scholarly journals Flu vaccination coverage in a large Italian teaching hospital: the example of the leaders

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Di Pumpo ◽  
A Barbara ◽  
D I La Milia ◽  
A Tamburrano ◽  
D Vallone ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Vaccination Coverage ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Vaccination Rate ◽  
Coverage Rate ◽  
Cross Sectional ◽  
Vaccination Coverage Rate ◽  
Flu Vaccination ◽  
Frail Patients

Abstract Annual flu vaccination among healthcare workers (HCWs) is recommended to prevent influenza and to avoid its transmission especially to frail patients. In our teaching hospital, flu vaccination rate among HCWs has been growing during last 3 years. The aim of this study was therefore to describe the flu vaccination coverage across the past 3 years and to analyze which factors lead to such increase. We performed a cross-sectional study on all HCWs of Fondazione Policlinico Universitario “A. Gemelli” (FPG) hospital of Rome (Italy) to determine the flu vaccination coverage. Socio-demographic and occupational data were collected from hospital personnel records and included age, gender, previous flu vaccination, profession and workplace unit. On site vaccination plus academic detailing involving leaders have been the main strategies adopted in this last 3 years that have already proved to be effective in increasing vaccination coverage among HCWs. During the 2018-2019 season, we analyzed how the flu vaccination coverage among leaders (nurse coordinators and head physicians) could affect all HCWs coverage rate. Flu vaccination rate increased from 9.57% in the 2016-17 to 14.24% in the 2017-18 and to 22.38% in 2018-2019. A total of 4035 HCWs employed in the FPG were included in 2018-19. Concerning the role played by vaccination of leaders in increasing general vaccination coverage during the 2018-2019, the group of HCWs with a vaccinated leader showed a higher coverage rate (28.65%) than the group with a non-vaccinated leader (16.22%) (p < 0.0001). The results are preliminary. Flu vaccination coverage of HCWs in our hospital during the last 3 years has been increasingly higher. Vaccination of the leaders, in addition to previously implemented effective strategies, resulted to be a key factor in increasing flu vaccination coverage among all HCWs. Socio-demographic and occupational variables can significantly influence the coverage rate as well. Key messages Annual flu vaccination among healthcare workers (HCWs) is recommended to prevent influenza and to avoid its transmission especially to frail patients. This study shows the growing flu vaccination coverage rate in our teaching hospital and the effectiveness of the example given by the vaccinated leaders in increasing the coverage among all HCWs.

scholarly journals Assessment of Routine Vaccination Coverage among Selected Sample of Children less Than Five Years

2020 ◽  
Vol 19 (2) ◽  
pp. 224-231
Author(s):  
Reem G Hussein ◽  
Keyword(s):  
Vaccination Coverage ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Coverage Rate ◽  
Routine Vaccination ◽  
Immunization Schedule ◽  
Cross Sectional ◽  
Vaccination Coverage Rate ◽  
Socio Demographic Factors ◽  
The Relationship

Background: Immunization is today one of the safest, most cost-effective, and powerful means of preventing deaths and improving lives. Over the years, all countries of the world have incorporated an increasingly broad immunization agenda in their public health interventions. Objective: To assess the coverage rate of routine vaccination among selected sample of children under five years of age in the Baquba City, and to determine the relationship between routine vaccination coverage rate and some socio- demographic factors in addition to the causes for in-complete or un-vaccination. Patients and Methods: A cross sectional study was conducted in the Baquba City, center of Diyala Province, for the period from 1/9/2016- 1/2/2017. Data of vaccination coverage of children less than 5 years of age was extracted from child' vaccination coverage card or by recall information from mothers attending Al-Batul teaching hospital and some PHC centers in Diyala province. Results: A total of 130 cases were studied, of them 23.1% (30) cases were fully immunized (they had been given all the vaccines required for their age in the immunization schedule). Partially immunized were found in 71.1 % (95) and 3.8% (5) cases of them were un –vaccinated. High statistically significant relationship was found with gender, and non –significant relation with age, residence, displacement and location of health center. Low awareness of mother to the schedule, congenital anomalies and family instability were main causes for non-vaccination. Conclusion: The rate of fully immunized children was low in comparison with those of partially immunized, and a low rate for non-vaccinated children. Hence, it is important to promote vaccination system by the efforts of health officers and the community. Keywords: vaccination; immunization programs; immunization schedule; health care surveys.

scholarly journals Attitudes toward vaccination among healthcare workers: a cross-sectional study from Italy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Di Martino ◽  
P Di Giovanni ◽  
F Cedrone ◽  
M D'Addezio ◽  
A Di Girolamo ◽  
...  
Keyword(s):  
Vaccination Coverage ◽  
Healthcare Workers ◽  
Vaccine Coverage ◽  
Cross Sectional Study ◽  
Local Health Authority ◽  
Local Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Flu Vaccination ◽  
Obstetric Nurses

