NMHP represented, respectively, 1.1% and 4.6% of the sample. Among HP, 22.8% (CI 19.8-26.1%) of MDs and 8.5% (CI 7.5-9.5%) of NMHP reported to have been vaccinated vs. 6.3% (CI 6.1-6.5%) in NHP. This difference is confirmed in the three categories (MDs, NMHP, NHP), even more across age groups: in 18-34 yy, respectively, 9.9%, 4.4%, 3.4% vs. 28.4%, 13.9%, 10.6% in 50-64 yy. PASSI surveillance shows an increasing influenza vaccination uptake over time, especially among MDs (22.2% in 2014 vs. 30.5% in 2018). (4) Despite such an increase, especially among younger HP, influenza vaccination uptake is low. Even more under pandemic scenarios, these figures represent key information to address effective strategies for disease prevention and health promotion.
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Affiliation(s)
- Valentina Minardi
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy
| | - Rosaria Gallo
- Primary Healthcare Unit, Health District 9, Local Health Unit Roma 2, 00159 Rome, Italy
- PhD Course Advances in Infectious Diseases, Microbiology, Legal Medicine and Public Health Sciences, Sapienza University of Rome, 00185 Rome, Italy
| | - Valentina Possenti
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy
| | - Benedetta Contoli
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy
| | | | - Elvira D'Andrea
- Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| | - Maria Masocco
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy
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ORSINI DAVIDE, MARTINI MARIANO. Measles: a new danger for Ukraine's children! The need for an effective and timely vaccination prevention campaign for an insidious disease that comes from afar. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2023; 64:E204-E208. [PMID: 37654850 PMCID: PMC10468189 DOI: 10.15167/2421-4248/jpmh2023.64.2.2996] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 07/10/2023] [Indexed: 09/02/2023]
Abstract
Background Measles, a highly contagious and dangerous disease that can cause disability or even death, remains endemic in Ukraine. This is a serious public health problem that absolutely needs to be monitored. Indeed, in the years 2017-2019, Ukraine was hit by a major measles epidemic, which caused serious problems for the population. The numerous efforts to contain the spread of measles in the country are now waning in the face of a devastating war, which has already lasted for over a year, and the COVID-19 pandemic, which has further complicated the general situation. Method In this paper, the authors highlight a very serious public health problem and invoke the immediate implementation of an effective vaccination policy. Discussion The percentages of measles vaccination coverage in Ukraine have decreased drastically since the beginning of the conflict (which began on February 24, 2022), and this is a source of concern regarding the possibility of a new major measles epidemic. Indeed, a measles epidemic at this time would have frightening consequences, given the conditions in which the Ukrainian population is now living. The United Nations estimates that at least 6 million people have been displaced within Ukraine as a result of the conflict, and this internal mass exodus has significantly affected vaccination coverage and adherence to vaccination schedules, despite the efforts of the Ukrainian health authorities. Conclusion The ministry of health has prioritized vaccination programs with the help of the World Health Organization (WHO) and UNICEF, which are ensuring the free supply and delivery of vaccines through the deployment of mobile vaccination teams, even in areas where health facilities are not accessible. The main objective is to vaccinate as many people as possible in order to avoid a new epidemic, which could spread to the whole of Ukraine and also to other countries.
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Affiliation(s)
- DAVIDE ORSINI
- University Museum System of Siena (SIMUS), History of Medicine, University of Siena, Siena, Italy
| | - MARIANO MARTINI
- Department of Health Sciences, University of Genoa, Italy, UNESCO CHAIR “Anthropology of Health - Biosphere and Healing System, University of Genoa, Genoa, Italy
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Collatuzzo G, La Vecchia C, Parazzini F, Alicandro G, Turati F, Di Maso M, Malvezzi M, Pelucchi C, Negri E, Boffetta P. Cancers attributable to infectious agents in Italy. Eur J Cancer 2023; 183:69-78. [PMID: 36801622 DOI: 10.1016/j.ejca.2023.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 12/20/2022] [Accepted: 01/10/2023] [Indexed: 01/26/2023]
Abstract
OBJECTIVES To provide an evidence-based, comprehensive assessment of the current burden of infection-related cancers in Italy. METHODS We calculated the proportion of cancers attributable to infectious agents (Helicobacter pylori [Hp]; hepatitis B virus [HBV] and hepatitis C virus [HCV]; human papillomavirus [HPV]; human herpesvirus-8 [HHV8]; Epstein-Barr virus [EBV]; and human immunodeficiency virus [HIV]) to estimate the burden of infection-related cancer incidence (2020) and mortality (2017). Data on the prevalence of infections were derived from cross-sectional surveys of the Italian population, and relative risks from meta-analyses and large-scale studies. Attributable fractions were calculated based on the counterfactual scenario of a lack of infection. RESULTS We estimated that 7.6% of total cancer deaths in 2017 were attributable to infections, with a higher proportion in men (8.1%) than in women (6.9%). The corresponding figures for incident cases were 6.5%, 6.9% and 6.1%. Hp was the first cause of infection-related cancer deaths (3.3% of the total), followed by HCV (1.8%), HIV (1.1%), HBV (0.9%), HPV, EBV and HHV8 (each ≤0.7%). Regarding incidence, 2.4% of the new cancer cases were due to Hp, 1.3% due to HCV, 1.2% due to HIV, 1.0% due to HPV, 0.6% due to HBV and <0.5% due to EBV and HHV8. CONCLUSIONS Our estimate of 7.6% of cancer deaths and 6.9% of incident cases that were attributable to infections in Italy is higher than those estimated in other developed countries. Hp is the major cause of infection-related cancer in Italy. Prevention, screening and treatment policies are needed to control these cancers, which are largely avoidable.
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Affiliation(s)
- Giulia Collatuzzo
- Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
| | - Carlo La Vecchia
- Department of Clinical Sciences and Community Health (DISCCO), University of Milan, 20122 Milan, Italy
| | - Fabio Parazzini
- Department of Clinical Sciences and Community Health (DISCCO), University of Milan, 20122 Milan, Italy; Department of Obstetrics, Gynecology, and Neonatology, University of Milan, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Commenda 12, 20122 Milan, Italy
| | - Gianfranco Alicandro
- Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy; Cystic Fibrosis Centre, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Federica Turati
- Department of Clinical Sciences and Community Health (DISCCO), University of Milan, 20122 Milan, Italy
| | - Matteo Di Maso
- Department of Clinical Sciences and Community Health (DISCCO), University of Milan, 20122 Milan, Italy
| | - Matteo Malvezzi
- Department of Clinical Sciences and Community Health (DISCCO), University of Milan, 20122 Milan, Italy
| | - Claudio Pelucchi
- Department of Clinical Sciences and Community Health (DISCCO), University of Milan, 20122 Milan, Italy
| | - Eva Negri
- Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy; Department of Clinical Sciences and Community Health (DISCCO), University of Milan, 20122 Milan, Italy
| | - Paolo Boffetta
- Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy; Stony Brook Cancer Center, Stony Brook University, Stony Brook, NY, USA.
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Bianchi FP, Stefanizzi P, Diella G, Martinelli A, Di Lorenzo A, Gallone MS, Tafuri S. Prevalence and management of rubella susceptibility in healthcare workers in Italy: A systematic review and meta-analysis. Vaccine X 2022; 12:100195. [PMID: 36032697 PMCID: PMC9399279 DOI: 10.1016/j.jvacx.2022.100195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 03/18/2022] [Accepted: 07/21/2022] [Indexed: 11/16/2022] Open
Abstract
Introduction In the pre-vaccination era, all adults acquired immunity status due to natural infections during childhood and adolescence, whereas universal mass vaccination has changed the seroepidemiology of rubella among adults, showing lack of immunity in some subgroups. National and international guidelines recommend evaluating all healthcare workers (HCWs) for their immune status to rubella and possibly vaccinating those who are seronegative. We conducted a systematic review and meta-analysis to estimate the susceptibility rate to rubella among HCWs in Italy and to explore possible options for the management of those found to be susceptible. Methods Eight studies were included in the meta-analysis, selected from scientific papers available in the MEDLINE/PubMed and Google Scholar (till page 10) databases between January 1, 2015 and November 30, 2021. The following terms were used for the search strategy: (sero* OR seroprevalence OR prevalence OR susceptibilit* OR immunit* OR immunogenict*) AND (healthcare worker* OR health personnel OR physician* OR nurse OR student*) AND (rubella OR german measles OR TORCH) AND (Italy) Results The prevalence of rubella-susceptible HCWs was 9.0 % (95 %CI: 6.4–12.1 %). In a comparison of female vs. male serosusceptible HCWs, the RR was 0.67 (95 %CI = 0.51–0.88). Occupational medicine examinations for rubella screening with possible subsequent vaccination of seronegatives and exclusion of susceptible HCWs from high-risk settings were common management strategies. Conclusions HCWs susceptible to rubella are an important epidemiological concern in Italy, and efforts to identify and actively offer the vaccine to this population should be increased.
