Vaccination and immunization status among healthcare students: results from the SAVES survey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Rivolta ◽  
M Letzgus ◽  
F De Nard ◽  
M Gaiazzi ◽  
N Principi ◽  
...  
Keyword(s):  
High Risk ◽  
Sex Education ◽  
Vaccination Coverage ◽  
Medical Residents ◽  
Natural Immunity ◽  
Healthcare Facilities ◽  
Healthcare Students ◽  
Immunization Status ◽  
Healthcare Professions ◽  
The University

Abstract Background Adequate vaccination coverage among healthcare workers, including students in healthcare professions (SHPs), is crucial in order to prevent spreading of infections within healthcare facilities. However, vaccination coverage among SHPs is often inadequate. We aimed to describe the vaccination/immunization status of SHPs of the University of Milan. Methods We spread an e-survey to the academic e-mail addresses of postgraduate medical residents and to first- and last-year undergraduate SHPs. The questionnaire covered sociodemographic data (age, sex, education, municipality of residence, internship in high-risk wards) and the reported vaccination/immunization status for Influenza (previous flu season), Varicella, MPR and DTaP vaccines. Results Among 5743 invited SHPs, 884 participated in the survey. The study sample comprised 462 medical residents and 422 undergraduate SHPs (medicine 176, nursery 186, midwifery 4, healthcare assistance 32, prevention techniques 24). Median age was 27 years (IQR 7); 68.4% participants were female; 91.3% had attended high school in a lyceum, while others in a professional (2.9%) or technical (5.8%) institute; 36.7% lived in municipalities of < 20.000 inhabitants, while 26.1% of > 250.000. Traineeships took place in high-risk wards for 46% of participants. Reported vaccination coverage for Influenza was 33,7% (with higher coverage for pediatric nursing and midwifery students, medicine students and medical residents). Participants reported immunity (either vaccine or natural immunity) to Varicella in 93,3% cases. Declared vaccination coverage for Hepatitis B was 94,1%; 91,7% participants reportedly completed the MPR schedule, 76,2% the recommended DTaP booster. Conclusions Influenza vaccination coverage was suboptimal in our sample of SHPs, suggesting the need of specific educational programs and targeted vaccination campaigns, which may help shaping a positive vaccination attitude for future healthcare professionals. Key messages Immunization status for VPDs is suboptimal among Italian students in healthcare professions. The monitoring of the immunization status should include healthcare students actively involved in healthcare activities.

Vaccine-preventable diseases screening and vaccination programs for healthcare professions students

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Letzgus ◽  
F De Nard ◽  
M Gaiazzi ◽  
S Rivolta ◽  
L Grimoldi ◽  
...  
Keyword(s):  
Medical Residents ◽  
Organizational Strategies ◽  
Serological Tests ◽  
Vaccination Programs ◽  
Healthcare Facilities ◽  
Lombardy Region ◽  
Vaccine Preventable Diseases ◽  
Increased Risk ◽  
Vaccination History ◽  
Healthcare Professions

Abstract Background Students in Healthcare Professions (SHPs) present an increased risk of contracting and transmitting Vaccine-Preventable Diseases (VPDs). Our study aimed to investigate the organizational strategies (screening and immunization for VPDs and vaccination promotion among SHPs) implemented by the healthcare facilities accredited with the University of Milan. Methods we sent an e-survey by e-mail to medical residents and first- and last-year students in nursing, midwifery and healthcare assistance. Results among 3397 invited SHPs, 645 participated. We included in the analysis 522 SHPs, distributed in 24 facilities across the Lombardy region (mean age 27,4 years; 69,5% female; 69% medical residents, 28% nursing, 2% healthcare assistance, and 1% midwifery students). Although most participants underwent occupational health visit before the traineeship start (47,5%) or within 6 months (29,5%), others hadn't undergone yet (15,1%). The visits included the collection of vaccination history (72,6%; 64,6% from written documentation), serological tests for VPDs (hepatitis B 76,1%, measles and rubella 58,4%, varicella 54,4%), and screening for latent TB (69,7%). Vaccinations were recommended to 226 participants, but only 173 fully (76,5%) or partially (8%) complied. Full compliance was associated with nudges like in-hospital (Chisq. 18,7; p = 0.00) and free vaccinations (Chisq. 31; p = 0.00). Reported facility vaccination policies included campaigns (posters 37,4%, intranet 39,5%, social media 11,5%, general/personalized letters 30,3%/11,5%), time-off incentives (7,7%), on-site (30,5%) and opinion leaders' vaccinations (9,8%). However, SHPs were often unaware of those strategies (mean 48,6%), and intra-facility answers were sometimes discordant (agreement <70% for facilities with >30 respondents). Conclusions SHPs are often unaware or discordant regarding vaccination policies carried out by traineeship facilities, suggesting the need of inclusive communication strategies. Key messages About half of students in healthcare professions are screened for VPDs after the start of the traineeship. Students in healthcare professions are often unaware of vaccination promotion strategies.