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Bianchi FP, Stefanizzi P, De Maria L, Martinelli A, Diella G, Larocca AMV, Vimercati L, Tafuri S. Vaccination Offer during the Occupational Health Surveillance Program for Healthcare Workers and Suitability to Work: An Italian Retrospective Cohort Study. Vaccines (Basel) 2022; 10:vaccines10101633. [PMID: 36298499 PMCID: PMC9610769 DOI: 10.3390/vaccines10101633] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 09/22/2022] [Accepted: 09/26/2022] [Indexed: 11/16/2022] Open
Abstract
The active immunization of health care workers (HCWs) is a crucial measure to avoid nosocomial infection; nevertheless, vaccine coverage (VC) among health personnel in Italy is unsatisfactory. To improve VC in the healthcare set, the Hygiene and Occupational Medicine departments of Bari Policlinico General University Hospital applied a specific program. The operative procedure demands that in the context of the occupational medical examination, all workers are evaluated for susceptibility to vaccine-preventable diseases (VDPs), with immunization prophylaxis offered to those determined to be susceptible. This study analyzed data from workers who attended the biological risk assessment protocol from December 2017 to October 2021 (n = 1477), who were evaluated for the immune status for measles, mumps, rubella, and varicella. Among the enrolled subjects, non-protective antibody titers were higher for measles and mumps (13%), followed by rubella (11%) and varicella (8%). Appropriate vaccinations were offered to all susceptible HCWs, and HCWs were re-tested one month after immunization. The seroconversion rate after the administration of one or more booster dose(s) was over 80%. Overall, 2.5% of the subjects refused the offered vaccine(s); the main determinant of immunization compliance was younger age (aOR = 0.86; 95%CI = 0.80–0.92). Especially during the COVID-19 pandemic, VPDs may still present a hazard in nosocomial environment. Our experience suggests that, despite hospital procedures and dedicated human assets, satisfactory VC cannot be reached without the provision of federal regulations. Nevertheless, public health policymakers have to improve the promotion of vaccine prophylaxis and education to reach higher VC.
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Affiliation(s)
| | - Pasquale Stefanizzi
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, 70124 Bari, Italy
| | - Luigi De Maria
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, 70124 Bari, Italy
| | - Andrea Martinelli
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, 70124 Bari, Italy
| | - Giusy Diella
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, 70124 Bari, Italy
| | | | - Luigi Vimercati
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, 70124 Bari, Italy
| | - Silvio Tafuri
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, 70124 Bari, Italy
- Correspondence: ; Tel.: +39-80-5478473; Fax: +39-80-5478472
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Flu and COVID-19 Vaccination: What Happens to the Flu Shot When the Campaigns Overlap? Experience from a Large Italian Research Hospital. Vaccines (Basel) 2022; 10:vaccines10060976. [PMID: 35746583 PMCID: PMC9228127 DOI: 10.3390/vaccines10060976] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 06/16/2022] [Accepted: 06/17/2022] [Indexed: 12/14/2022] Open
Abstract
Influenza represents a threat to global health and health care workers (HCWs) have an increased risk of contracting the influenza virus in the workplace. The COVID-19 pandemic has brought back the importance of influenza vaccination, as the influenza virus can circulate together with SARS-CoV-2. The aim of this report is to describe the actual flu vaccination coverage among healthcare workers of a research hospital and the trend changes, with respect to the past flu vaccination campaigns, in light of the present pandemic and COVID-19 vaccination. A Pearson’s χ2 test was used to test the correlation of flu vaccination coverage, across all professional categories, between the last two years. A linear regression model was adopted to predict the total vaccination coverage of this year. A statistically significant decrease (p < 0.01) was observed in vaccination coverage among all the professional categories with a 50% reduction in vaccination trends between the last two years. Analyzing the data from the previous six flu vaccination campaigns, the expected value, according to the linear regression model, was estimated to be 38.5% while the observed value was 24%. The decrease in vaccination coverage may be due to the fear of the pandemic situation and especially to the uncertainty related to the consequences of a concurrent administration which may overload the immune system or may be more reactogenic. The COVID-19 pandemic represents an opportunity to promote and support large-scale influenza vaccination among HCWs through structured programs, adequate funding, and tailored communication strategies.
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Perrone PM, Biganzoli G, Lecce M, Campagnoli EM, Castrofino A, Cinnirella A, Fornaro F, Gallana C, Grosso FM, Maffeo M, Shishmintseva V, Pariani E, Castaldi S. Influenza Vaccination Campaign during the COVID-19 Pandemic: The Experience of a Research and Teaching Hospital in Milan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115874. [PMID: 34070763 PMCID: PMC8198860 DOI: 10.3390/ijerph18115874] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 05/24/2021] [Accepted: 05/26/2021] [Indexed: 11/30/2022]
Abstract
Background: During the COVID-19 pandemic, more than ever, optimal influenza vaccination coverage among healthcare workers (HCWs) is crucial to avoid absenteeism and disruption of health services, as well as in-hospital influenza outbreaks. The aim of this study is to analyze the 2020 influenza vaccination campaign, comparing it with the previous year’s in a research and teaching hospital in Northern Italy. Methods: adopting an approach based on combined strategies, three interventions were deployed: a promotional and educational campaign, vaccination delivery through both ad hoc and on-site ambulatories, and a gaming strategy. Personal data and professional categories were collected and analyzed using univariate logistic regression. Vaccinated HCWs were asked to fill in a questionnaire to describe their reasons for vaccination adherence. Results: the vaccination coverage rate (VCR) was 43.1%, compared to 21.5% in 2019. The highest increase was registered among administrative staff (308.3%), while physicians represent the most vaccinated category (n = 600). Moreover, residents (prevalence ratio (PR): 1.12; 95% CI 1.04–1.20), as well as intensive care (PR: 1.44; 95% CI: 1.24–1.69) and newborn workers (PR: 1.41; 95% CI: 1.20–1.65) were, respectively, the categories most frequently vaccinated for the first time. Conclusion: the significant increase in vaccination coverage rate confirms the suitability of the combined strategy of delivering the flu vaccination campaign and represents a first step towards reaching WHO recommended vaccination rates.
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Affiliation(s)
- Pier Mario Perrone
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
- Correspondence: ; Tel.: +39-3463063408
| | - Giacomo Biganzoli
- Pharmacogenomics & Precision Therapeutics Master Degree, University of Milan, 20142 Milan, Italy;
| | - Maurizio Lecce
- Quality Unit Fondazione IRCCS Ca’ Granda OMP, 20122 Milan, Italy;
| | - Emanuela Maria Campagnoli
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Ambra Castrofino
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Andrea Cinnirella
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Federica Fornaro
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Claudia Gallana
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Francesca Maria Grosso
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Manuel Maffeo
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Viktoriia Shishmintseva
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Elena Pariani
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Silvana Castaldi
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
- Quality Unit Fondazione IRCCS Ca’ Granda OMP, 20122 Milan, Italy;
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SANTANGELO OMARENZO, PROVENZANO SANDRO, FIRENZE ALBERTO. Factors influencing flu vaccination in nursing students at Palermo University. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2021; 61:E563-E567. [PMID: 33628962 PMCID: PMC7888385 DOI: 10.15167/2421-4248/jpmh2020.61.4.1426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 09/04/2020] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The purpose of this study was to ascertain the determinants of nursing students' compliance with flu vaccination. METHODS In this cross-sectional study, an anonymous paper questionnaire was administered to students attending the 3-year nursing course at the University of Palermo. Adjusted Odds Ratios (aOR) are presented. RESULTS 403 nursing students (65% female) completed the questionnaire (response rate 98.5%). The average age of the respondents was 22.0 years (SD ± 3.04). The dependent variable: "In the next season, do you intend to be vaccinated against flu? Yes", displayed a statistically significant association with the following independent variables: "year of study: second" (aOR 2.66), "year of study: third" (aOR 1.72), "Perceived health status: medium-high" (aOR 6.61), "Did you get vaccinated against seasonal flu last year? Yes" (aOR 22.47). CONCLUSIONS Although nursing students are not yet health professionals, they spend part of their time in health facilities for their clinical training and will be the health workers of the future. Involving nursing students in influenza vaccination campaigns can also help them take better care of themselves and their patients.
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Affiliation(s)
| | - SANDRO PROVENZANO
- Correspondence: Sandro Provenzano, Dipartimento di Scienze per la Promozione della Salute, Materno Infantile, di Medicina Interna e Specialistica d’Eccellenza “G. D’Alessandro”, via del Vespro 133, 90127 Palermo, Italy - Tel. +39 091 6553641. Fax +39 091 6553697 - E-mail:
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Coppeta L, D'Alessandro I, Pietroiusti A, Somma G, Balbi O, Iannuzzi I, Magrini A. Seroprevalence for vaccine-preventable diseases among Italian healthcare workers. Hum Vaccin Immunother 2020; 17:1342-1346. [PMID: 33017204 DOI: 10.1080/21645515.2020.1818523] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Healthcare workers (HCWs) have an increased risk to be exposed to infectious diseases compared to the general population. For this reason, according to the National Immunization and Prevention Plan, all HCWs should have demonstrable evidence of immunity to measles, mumps, rubella, varicella and Hepatitis B. Earlier studies have already shown that a large percentage of Italian operators lacked immune protection for one or more of those pathogens.The aim of this study was to evaluate the immunization status for vaccine-preventable diseases of HCWs in a large Italian teaching hospital. We retrospectively evaluated clinical records and serological data of HCWs who followed the occupational health surveillance program between January 1 and December 31 2019. We reviewed the clinical records of 1,017 HCWs: 393 males and 624 females with a median age of 35.69 y (range: 19-67). Protective IgG antibody values were documented in the 88.0%, 75.7%, 90.3%, 87.4% and 85.7% of the HCWs screened, respectively, against measles, mumps, rubella, varicella and Hepatitis B. Age was significantly related to serological protection against measles, mumps and varicella but was not significantly related to protective IgG levels for rubella and HBV.Female gender was significantly related to a higher protection rate against Hepatitis B (87.8 vs 82.4%; p < .01) whereas males were significantly more protected against varicella (92-4 vs 84.1%; p < .01).Our study shows suboptimal levels of protection among Italian HCWs and a consequent increased risk of infection for them and their patients. Public health policies should be focused on improving preventive strategies, including serological screening and workplace vaccination of nonimmune individuals.
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Affiliation(s)
- Luca Coppeta
- Department of Biomedicine and Prevention, University of Rome, Tor Vergata, Rome, Italy
| | - Iacopo D'Alessandro
- Department of Biomedicine and Prevention, University of Rome, Tor Vergata, Rome, Italy
| | | | - Giuseppina Somma
- Department of Biomedicine and Prevention, University of Rome, Tor Vergata, Rome, Italy
| | - Ottavia Balbi
- Department of Biomedicine and Prevention, University of Rome, Tor Vergata, Rome, Italy
| | - Ilaria Iannuzzi
- Department of Biomedicine and Prevention, University of Rome, Tor Vergata, Rome, Italy
| | - Andrea Magrini
- Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
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Bert F, Thomas R, Lo Moro G, Scarmozzino A, Silvestre C, Zotti CM, Siliquini R. A new strategy to promote flu vaccination among health care workers: Molinette Hospital's experience. J Eval Clin Pract 2020; 26:1205-1211. [PMID: 31697012 DOI: 10.1111/jep.13295] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Revised: 09/18/2019] [Accepted: 09/22/2019] [Indexed: 11/29/2022]
Abstract
RATIONALE, AIMS, AND OBJECTIVES Seasonal flu represents a major public health issue, especially for health care workers (HCWs). WHO highlights the need of higher awareness and flu vaccine coverage among HCWs. In Europe the coverage is less than 30-40%. Italy reports some of the lowest rates. The paper aims to illustrate the 2017/2018 flu vaccination campaign within Molinette, the third Italian hospital for dimensions, to provide inputs about strategies for increasing HCWs coverage. The campaign objective was to increase the administered doses at least of 30%. METHODS The intervention included informational material, direct educational sessions for workers, extension of the access time to Occupational Medicine Service, elimination of the reservation requirement, composition of "moving vaccination units" (MVUs), and organisation of vaccination sessions within departments. RESULTS In 2017/2018, 593 doses were administered. The doses percentage change between 2017/2018 and 2016/2017 vaccination seasons was +46.06%, while it was +84.74% compared with the previous 5-year period mean. The majority was administered by Occupational Medicine Service, while 6.75% by MVUs. Among the total doses, 72.68% were administered to workers, 13.49% to residents, 6.75% to students, and 7.08% to "other". So, 7.68% of total workforce was vaccinated. Only 0.3% of vaccinated people presented mild adverse reactions. CONCLUSIONS A combined campaign, that includes actions for education, increase of awareness, improved access to facilities and active offers to workers has potentiality but there is still work to do. The vaccination increase was determined mostly by the re-organization of the occupational medicine, while the MVUs were useful to HCWs of detached offices.
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Affiliation(s)
- Fabrizio Bert
- Department of Public Health Sciences, University of Torino, Turin, Italy.,Molinette Hospital, A.O.U. City of Health and Science of Turin, Turin, Italy
| | - Robin Thomas
- Department of Public Health Sciences, University of Torino, Turin, Italy
| | - Giuseppina Lo Moro
- Department of Public Health Sciences, University of Torino, Turin, Italy
| | - Antonio Scarmozzino
- Molinette Hospital, A.O.U. City of Health and Science of Turin, Turin, Italy
| | - Carlo Silvestre
- Molinette Hospital, A.O.U. City of Health and Science of Turin, Turin, Italy
| | - Carla Maria Zotti
- Department of Public Health Sciences, University of Torino, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health Sciences, University of Torino, Turin, Italy.,Molinette Hospital, A.O.U. City of Health and Science of Turin, Turin, Italy
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Bianchi FP, Mascipinto S, Stefanizzi P, de Nitto S, Germinario CA, Lopalco P, Tafuri S. Prevalence and management of measles susceptibility in healthcare workers in Italy: a systematic review and meta-analysis. Expert Rev Vaccines 2020; 19:611-620. [DOI: 10.1080/14760584.2020.1791091] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Francesco Paolo Bianchi
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy
| | - Simona Mascipinto
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy
| | - Pasquale Stefanizzi
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy
| | - Sara de Nitto
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy
| | | | - Pierluigi Lopalco
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy
| | - Silvio Tafuri
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy
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Maffeo M, Luconi E, Castrofino A, Campagnoli EM, Cinnirella A, Fornaro F, Gallana C, Perrone PM, Shishmintseva V, Pariani E, Castaldi S. 2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17113881. [PMID: 32486224 PMCID: PMC7311955 DOI: 10.3390/ijerph17113881] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 05/20/2020] [Accepted: 05/29/2020] [Indexed: 11/25/2022]
Abstract
Background: Despite recommendations, the influenza vaccination coverage rate in healthcare workers (HCWs) in Italy is far from the recommended target. The aim of the study is to analyze the influenza vaccination campaign performed in 2019 in a research and teaching hospital in Milan. Methods: The vaccination strategy included an ad hoc ambulatory, as in the previous years, and an onsite ambulatory, introduced for the first time. Personal data and professional categories were collected and analyzed using univariate logistic regression. HCWs who refused the vaccination were asked to fill in a questionnaire to explain their reasons for dissent. Results: The achieved vaccination coverage rate (VCR) for HCWs was 21.5 %, compared to 17.1% in 2018. The lowest VCR was registered among nurses (11.9%), while physicians had the highest VCR (40.7%). Prevalence ratios show that some professional categories were more frequently vaccinated for the first time than attending physicians (reference category); those with statistically significant confidence intervals were nurses (PR: 2.42; 95% CI: 1.78–3.28), residents (PR: 1.85; 95% CI: 1.36–2.53), and auxiliary staff (PR: 2.33; 95% CI: 1.45–3.74). Conclusions: An onsite vaccination strategy failed in providing a remarkable increase in VCR in 2019, but it is important to point out that the campaign was influenced by several logistic problems.