scholarly journals A reasoned action approach to understand vaccination intention among healthcare professions students

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F De Nard ◽  
S Rivolta ◽  
M Letzgus ◽  
M Gaiazzi ◽  
D Carnevali ◽  
...  
Keyword(s):  
Reasoned Action ◽  
Behavioral Control ◽  
Medical Residents ◽  
Perceived Behavioral Control ◽  
Reasoned Action Approach ◽  
Flu Vaccination ◽  
Vaccination Behavior ◽  
Healthcare Professions ◽  
Prevention Techniques ◽  
Vaccination Knowledge

Abstract Background Understanding the predictors of vaccination intention among healthcare workers, including students in healthcare professions (SHPs), is crucial for policy making and for the development of evidence-driven training programs. The reasoned action approach (RAA) model includes three components to predict intention: attitude (experiential/instrumental), perceived norm (injunctive/descriptive), and perceived behavioral control (capacity/autonomy). We aimed to investigate the predictors of seasonal Flu vaccination intention among SHPs of the University of Milan. Methods We spread an e-survey to all medical residents and first- and last-year SHPs (medicine, nursery, midwifery, healthcare assistance and prevention techniques). The strength of association between measures of RAA components (as well as sociodemographic data, past vaccination behavior, vaccination knowledge, and perceived vaccination facilitation strategies), and vaccination intention was estimated using uni- and multivariate logistic regression models. Results Among 5743 invited SHPs, 884 participated in the survey and were included in the descriptive analyses (52,3% medical residents, 19,9% medicine, 21,1% nursing, 3,6% healthcare assistance, 2,7% prevention techniques and 0,5% midwifery students). Twenty-nine psycho-attitudinal items with an overall Cronbach alpha >0.7 were included in the analyses. The regression analyses were performed on 751 subjects who filled in completely the survey. Past vaccination behavior, vaccination knowledge, experiential attitudes, and perceived vaccination facilitation strategies were positive predictors of Flu vaccination intention (OR 8.16, 2.42, 1.96 and 1.15 respectively, p < 0.05). Conclusions Our results indicated knowledge, experiential attitudes and facilitation strategies as modifiable predictors of vaccination intention among SHPs. Targeted and lasting interventions are needed in order to pursue a change in the strongest predictor, past vaccination behavior. Key messages Past vaccination is the strongest predictor of vaccination intention among students in healthcare professions. Knowledge, attitudes and perceived facilitators predict vaccine propensity among students in healthcare professions.

O początkach wychowania seksualnego w Polsce i kontestacji młodzieżowej na Zachodzie – zapis ostatniego wywiadu z Profesorem Andrzejem Jaczewskim

2021 ◽  
pp. 188-205
Author(s):  
Julia Stępniewska ◽  
Piotr Zańko ◽  
Adam Fijałkowski
Keyword(s):  
Sex Education ◽  
Auxiliary Function ◽  
Sexual Revolution ◽  
Sexual Education ◽  
The West ◽  
The Social ◽  
1960S And 1970S ◽  
The 1960S ◽  
The University ◽  
The Relationship

In this text, we ask about the relationship between sexual education in Poland in the 1960s and 1970s with the cultural contestation and the moral (including sexual) revolution in the West as seen through the eyes of Prof. Andrzej Jaczewski (1929–2020) – educationalist, who for many years in 1970s and 1980s conducted seminars at the University of Cologne, pediatrician, sexologist, one of the pioneers of sexual education in Poland. The movie “Sztuka kochania. Historia Michaliny Wisłockiej” (“The Art of Love. The Story of Michalina Wisłocka” [1921–2005]), directed in 2017 by Maria Sadowska, was the impulse for our interview. After watching it, we discovered that the counter-cultural background of the West in the 1960s and 1970s was completely absent both in the aforementioned film and in the discourse of Polish sex education at that time. Moreover, Andrzej Jaczewski’s statement (July 2020) indicates that the Polish concept of sexual education in the 1960s and 1970s did not arise under the influence of the social and moral revolution in the West at the same time, and its originality lay in the fact that it was dealt with by professional doctors-specialists. We put Andrzej Jaczewski’s voice in the spotlight. Our voice is usually muted in this text, it is more of an auxiliary function (Chase, 2009). Each of the readers may impose their own interpretative filter on the story presented here.