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Affiliation(s)
- Manuel Maffeo
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
- Correspondence: ; Tel.: +39-389-470-4937
| | - Ester Luconi
- Quality Unit Fondazione IRCCS Ca’ Granda OMP, 20122 Milan, Italy;
| | - Ambra Castrofino
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Emanuela Maria Campagnoli
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Andrea Cinnirella
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Federica Fornaro
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Claudia Gallana
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Pier Mario Perrone
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Viktoriia Shishmintseva
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Elena Pariani
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Silvana Castaldi
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
- Quality Unit Fondazione IRCCS Ca’ Granda OMP, 20122 Milan, Italy;
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RICCò M, Vezzosi L, Gualerzi G, Bragazzi NL, Balzarini F. Pertussis immunization in healthcare workers working in pediatric settings: Knowledge, Attitudes and Practices (KAP) of Occupational Physicians. Preliminary results from a web-based survey (2017). JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2020; 61:E66-E75. [PMID: 32490271 PMCID: PMC7225653 DOI: 10.15167/2421-4248/jpmh2020.61.1.1155] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/24/2018] [Accepted: 01/09/2020] [Indexed: 01/05/2023]
Abstract
Introduction The present study aims to characterize knowledge, attitudes and practices in a sample of occupational physicians (OPh) towards pertussis immunization in healthcare workers (HCWs) from pediatric settings. Material and methods A total of 148 OPh (45.9% males, mean age of 40.3 ± 13.2 years) compiled a web questionnaire including a knowledge test on Italian recommendations for HCWs, epidemiology and pathology of pertussis infection, being then investigated about risk perceptions and vaccination practices. A General Knowledge Score (GKS) and a Risk Perception Score (RPS) were calculated. Multivariate odds ratios (OR) for predictors of vaccine propensity were calculated through regression analysis. Results 78 participants regularly recalled pertussis vaccination status and/or performed pertussis vaccination in HCWs (52.7%). Proactive status was correlated with the aim to avoid pertussis infection in HCWs and its diffusion to other adults (p < 0.001, both statements). GKS was satisfying (72.4% ± 14.9), but participants underestimated the clinical issues of pertussis infection (RPS 60.8% ± 9.5) when confronted with influenza (73.9% ± 10.9) and HBV infection (68.1% ± 10.1). GKS and RPS were well correlated (r = 0.244, p = 0.003). Eventually, a better GKS and the aim to avoid pertussis infection in HCWs were predictive of a proactive status for pertussis vaccination (OR 4.186 95%CI 1.809-9.685 and OR 11.459, 95%CI 3.312-39.651, respectively). Conclusions Adherence of OPh to HCWs pertussis vaccination was unsatisfying. As knowledge status was predictive for vaccine propensity, information programs for OPh should be more appropriately designed, stressing that HCWs may represent a significant reservoir for pertussis infection in high risk groups (e.g. children/newborns, frail elderly).
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Affiliation(s)
- M RICCò
- IRCCS-AUSL di Reggio Emilia; Department of Public Health, Service for Health and Safety in the Workplace; Reggio Emilia (RE), Italy
- Provincial Agency for Health Services of the Autonomous Province of Trento; Department of Prevention, Occupational Health and Safety Unit, Trento (TN), Italy
| | - L Vezzosi
- University of Campania "Luigi Vanvitelli", Department of Experimental Medicine, Naples (NA), Italy
| | - G Gualerzi
- University of Parma, Department of Medicine and Surgery; School of Medicine, Parma (PR), Italy
| | - N L Bragazzi
- Laboratory for Industrial and Applied Mathematics, Department of Mathematics and Statistics, York University, Toronto, Canada
| | - F Balzarini
- University "Vita e Salute", San Raffaele Hospital, Milan (MI), Italy
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Bianchi FP, Vimercati L, Mansi F, De Nitto S, Stefanizzi P, Rizzo LA, Fragnelli GR, Cannone ESS, De Maria L, Larocca AMV, Tafuri S. Compliance with immunization and a biological risk assessment of health care workers as part of an occupational health surveillance program: The experience of a university hospital in southern Italy. Am J Infect Control 2020; 48:368-374. [PMID: 31753548 DOI: 10.1016/j.ajic.2019.09.024] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Revised: 09/25/2019] [Accepted: 09/25/2019] [Indexed: 01/13/2023]
Abstract
BACKGROUND The active immunization of health care workers (HCWs) is a primary measure to prevent nosocomial infection; despite this, vaccine coverage among HCWs in most countries is low. To increase vaccine coverage in the health care setting, the hygiene and occupational medicine departments of Bari Policlinico General University-Hospital implemented a vaccination procedure. This operative procedure requires that during the occupational medical examination, all employees are evaluated for immunity/susceptibility to vaccine-preventable diseases, with vaccination offered to those determined to be susceptible. METHODS The study sample comprised HCWs who attended the biological risk assessment program from December 2017 to January 2019 (n = 449). RESULTS Susceptibility was higher for hepatitis B virus (23%), followed by rubella (11%), varicella (9%), mumps (8%), and measles (7%). The seroconversion rate after the administration of booster dose(s) was >80% for all vaccines. Overall, 15% of the HCWs refused the offered vaccine(s), and the main determinants of vaccination compliance were younger age (P < .0001) and being a physician (P < .05). DISCUSSION Despite the several recommendations and campaigns to promote vaccinations, achieving high immunization rates among HCWs is still a challenge. CONCLUSIONS In this scenario, public health institutions have to choose between the enforcement of the promotion or the adoption of a mandatory policy.
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Affiliation(s)
- Francesco Paolo Bianchi
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy.
| | - Luigi Vimercati
- Interdisciplinary Department of Medicine, Section of Occupational Medicine, Aldo Moro University of Bari, Bari, Italy
| | - Francesca Mansi
- Interdisciplinary Department of Medicine, Section of Occupational Medicine, Aldo Moro University of Bari, Bari, Italy
| | - Sara De Nitto
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy
| | - Pasquale Stefanizzi
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy
| | - Letizia Alessia Rizzo
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy
| | - Grazia Rita Fragnelli
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy
| | - Enza Sabrina Silvana Cannone
- Interdisciplinary Department of Medicine, Section of Occupational Medicine, Aldo Moro University of Bari, Bari, Italy
| | - Luigi De Maria
- Interdisciplinary Department of Medicine, Section of Occupational Medicine, Aldo Moro University of Bari, Bari, Italy
| | | | - Silvio Tafuri
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy
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HOSAMIRUDSARI H, KANAVEE AREZAEE, GHANBARI M, AKBARPOUR S, ALIMOHAMADI Y. Assessment of the belief and attitudes of Iranian healthcare personnel's toward the influenza infection and influenza vaccination. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2019; 60:E178-E183. [PMID: 31650051 PMCID: PMC6797887 DOI: 10.15167/2421-4248/jpmh2019.60.3.1056] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/09/2018] [Accepted: 06/19/2019] [Indexed: 11/16/2022]
Abstract
Introduction Influenza is one of the main public health problems and health care personnels (HCPs) are one of the at-risk groups for this infection. The goal of the current study was to identify the beliefs and attitudes of the Iranian HCPs about influenza and the influenza vaccine. Methods This cross-sectional study was performed in a general hospital in Tehran, Iran from January to June 2016. A total of 418 questionnaires were distributed among the HCPs. The Chi2 test, linear regression and one-way ANOVA were used for data analysis, α: 0.05 was considered as a statistically significant level. All analyses were performed using the SPSS19 software. Results The influenza vaccination coverage was 57.7%; the highest vaccine rate belongs to the allied health professionals (68.2%). Two main causes for avoiding the influenza vaccination were; the “fear of vaccine adverse effects” and the “uncertainty about the vaccine effectiveness”. The linear regression analysis identified that the physicians had the highest belief score, followed by the nurses and the allied health professionals (p < 0.001). Conclusions Educational planning on influenza and influenza vaccination is necessary to improve the vaccination coverage and to reduce the influenza mortality and morbidity in susceptible patients.
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Affiliation(s)
- H. HOSAMIRUDSARI
- Department of Infectious Diseases, Baharloo Hospital, Railway Square, Tehran University of Medical Sciences, Tehran, Iran
| | - A. REZAEE KANAVEE
- Research Center, Baharloo Hospital, Railway Square, Tehran University of Medical Sciences, Tehran, Iran
| | - M. GHANBARI
- Research Center, Baharloo Hospital, Railway Square, Tehran University of Medical Sciences, Tehran, Iran
| | - S. AKBARPOUR
- Occupational Sleep Research Center (OSRC), Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Y. ALIMOHAMADI
- Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Correspondence: Yousef Alimohamadi (MS.c), Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran - Tel. +98 9365995396 - E-mail:
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Rapisarda V, Nunnari G, Senia P, Vella F, Vitale E, Murabito P, Salerno M, Ledda C. Hepatitis B vaccination coverage among medical residents from Catania University Hospital, Italy. Future Microbiol 2019; 14:41-44. [PMID: 31187633 DOI: 10.2217/fmb-2018-0240] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Medical residents (MRs) are healthcare workers (HCWs) who are likely to be exposed to blood-borne pathogens such as hepatitis B virus (HBV). A total of 220 (100%) MRs from Catania University Hospital (Italy) were enrolled for a seroprevalence study in the framework of occupational surveillance in order to evaluate HBV vaccination coverage. For each MR, Hepatitis B surface antigen (HbsAg), Hepatitis B surface antibody (HBsAb), Hepatitis B core antiboy (HbcAb), Hepatitis C antibody (HCV-Ab) and HIV antibody (HIV-Ab) were assessed. No one was found to be positive for: HbsAg, HbcAb, HCV-Ab or HIV-Ab. HBV vaccination coverage was found in 80% of those tested. A total of 45 MRs showed a nonprotective antibody titer; in eight, complete vaccination had never been carried out; in 37, the vaccination had been carried out, but the antibody titer was not protective. This research showed high adherence to HBV vaccination; however, the vaccine coverage of HCWs is still suboptimal. Vaccinations for HCWs should be made mandatory.
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Affiliation(s)
- Venerando Rapisarda
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
| | - Giuseppe Nunnari
- Infectious Diseases, Department of Clinical & Experimental Medicine, University of Messina, Sicily, Italy
| | - Paola Senia
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
| | - Francesca Vella
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
| | - Ermanno Vitale
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
| | - Paolo Murabito
- Anesthesia & Intensive Care, General Surgery & Medical-Surgical Specialties, University of Catania, Sicily, Italy
| | - Monica Salerno
- Legal Medicine, Department of Clinical & Experimental Medicine, University of Foggia, Foggia, Italy
| | - Caterina Ledda
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
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Ledda C, Cinà D, Garozzo SF, Vella F, Consoli A, Scialfa V, Proietti L, Nunnari G, Rapisarda V. Vaccine-preventable disease in healthcare workers in Sicily (Italy): seroprevalence against measles. Future Microbiol 2019; 14:33-36. [PMID: 31187651 DOI: 10.2217/fmb-2018-0263] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim: Measles is one of the most infectious communicable diseases. The objective of this study was to determine the immunity to measles of healthcare workers (HCWs) operating in three hospitals of Catania. Methods: A total of 549 HCWs underwent measles screening. A 5 ml blood sample was taken from each worker to measure IgG antibody levels. Results: Overall seroprotection was 86%. Unvaccinated HCWs agreed to undergo the vaccination offered by the hospital. Furthermore, it was found that younger workers are less seroprotected than older ones. Conclusion: Model legislation may be helpful to countries wishing to implement immunization requirements in healthcare settings in order to virtually eliminate the risk of acquiring and spreading measles in healthcare settings.
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Affiliation(s)
- Caterina Ledda
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
| | - Diana Cinà
- Clinical Pathology Unit, Garibaldi Centro Hospital, ARNAS Garibaldi, Sicily, Italy
| | | | - Francesca Vella
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
| | - Alessandro Consoli
- Clinical Pathology Unit, Garibaldi Centro Hospital, ARNAS Garibaldi, Sicily, Italy
| | | | - Lidia Proietti
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
| | - Giuseppe Nunnari
- Infectious Diseases, Department of Clinical & Experimental Medicine, University of Messina, Sicily, Italy
| | - Venerando Rapisarda
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
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Pinto L, Falsaperla R, Villani A, Corsello G, Del Gado R, Mazzeo A, Lubrano R. Influenza vaccination: opinions of health care professionals working in pediatric emergency departments. Ital J Pediatr 2019; 45:47. [PMID: 30975224 PMCID: PMC6458720 DOI: 10.1186/s13052-019-0638-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Accepted: 03/29/2019] [Indexed: 12/02/2022] Open
Abstract
Background Vaccine coverage of health care professionals against influenza is still low in Italy, as well as in other European countries. Methods Between March and May 2018, this study was performed to collect the opinions of Pediatric health care professionals, working in emergency departments, regarding the efficacy and safety of the influenza vaccine. An anonymous online survey was employed to evaluate socio-demographic and professional characteristics, knowledges, beliefs and attitudes. Results Five hundred four health care professionals completed the survey: 331 physicians, 140 nurses and 33 other health are professionals. During the 2017–18 season, 55.8% of physicians, 19.3% of nurses and 12.1% of other health care professionals had vaccinated against the influenza virus. Not vaccinated physicians and nurses with less than 40 years of age were fewer than not vaccinated physicians and nurses with more than 40 years of age. Nurses and other health care professionals were less trustworthy of the influenza vaccination, less aware of the possibility of contracting and transmitting influenza and other vaccine-preventable diseases. Conclusions Insufficient adherence to the influenza vaccination in physicians, nurses and other health care professionals is a concern for those assisting high-risk patients, especially in emergency departments. Therefore, it is vital to promote education of health care professionals and students regarding vaccinations. High vaccine coverage should be embedded in the safe hospital paradigm and should become a goal for the hospital's directors.
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Affiliation(s)
- Luciano Pinto
- Società Italiana di Medicina Emergenza Urgenza Pediatrica, Via Nevio 60, 80122, Napoli, Italy.
| | - Raffaele Falsaperla
- Policlinico-Vittorio Emanuele Università di Catania, UOC di Pediatria e Neonatologia, Catania, Italy
| | - Alberto Villani
- Ospedale Pediatrico Bambino Gesù, UOC di Pediatria Generale e Malattie Infettive, Roma, Italy
| | - Giovanni Corsello
- Università degli Studi di Palermo, Clinica Pediatrica Palermo, Palermo, Italy
| | - Roberto Del Gado
- Università degli Studi della Campania "Luigi Vanvitelli", Caserta, Italy
| | - Adolfo Mazzeo
- Università degli Studi di Roma "La Sapienza" UOC di Pediatria e Neonatologia, Polo di Latina, Roma, Italy
| | - Riccardo Lubrano
- Università degli Studi di Roma "La Sapienza" UOC di Pediatria e Neonatologia, Polo di Latina, Roma, Italy
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21
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GENOVESE C, PICERNO I, TRIMARCHI G, CANNAVÒ G, EGITTO G, COSENZA B, MERLINA V, ICARDI G, PANATTO D, AMICIZIA D, ORSI A, COLOSIO C, MARSILI C, LARI C, PALAMARA M, VITALE F, CASUCCIO A, COSTANTINO C, AZARA A, CASTIGLIA P, BIANCO A, CURRÀ A, GABUTTI G, STEFANATI A, SANDRI F, FLORESCU C, MARRANZANO M, GIORGIANNI G, FIORE V, PLATANIA A, TORRE I, CAPPUCCIO A, GUILLARI A, FABIANI L, GIULIANI A, APPETITI A, FAUCI VLA, SQUERI A, RAGUSA R, SQUERI R. Vaccination coverage in healthcare workers: a multicenter cross-sectional study in Italy. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2019; 60:E12-E17. [PMID: 31041405 PMCID: PMC6477557 DOI: 10.15167/2421-4248/jpmh2019.60.1.1097] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Accepted: 02/12/2019] [Indexed: 11/16/2022]
Abstract
Introduction In recent years, a phenomenon known as "vaccine hesitancy" has spread throughout the world, even among health workers, determining a reduction in vaccination coverage (VC).A study aimed at evaluating VC among healthcare workers (HCWs) in 10 Italian cities (L'Aquila, Genoa, Milan, Palermo, Sassari, Catanzaro, Ferrara, Catania, Naples, Messina) was performed. Materials and methods Annex 3 of the Presidential Decree n. 445 of 28 December 2000 was used to collect information on the vaccination status of HCWs. The mean and standard deviation (SD) were calculated with regard to the quantitative variable (age), while absolute and relative frequencies were obtained for categorical data (sex, professional profile, working sector, vaccination status). The connection between VC and the categorical variables was evaluated by chi-square method (statistical significance at p < 0.05). The statistical analyses were performed by SPSS and Stata software. Results A total of 3,454 HCWs participated in the project: 1,236 males and 2,218 females.The sample comprised: physicians (26.9%), trainee physicians (16.1%), nurses (17.2%) and other professional categories (9.8%). Low VC was generally recorded. Higher VC was found with regard to polio, hepatitis B, tetanus and diphtheria, while coverage was very low for measles, mumps, rubella, pertussis, chickenpox and influenza (20-30%). Conclusions This study revealed low VC rates among HCWs for all the vaccinations. Measures to increase VC are therefore necessary in order to prevent HCWs from becoming a source of transmission of infections with high morbidity and/or mortality both within hospitals and outside.