scholarly journals Smart Management of Healthcare Professionals Involved in COVID-19 Contrast With SWAPS

2021 ◽  
Vol 3 ◽  
Author(s):  
Paolo Bellavista ◽  
Marco Torello ◽  
Antonio Corradi ◽  
Luca Foschini
Keyword(s):  
Health Department ◽  
Contact Tracing ◽  
Healthcare Personnel ◽  
High Concentration ◽  
Regional Health ◽  
Positive Health ◽  
Risk Area ◽  
Healthcare Facilities ◽  
Infected People ◽  
The University

The recent COVID-19 pandemic in Italy has highlighted several critical issues in the management process of infected people. At the health level, the management of the COVID-19 positive was mainly delegated to the regional authorities and centrally monitored by the State. Despite requested common activities (such as diagnosis of virus positivity, active surveillance of infected people and contact tracing), Regional Health Departments were able to issue specific directives in their territories and establish priority levels for each activity according to the specific needs related to the emergency in their area. The development of novel digital tools for the management of infected people become an urgent necessity to foster more organized and integrated solutions, able to quickly process large amounts of data. Mobile Crowdsensing methodologies could effectively facilitate needed lateral interviewing activities as well as the monitoring of crowds in environments with a high concentration of virus-positive subjects (such are hospital wards but also other locations), facilitating the tracing of possible outbreaks of contagion due to advanced geolocation techniques and big data analysis methods. This paper analyzes the functionality of SWAPS (Supporting Workflows for Healthcare Personnel management), a modular and scalable web platform which facilitate and reduces the management time of COVID positive health personnel within healthcare facilities. It also analyzes the possible integrations between SWAPS and ParticipACT, an advanced MCS platform developed by the University of Bologna that can help set up the alert notification in case of entry into a COVID risk area. This article surveys the current literature on software platforms to address COVID-19 and related tracing issues and presents the practical issues and on-the-field results obtained from the research developed by the University of Bologna by assisting the deployment of the proposed solution for a big Regional Health Department in the city of Bologna.

scholarly journals Imunização contra papilomavirus humano em escolas municipais

2019 ◽  
Vol 13 ◽  
Author(s):  
Larysse Gonçalves Feitosa ◽  
Débora Leão Alves ◽  
Elayne Carolyne Torres Pereira ◽  
Viviane Reis Nunes ◽  
Ulisses Vilela Hipólito ◽  
...  
Keyword(s):  
Health Education ◽  
Vaccination Coverage ◽  
Hpv Vaccination ◽  
Vaccination Status ◽  
Municipal Schools ◽  
Educational Groups ◽  
Health Nursing ◽  
The University ◽  
Nursing Health ◽  
Education Groups