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Affiliation(s)
- C. GENOVESE
- Department of Biomedical Sciences, Dental Sciences and Morpho-functional images, University of Messina, Italy
- Cristina Genovese, Department of Biomedical Sciences and Morphological and Functional Images, University of Messina, via Consolare Valeria, 98125 Messina, Italy - E-mail:
| | - I.A.M. PICERNO
- Department of Biomedical Sciences, Dental Sciences and Morpho-functional images, University of Messina, Italy
| | - G. TRIMARCHI
- Department of Economy, University of Messina, Italy
| | - G. CANNAVÒ
- Medical Direction Universitary Hospital“G. Martino”, Messina, Italy
| | - G. EGITTO
- Medical Direction Universitary Hospital“G. Martino”, Messina, Italy
| | - B. COSENZA
- Department of Biomedical Sciences, Dental Sciences and Morpho-functional images, University of Messina, Italy
| | - V. MERLINA
- Department of Biomedical Sciences, Dental Sciences and Morpho-functional images, University of Messina, Italy
| | - G. ICARDI
- Hygiene Unit, “Ospedale Policlinico San Martino IRCCS”, Genoa, Italy
- Department of Health Sciences, University of Genoa, Italy
| | - D. PANATTO
- Department of Health Sciences, University of Genoa, Italy
| | - D. AMICIZIA
- Department of Health Sciences, University of Genoa, Italy
| | - A. ORSI
- Hygiene Unit, “Ospedale Policlinico San Martino IRCCS”, Genoa, Italy
- Department of Health Sciences, University of Genoa, Italy
| | - C. COLOSIO
- Department of Health Sciences of the University of Milan, International Centre for Rural Health of the SS. Paolo and Carlo Hospital, Milan, Italy
| | - C. MARSILI
- Department of Health Sciences of the University of Milan, International Centre for Rural Health of the SS. Paolo and Carlo Hospital, Milan, Italy
| | - C. LARI
- Medical Direction of the SS. Paolo and Carlo Hospital, Milan, Italy
| | - M.A.R. PALAMARA
- Department of Biomedical Sciences, Dental Sciences and Morpho-functional images, University of Messina, Italy
| | - F. VITALE
- Department of Science for Health Promotion and Mother-Child Care “G. D’Alessandro”, University of Palermo, Italy
| | - A. CASUCCIO
- Department of Science for Health Promotion and Mother-Child Care “G. D’Alessandro”, University of Palermo, Italy
| | - C. COSTANTINO
- Department of Science for Health Promotion and Mother-Child Care “G. D’Alessandro”, University of Palermo, Italy
| | - A. AZARA
- Department of Medical, Surgical and Experimental Sciences, University of Sassari, Italy
| | - P. CASTIGLIA
- Department of Medical, Surgical and Experimental Sciences, University of Sassari, Italy
| | - A. BIANCO
- Department of Health Sciences, University of Catanzaro “Magna Græcia”, Catanzaro, Italy
| | - A. CURRÀ
- Department of Health Sciences, University of Catanzaro “Magna Græcia”, Catanzaro, Italy
| | - G. GABUTTI
- Department of Medical Sciences, University of Ferrara, Italy
| | - A. STEFANATI
- Department of Medical Sciences, University of Ferrara, Italy
| | - F. SANDRI
- Department of Medical Sciences, University of Ferrara, Italy
| | - C. FLORESCU
- Department of Medical Sciences, University of Ferrara, Italy
| | - M. MARRANZANO
- Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, Italy
| | - G. GIORGIANNI
- Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, Italy
| | - V. FIORE
- Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, Italy
| | - A. PLATANIA
- Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, Italy
| | - I. TORRE
- Department of Public Health, University “Federico II” of Naples, Italy
| | - A. CAPPUCCIO
- Department of Public Health, University “Federico II” of Naples, Italy
| | - A. GUILLARI
- Department of Public Health, University “Federico II” of Naples, Italy
| | - L. FABIANI
- Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy
| | - A.R. GIULIANI
- Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy
| | - A. APPETITI
- Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy
| | - V. LA FAUCI
- Department of Biomedical Sciences, Dental Sciences and Morpho-functional images, University of Messina, Italy
| | - A. SQUERI
- Department of Biomedical Sciences, Dental Sciences and Morpho-functional images, University of Messina, Italy
| | - R. RAGUSA
- University Hospital“Vittorio Emanuele”, Catania, Italy
| | - R. SQUERI
- Department of Biomedical Sciences, Dental Sciences and Morpho-functional images, University of Messina, Italy
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Hakeem A, Alsaigh S, Alasmari A, Aloushan A, Bin Saleh F, Yousef Z. Awareness, Concerns, and Protection Strategies Against Bloodborne Viruses Among Surgeons. Cureus 2019; 11:e4242. [PMID: 31131165 PMCID: PMC6516613 DOI: 10.7759/cureus.4242] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Surgeons are at high risk of contracting infectious viruses such as human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) through exposure to patients' blood. The purpose of this study was to assess the surgeons' awareness of contracting bloodborne viruses. Methods: A cross-sectional study with a questionnaire distributed to 241 surgeons at King Abdulaziz Medical City - Riyadh (KAMC-R) during the period June 2017 through January 2018. Descriptive statistics were used to analyze data collected using Stata®, v14 (StataCorp LLC, College Station, Texas, USA). Categorical variables were analyzed using Pearson chi-square test. P-value of < 0.05 was considered significant. RESULTS A total of 241 surgeons answered the questionnaire, 179 (74.3%) surgeons were male and 62 (25.7%) were female. The mean age ± standard deviation (SD) of male surgeons was 35.8 ± 11.0 years while for females was 33.3 ± 9.1 years. The majority of our cohort were vaccinated for HBV (96% in males and 97% in females). Two-thirds of the study cohort did not know the conversion rate post-needlestick injury by HIV, HBV, and HCV. Two-thirds of the study cohort think there is a need for HIV screening before surgery. Mixed answers were received from the cohort when asked about their concern regarding contracting HIV infection from their patients; only one-third of the surgeons were extremely concerned. When asked about the risk of needlestick injury during treating patients positive for HBV, the majority of the surgeons said no. However, a significant difference between the female and male surgeons was found in which 12 of the 62 female surgeons answered yes (19.4%) compared to 11 of the 179 male surgeons (6.1%) (p = 0.002). CONCLUSION The majority of our surgeons are vaccinated for HBV. However, female surgeons appear to be at higher risk of needlestick injury from HBV patients. This requires further investigation into the reasons for such high incidents. More education is needed about bloodborne viruses.
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Affiliation(s)
- Anadel Hakeem
- Internal Medicine, King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, SAU
| | - Shahad Alsaigh
- Surgery, King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, SAU
| | - Amal Alasmari
- Dermatology, King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, SAU
| | - Amairah Aloushan
- Emergency Medicine, King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, SAU
| | - Fatemah Bin Saleh
- Pediatrics, King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, SAU
| | - Zeyad Yousef
- Surgery, King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, SAU
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Bragazzi NL, Dini G, Parodi V, Blasi C, Linares R, Mortara V, Toletone A, Bersi FM, D’Amico B, Massa E, Montecucco A, Debarbieri N, Durando P. Protocol of a scoping review assessing injury rates and their determinants among healthcare workers in western countries. BMJ Open 2019; 9:e023372. [PMID: 30705239 PMCID: PMC6359735 DOI: 10.1136/bmjopen-2018-023372] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
INTRODUCTION Healthcare workers (HCWs) are exposed to various risk factors and risky behaviours that may seriously affect their health and ability to work. The aim of this protocol is to detail the steps to follow in order to carry out a scoping review to assess the prevalence/incidence of injuries among HCWs. METHODS AND ANALYSIS The study will be carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Protocols guidelines. Studies will be selected according to the following criteria: P (HCWs), E (exposure to injuries), C (different types of exposure and different categories of HCWs) and O (prevalence/incidence and determinants of injuries). A time filter has been set (literature between 2000 and 2018) to enable updated, direct comparison between the findings and the epidemiological data available at national and local 'Istituto Nazionale per l'Assicurazione contro gli Infortuni sul Lavoro' (National Institute for Insurance Against Accidents at Work) centres in Italy. No language restriction will be applied. ETHICS AND DISSEMINATION Formal ethical approval is not required; primary data will not be collected, as they have already been published. The results will be disseminated through peer-reviewed publication(s), conference presentation(s) and the press.
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Affiliation(s)
- Nicola Luigi Bragazzi
- Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine, University of Genoa, Genoa, Italy
| | - Guglielmo Dini
- Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine, University of Genoa, Genoa, Italy
- Occupational Medicine Unit, Policlinico San Martino Hospital IRCCS, Genoa, Italy
| | - Valentina Parodi
- Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine, University of Genoa, Genoa, Italy
| | - Carlo Blasi
- Liguria Regional Directorate, National Institute for Insurance Against Accidents at Work/ Istituto nazionale per l’assicurazione contro gli infortuni sul lavoro (INAIL), Genoa, Italy
| | - Roberta Linares
- Liguria Regional Directorate, National Institute for Insurance Against Accidents at Work/ Istituto nazionale per l’assicurazione contro gli infortuni sul lavoro (INAIL), Genoa, Italy
| | - Virginia Mortara
- Liguria Regional Directorate, National Institute for Insurance Against Accidents at Work/ Istituto nazionale per l’assicurazione contro gli infortuni sul lavoro (INAIL), Genoa, Italy
| | - Alessandra Toletone
- Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine, University of Genoa, Genoa, Italy
- Occupational Medical Service, Local Health Unit 1, Liguria Regional Healthcare System, Imperia, Italy
| | - Francesca Maria Bersi
- Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine, University of Genoa, Genoa, Italy
| | - Beatrice D’Amico
- Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine, University of Genoa, Genoa, Italy
- Occupational Medicine Unit, Policlinico San Martino Hospital IRCCS, Genoa, Italy
| | - Emanuela Massa
- Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine, University of Genoa, Genoa, Italy
| | - Alfredo Montecucco
- Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine, University of Genoa, Genoa, Italy
- Occupational Medicine Unit, Policlinico San Martino Hospital IRCCS, Genoa, Italy
| | - Nicoletta Debarbieri
- Occupational Medicine Unit, Policlinico San Martino Hospital IRCCS, Genoa, Italy
| | - Paolo Durando
- Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine, University of Genoa, Genoa, Italy
- Occupational Medicine Unit, Policlinico San Martino Hospital IRCCS, Genoa, Italy
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24
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Alsaigh SY, Alasmari AA, Hakeem AH, Aloushan AF, Saleh FSB, Althubaiti A, Yousef Z. Gender differences in practicing standard precautions against blood-borne pathogens among surgeons at a tertiary care center: A cross-sectional study. Avicenna J Med 2019; 9:15-22. [PMID: 30697521 PMCID: PMC6335877 DOI: 10.4103/ajm.ajm_146_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Surgeons are at an increased risk of contracting blood-borne pathogens. The aim of this study was to evaluate gender difference, surgical position, surgical experience, and subspecialty regarding surgeons' compliance to standard precautions. METHODS A cross-sectional questionnaire-based study was performed using a purposive sampling. A total of 241 surgeons were surveyed from June 2017 to January 2018. RESULTS In total, 179 (74.3%) males and 62 (25.7%) females completed the questionnaire. The gender difference was evident when the type of surgery was extremely important in influencing the decision on wearing double gloves (DGs); 108 (60.3%) male surgeons versus 27 (43.5%) female surgeons (P = 0.022). Although a total of 17 (30.3%) surgeons reported being extremely and very concerned about contracting human immunodeficiency virus through their work, they had never tried DG (P = 0.027). CONCLUSION This study revealed that the decision of wearing DG was affected by several factors. Surgeons' decision to wear DG was influenced by the type of surgery. This study showed that most surgeons reported lack of adherence to barrier precaution measures.
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Affiliation(s)
- Shahad Yousef Alsaigh
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Amal Aboud Alasmari
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Anadel Hassan Hakeem
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Amairah Fahad Aloushan
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Fatemah Saleh Bin Saleh
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Alaa Althubaiti
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Zeyad Yousef
- Department of Surgery, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia
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25
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Maltezou HC, Theodoridou K, Ledda C, Rapisarda V, Theodoridou M. Vaccination of healthcare workers: is mandatory vaccination needed? Expert Rev Vaccines 2018; 18:5-13. [PMID: 30501454 DOI: 10.1080/14760584.2019.1552141] [Citation(s) in RCA: 70] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
INTRODUCTION Vaccinations of healthcare workers (HCWs) aim to directly protect them from occupational acquisition of vaccine-preventable diseases (VPDs) and to indirectly protect their patients and the essential healthcare infrastructure. However, outbreaks due to VPDs continue to challenge healthcare facilities and HCWs are frequently traced as sources of VPDs to vulnerable patients. In addition, HCWs were disproportionately affected during the current measles outbreak in Europe. Areas covered: We reviewed the recent published information about HCWs vaccinations with a focus on mandatory vaccination policies. Expert commentary: Although many countries have vaccination programs specifically for HCWs, their vaccination coverage remains suboptimal and a significant proportion of them remains susceptible to VPDs. The increasing vaccination hesitancy among HCWs is of concern, given their role as trusted sources of information about vaccines. Mandatory vaccinations for HCWs are implemented for specific VPDs in few countries. Mandatory influenza vaccination of HCWs was introduced in the United States a decade ago with excellent results. Mandatory vaccinations for VPDs that may cause significant morbidity and mortality should be considered. Issues of mistrust and misconceptions about vaccinations should also be addressed.
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Affiliation(s)
- Helena C Maltezou
- a Department for Interventions in Health-Care Facilities , Hellenic Center for Disease Control and Prevention , Athens , Greece
| | - Kalliopi Theodoridou
- b Department of Microbiology , Medical School of National and Kapodistrian University of Athens , Athens , Greece
| | - Caterina Ledda
- c Occupational Medicine, Department of Clinical and Experimental Medicine , University of Catania , Catania , Italy
| | - Venerando Rapisarda
- c Occupational Medicine, Department of Clinical and Experimental Medicine , University of Catania , Catania , Italy
| | - Maria Theodoridou
- d First Department of Pediatrics , National and Kapodistrian University of Athens , Athens , Greece
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Yoshioka N, Deguchi M, Hagiya H, Kagita M, Tsukamoto H, Takao M, Tomono K. Vaccination strategy for epidemic viral diseases in healthcare workers: Cut-off for optimal immunization. J Infect Chemother 2018; 25:78-81. [PMID: 30064948 DOI: 10.1016/j.jiac.2018.07.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Revised: 06/22/2018] [Accepted: 07/09/2018] [Indexed: 10/28/2022]
Abstract
Healthcare workers (HCWs) are at an increased risk of being exposed to epidemic viral diseases (EVDs), such as measles, rubella, mumps, and varicella-zoster. Currently, in case of the absence of written records on previous immunizations, the Japanese Society for Infection Prevention and Control guidelines require HCWs to have antibody titers higher than laboratory thresholds, possibly leading to over-immunization. We report our vaccination strategy and the consequent incidences of EVDs at the Osaka University Hospital between 2000 and 2016. In 2001, we initiated an annual serology check of antibody titers against EVDs and immunization for newly employed HCWs. As an additional vaccination program, all HCWs with low antibody titers were vaccinated in 2005 and 2010. Antibody titers were determined by an enzyme immunoassay (EIA), with a positive range of >2.0 cut-off index. After implementing the vaccination strategy to keep the laboratory threshold, there were only sporadic cases of EVDs among HCWs. More than 99% of individuals who had positive titers in 2005 remained the positive antibody titers in 2010, indicating that a minimum interval of 5 years is enough to measure immunity. Unprotected workers can, even silently, transmit the contagious viruses to patients and coworkers, possibly resulting in a nosocomial outbreak. However, over-vaccination may yield adverse effects and financial burdens. Our observational data indicate that the laboratory cut-off index of >2.0 by EIA may provide a sufficient herd immunity to prevent EVDs among HCWs.