Objetivo: descrever a experiência da realização de atividades educativas, análise do estado vacinal e imunização contra o papilomavírus humano (HPV) em estudantes da rede municipal da região norte de Palmas - TO. Método: trata-se de um estudo descritivo, do tipo relato de experiência, desenvolvido a partir de ações do projeto de extensão universitária “Imuniza Escola” do Curso de Enfermagem da Universidade Federal do Tocantins em parceria com quatro escolas municipais e Centros de Saúde da Comunidade de Palmas – TO. Formaram-se grupos de educação em saúde alertando sobre a importância da vacinação contra o HPV e foram solicitados os cartões de vacina para análise e imunização. Resultados: organizaram-se grupos educativos com 1756 estudantes, sendo que, destes, 440 apresentaram os cartões de vacina para análise e 237 estavam com estado vacinal contra o HPV em atraso. Imunizaram-se 161 estudantes com a primeira dose e 73 com a segunda dose da vacina contra o HPV. Conclusão: observou-se que a experiência proporcionou, aos extensionistas, a oportunidade de vivenciar, na prática, os conteúdos ministrados na academia, além de contribuir para o aumento da cobertura vacinal e, consequentemente, a diminuição do número de casos de câncer evitados pela imunização contra o HPV. Descritores: Enfermagem; Enfermagem em Saúde Pública; Educação em Saúde; Imunização; Cobertura Vacinal; Papillomaviridae.ABSTRACTObjective: to describe the experience of conducting educational activities, analysis of vaccination status and immunization against human papillomavirus (HPV) in students from the municipal system of northern Palmas-TO. Method: this is a descriptive study, of the experience report type, developed from actions of the university extension project “Immuniza Escola” of the Nursing Course of the Federal University of Tocantins in partnership with four municipal schools and Health Centers of the Palms Community-TO. Health education groups were formed warning about the importance of HPV vaccination and vaccination cards for analysis and immunization were requested. Results: educational groups were organized with 1756 students, of which 440 presented the vaccination cards for analysis and 237 were in delayed HPV vaccination status. 161 students with the first dose and 73 students with the second dose of the HPV vaccine were immunized. Conclusion: it was observed that the experience provided, to extensionists, the opportunity to experience, in practice, the contents taught in the academy, besides contributing to the increase of the vaccination coverage and, consequently, the decrease of the number of cancer cases avoided by the HPV immunization. Descriptors: Nursing; Public Health Nursing; Health Education; Immunization; Vaccination Coverage; Papillomaviridae.RESUMENObjetivo: describir la experiencia de realizar actividades educativas, análisis del estado de vacunación e inmunización contra el virus del papiloma humano (VPH) en estudiantes del sistema municipal, en el norte de Palmas-TO. Método: este es un estudio descriptivo, del tipo de informe de experiencia, desarrollado a partir de acciones del proyecto de extensión universitaria "Immuniza Escola" del Curso de Enfermería de la Universidad Federal de Tocantins en colaboración con cuatro escuelas municipales y Centros de Salud de la Comunidad de Palmas-TO. Los grupos de educación sanitaria se hicieron advertir sobre la importancia de la vacunación contra el VPH y se solicitaron tarjetas de vacunación para su análisis e inmunización. Resultados: se organizaron grupos educativos con 1756 estudiantes, de los cuales 440 presentaron las tarjetas de vacunación para su análisis y 237 tenían el estado de la vacuna contra el VPH en mora. Se inmunizaron 161 estudiantes con la primera dosis y 73 con la segunda dosis de la vacuna contra el VPH. Conclusión: se observó que la experiencia brindó a los extensionistas la oportunidad de experimentar en la práctica los contenidos enseñados en la academia, además de contribuir al aumento de la cobertura de vacunación y, en consecuencia, a la reducción del número de casos de cáncer prevenidos por la inmunización contra el VPH. Descriptores: Enfermería; Enfermería en Salud Pública; Educación en Salud; Inmunización; Cobertura de Vacunación; Papillomaviridae.

Abstract P121: Update on Regional Stroke Activation Trends During Covid-19 Mitigation

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Emily Sayles ◽  
Jessica Hsiao ◽  
Heidi Sucharew ◽  
Eleni Antzoulatos ◽  
Robert J Stanton ◽  
...  
Keyword(s):  
Stroke Care ◽  
Significant Decline ◽  
Mitigation Measures ◽  
Segmented Regression ◽  
Acute Stroke Care ◽  
Healthcare Facilities ◽  
Hospital Capacity ◽  
Stroke Team ◽  
Segmented Regression Analysis ◽  
The University

Background: The University of Cincinnati Stroke Team provides acute stroke care to the southwest Ohio, northern Kentucky, and southeast Indiana catchment area of ~2 million people and 30 healthcare facilities. We previously published a significant decline in stroke activations and reperfusion treatment (IV thrombolysis and EVT) rates following state announcements of COVID-19 mitigation measures. Here, we update these trends after state reopening guidelines. Methods: We compared Stroke Team activations and reperfusion treatments logged in a prospectively collected database, comparing the same period in 2020 versus 2019. Kentucky and Ohio announced school and restaurant closures on March 12 and 13, respectively, followed by Indiana. A stepwise reopening of our tristate area started on May 1, 2020. We also compared trends in activations and treatment rates before (Weeks 1-10), during (Weeks 11-17), and after (Weeks 18-26) the lifting of COVID-19 mitigation efforts using the Poisson test, and graphically with segmented regression analysis. Results: Compared to 2019, stroke team activations declined by 12% in 2020 (95% CI 7 - 16%; p<0.01). During 2020, an initial decline in stroke activations following COVID-19 mitigation announcements was followed by a 28% increase in activations after reopening (Weeks 18-26: 95% CI 15 - 42%; p<0.01). In contrast, compared to 2019, treatment rates were unchanged (0%, 95% CI -15 - 18%; p=1.00), including specifically IV thrombolysis and thrombectomy rates. Similarly, an initial decline in reperfusion treatments was followed by a 24% nonsignificant increase after reopening (95% CI -10 - 71%; p=0.19) in 2020. Conclusion: The initial decline in stroke team activations during COVID-19 mitigation efforts was followed by an increase in activations after reopening. Hospital capacity and 911 services remained fully intact, suggesting that the reduction in activations were related to reduced presentation by patients for emergent stroke care.

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