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Affiliation(s)
- Nori Yoshioka
- Division of Infection Control and Prevention, Osaka University Hospital, Japan; Laboratory for Clinical Investigation, Osaka University Hospital, Japan
| | - Matsuo Deguchi
- Division of Infection Control and Prevention, Osaka University Hospital, Japan; Laboratory for Clinical Investigation, Osaka University Hospital, Japan
| | - Hideharu Hagiya
- Division of Infection Control and Prevention, Osaka University Hospital, Japan.
| | - Masanori Kagita
- Division of Infection Control and Prevention, Osaka University Hospital, Japan; Laboratory for Clinical Investigation, Osaka University Hospital, Japan
| | - Hiroko Tsukamoto
- Laboratory for Clinical Investigation, Osaka University Hospital, Japan
| | - Miyuki Takao
- Division of Infection Control and Prevention, Osaka University Hospital, Japan; Laboratory for Clinical Investigation, Osaka University Hospital, Japan
| | - Kazunori Tomono
- Division of Infection Control and Prevention, Osaka University Hospital, Japan
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Gilardi F, Castelli Gattinara G, Vinci MR, Ciofi Degli Atti M, Santilli V, Brugaletta R, Santoro A, Montanaro R, Lavorato L, Raponi M, Zaffina S. Seasonal Influenza Vaccination in Health Care Workers. A Pre-Post Intervention Study in an Italian Paediatric Hospital. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E841. [PMID: 29695117 PMCID: PMC5981880 DOI: 10.3390/ijerph15050841] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/03/2018] [Revised: 04/13/2018] [Accepted: 04/21/2018] [Indexed: 11/16/2022]
Abstract
Despite relevant recommendations and evidences on the efficacy of influenza vaccination in health care workers (HCWs), vaccination coverage rates in Europe and Italy currently do not exceed 25%. Aim of the study is to measure the variations in vaccination coverage rates in an Italian pediatric hospital after a promotion campaign performed in the period October⁻December 2017. The design is a pre-post intervention study. The intervention is based on a wide communication campaign and an expanded offer of easy vaccination on site. The study was carried out at Bambino Gesù Children’s hospital in Rome, Italy, on the whole population of HCWs. Univariate and multivariate statistical analyses were performed. Vaccination coverage rate increased in 2017/18 campaign compared with the 2016/17 one (+95 HCWs vaccinated; +4.4%). The highest increases were detected in males (+45.7%), youngest employees (+142.9%), mean age of employment (+175%), other HCWs (+209.1%), Emergency Area (+151.6%) and Imaging Diagnostic Department (+200.0%). At multivariate logistic regression, working in some departments and being nurses represents a higher risk of being unvaccinated. Although the vaccination coverage rate remained low, a continuous increase of the coverage rate and development of a different consciousness in HCWs was highlighted. The study significantly identified the target for future campaigns.
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Affiliation(s)
- Francesco Gilardi
- Occupational Medicine Unit, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.
| | - Guido Castelli Gattinara
- Vaccination Unit, University Hospital Paediatric Department, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.
| | - Maria Rosaria Vinci
- Occupational Medicine Unit, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.
| | | | - Veronica Santilli
- Vaccination Unit, University Hospital Paediatric Department, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.
| | - Rita Brugaletta
- Occupational Medicine Unit, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.
| | - Annapaola Santoro
- Occupational Medicine Unit, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.
| | - Rosina Montanaro
- University Hospital Paediatric Department, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
| | - Luisa Lavorato
- Occupational Medicine Unit, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.
| | - Massimiliano Raponi
- Health Directorate, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
| | - Salvatore Zaffina
- Occupational Medicine Unit, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.
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28
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Dini G, Toletone A, Sticchi L, Orsi A, Bragazzi NL, Durando P. Influenza vaccination in healthcare workers: A comprehensive critical appraisal of the literature. Hum Vaccin Immunother 2017; 14:772-789. [PMID: 28787234 PMCID: PMC5861785 DOI: 10.1080/21645515.2017.1348442] [Citation(s) in RCA: 173] [Impact Index Per Article: 24.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Influenza imposes a significant burden worldwide from the healthcare and socio-economic standpoints. This is also due to suboptimal vaccination coverage among the target population, even though immunization is recommended since many years and still remains the fundamental tool for its prevention. Healthcare workers (HCWs) are at increased risk of exposure to respiratory pathogens compared with the general population, including flu, with potential threat for their health and for patients' safety. Nevertheless, despite recommendation for immunization of this work-category in most of Western Countries, inadequate flu vaccine uptake is reported during the last decade in the European area. According to recent systematic reviews on this topic, the main determinants of vaccine acceptance among HCWs have been largely investigated and include desire for self-protection and to protect family rather than absolute disease risk or desire to protect patients, among the main drivers. On the other hand, concerns regarding safety of the vaccines resulted in decreased vaccine uptake. Moreover, influenza vaccine hesitancy among HCWs was also associated with several issues such as low risk perception, denial of the social benefit of influenza vaccination, low social pressure, lack of perceived behavioral control, negative attitude toward vaccines, not having been previously vaccinated against influenza, not having previously had influenza, lack of adequate influenza-specific knowledge, lack of access to vaccination facilities, and socio-demographic variables. The topic of influenza vaccination among HCWs is challenging, full of ethical issues. Systematic reviews of randomized controlled trials (RCTs) investigating the effectiveness of interventions for improving vaccine uptake among HCWs found that combined strategies were more effective than isolate approaches. Mandatory policies are currently under debate in several countries. High quality studies would help policy-makers and stake-holders to shape evidence-based initiatives and programs to improve the control of influenza.
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Affiliation(s)
- Guglielmo Dini
- a Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine , University of Genoa , Genoa , Italy.,b Occupational Medicine Unit, Ospedale Policlinico San Martino , Genoa , Italy
| | - Alessandra Toletone
- a Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine , University of Genoa , Genoa , Italy
| | - Laura Sticchi
- c Department of Health Sciences (DISSAL), Postgraduate School of Public Health , University of Genoa , Genoa , Italy.,d Hygiene Unit , Ospedale Policlinico San Martino , Genoa , Italy
| | - Andrea Orsi
- c Department of Health Sciences (DISSAL), Postgraduate School of Public Health , University of Genoa , Genoa , Italy.,d Hygiene Unit , Ospedale Policlinico San Martino , Genoa , Italy
| | - Nicola Luigi Bragazzi
- c Department of Health Sciences (DISSAL), Postgraduate School of Public Health , University of Genoa , Genoa , Italy
| | - Paolo Durando
- a Department of Health Sciences (DISSAL), Postgraduate School of Occupational Medicine , University of Genoa , Genoa , Italy.,b Occupational Medicine Unit, Ospedale Policlinico San Martino , Genoa , Italy
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Riccò M, Cattani S, Casagranda F, Gualerzi G, Signorelli C. Knowledge, attitudes, beliefs and practices of Occupational Physicians towards seasonal influenza vaccination: a cross-sectional study from North-Eastern Italy. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2017; 58:E141-E154. [PMID: 28900354 PMCID: PMC5584083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
INTRODUCTION The present study aims to characterize personal attitudes and knowledge of a sample of Italian Occupational Physicians (OPh) towards Seasonal Influenza Vaccine (SIV) in healthcare workers (HCWs). METHODS In total, 92 OPh (42.4% males, 57.6% females, mean age of 47.3 ± 10.4 years, 50 specialists in Occupational Medicine, 42 specialists in Hygiene and Public Health) were asked about their attitudes towards influenza vaccine, their general knowledge of vaccine practice, their propensity towards vaccines and, eventually, their risk perception about the influenza and influenza vaccine was investigated. A regression analysis was then performed in order to better characterize predictive factors for vaccine propensity. RESULTS Influenza was recognized as a vaccination recommended for HCWs in 89/92 of the sampled OPh (96.7%). However, prevalence of misconceptions about vaccines was relatively high, with 26/92 (28.3%) and 24/92 (26.1%) referring vaccinations as eliciting allergic and autoimmune diseases, respectively and identifying lethargic encephalitis (18/92, 19.6%), autism (17/92, 18.5%), diabetes mellitus (15/92, 16.3%) and multiple sclerosis (13/92, 14.1%) as causatively vaccine-related. Propensity towards influenza vaccination found a significant predictor in the general knowledge (beta coefficient 0.213, p value = 0.043), risk perception (beta coefficient 0.252, p value = 0.018) and general propensity towards vaccinations (beta coefficient 0.384, p value = 0.002). DISCUSSION In spite of a diffuse propensity towards SIV, adherence of OPh was still < 50% of the sample. Moreover, sharing of misbeliefs and misconceptions was significant. As knowledge and risk perceptions were identified as significant predictors of vaccine propensity, our results suggest that information and training programs for OPh should be appropriately designed.
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Affiliation(s)
- M. Riccò
- Azienda Provinciale per i Servizi Sanitari della Provincia Autonoma di Trento, Unità Operativa di Prevenzione e Sicurezza degli Ambienti di Lavoro (UOPSAL), Trento, Italy;,Correspondence: Matteo Riccò, via A. Degasperi 79, 38123 Trento (TN), Italy - Tel. +39 0461 904654 - E-mail:
| | - S. Cattani
- University of Parma, Department of Clinical Surgery, General Surgery and Surgical Therapy, School of Nursing Sciences, Parma University Hospital, Parma, Italy
| | - F. Casagranda
- Azienda Provinciale per i Servizi Sanitari della Provincia Autonoma di Trento, Unità Operativa di Promozione ed Educazione alla Salute, Sorveglianza Stili di Vita, Trento, Italy
| | - G. Gualerzi
- University of Parma, School of Medicine and Surgery, Parma, Italy
| | - C. Signorelli
- University of Parma, Department of Biomedical, Biotechnological, and Translational Sciences (SBiBiT), Parma, Italy
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