Abstract Background In Italy, the loss of confidence in vaccines has resulted in low vaccination coverage also among healthcare workers (HCWs). Low vaccination coverage among HCWs may lead to dangerous outbreaks and may increase absenteeism. The aim of this study was to investigate vaccine coverage and the attitudes toward vaccination among HCWs. Methods A multicenter cross-sectional study was conducted from August to November 2019 among HCWs referring to all the hospitals of the Local Health Authority 02 of Abruzzo Region, Italy. The survey was based on the questionnaire proposed by the H-ProImmune Project, aiming at investigating vaccination coverage and beliefs towards vaccination. Besides a descriptive analysis of the results, a logistic regression analysis was performed to evaluate the association between vaccine coverage and type of occupation (medical doctor, nurse, obstetric nurse, other). Results A total of 347 HCWs were enrolled in the study. The 57.3% reported to have missed diphtheritis-tetanus-pertussis (DTP) vaccination, the 50.1% reported to have missed measles-mumps-rubella (MPR) vaccination, and the 62.5% reported to have missed flu vaccination. In comparison with medical doctors, obstetric nurses were more likely to be associated to MPR vaccination (OR 2.8;95%CI 1.1-7.6; p = 0.047). As far as flu vaccination was concerned, both nurses and obstetric nurses showed lower confidence (respectively OR 0.2; 95%CI 0.1-0.3; p < 0.001 and OR 0.1; 95%CI 0.1-0.5; p = 0.003). Moreover, other healthcare professionals reported to believe in natural immunization more than in vaccination (26.5%; p < 0.001) and they were also worried about long-term effects of vaccination (10.2%; p = 0.044). Differently, nurses were more frequently worried about vaccine side effects (24%; p < 0.001). Conclusions This survey shows that the vaccination coverage taken into consideration results to be below the 95% threshold. Training on vaccine and mandatory measures may be necessary in order to achieve better coverage. Key messages Among HCW all vaccination coverage considered resulted below the threshold. Training on vaccine and mandatory measures may be needed in order to achieve better coverage.

scholarly journals Strategies to Increase Flu Vaccination Coverage among Healthcare Workers: A 4 Years Study in a Large Italian Teaching Hospital

Vaccines ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 85 ◽  
Author(s):  
Andrea Barbara ◽  
Daniele Ignazio La Milia ◽  
Marcello Di Pumpo ◽  
Alessia Tognetto ◽  
Andrea Tamburrano ◽  
...  
Keyword(s):  
Vaccination Coverage ◽  
Healthcare Workers ◽  
Coverage Rate ◽  
Vaccination Coverage Rate ◽  
Flu Vaccination ◽  
Quasi Experimental ◽  
Job Category ◽  
And Gender ◽  
New Evidence ◽  
Good Prevention

Flu vaccination is recommended among healthcare workers (HCWs). The low vaccination coverage registered in our hospital among HCWs called for new engaging approaches to improve flu vaccination coverage. The aim of this study was to evaluate the efficacy of different strategies implemented during the last four years (2015–2019). A quasi-experimental study was conducted, involving almost 4000 HCWs each year. Starting from the 2015–2016 campaign, new evidence-based strategies were progressively implemented. At the end of each campaign, an evaluation of the vaccination coverage rate reached was performed. Moreover, during the last three campaigns, differences in coverage among job category, wards involved or not in on-site vaccination (OSV) intervention, age classes and gender were analyzed. An increasing flu vaccination coverage rate was registered, from 6% in 2015–2016 to almost 22% at the end of 2018–2019. The overall number of vaccinated HCWs increased, especially at younger ages. OSV strategy always leads to better results, and physicians always show a higher vaccination coverage than nurses and other HCWs. The implemented strategies were effective in achieving higher flu vaccination coverage among HCWs in our hospital and therefore can be considered valuable examples of good prevention practices in hospital settings.

scholarly journals Knowledge and Attitude towards Vaccination among Healthcare Workers: A Multicenter Cross-Sectional Study in a Southern Italian Region

Vaccines ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 248 ◽  
Author(s):  
Giuseppe Di Martino ◽  
Pamela Di Giovanni ◽  
Arturo Di Girolamo ◽  
Piera Scampoli ◽  
Fabrizio Cedrone ◽  
...  
Keyword(s):  
Vaccination Coverage ◽  
Healthcare Workers ◽  
Vaccine Coverage ◽  
Cross Sectional Study ◽  
Local Health Authority ◽  
Local Health ◽  
Sectional Study ◽  
Long Term Effects ◽  
Cross Sectional ◽  
Flu Vaccination

Background: In Italy, the loss of confidence towards vaccination resulted in low vaccine coverage, also among healthcare workers (HCWs). Indeed, low vaccination coverage among HCWs can lead to dangerous outbreaks of disease, reduce productivity, and increase absenteeism. The aim of this study was to investigate the vaccine coverage and attitudes toward vaccination among HCWs. Methods: A multicenter cross-sectional study was conducted among HCWs referred to all hospitals of the Local Health Authority 02 of Abruzzo Region, Italy. The survey was based on the questionnaire proposed by the H-ProImmune Project. Results: A total of 347 HCWs were enrolled in the study. Of these, 57.3% reported missing diphtheritis-tetanus-pertussis (DTP) vaccination, 50.1% reported missing measles-mumps-rubella (MMR) vaccination, and 62.5% reported missing flu vaccination. Regarding attitudes, other healthcare professionals reported to believe more in natural immunization compared to vaccination (26.5%; p < 0.001), and they were worried about long-term effects of vaccination (10.2%; p = 0.044). Conclusions: This survey showed all vaccination coverage considered resulted below the 95% threshold. Training on vaccination and mandatory measures may be needed in order to achieve better coverage.

scholarly journals Influenza Vaccination Campaign during the COVID-19 Pandemic: The Experience of a Research and Teaching Hospital in Milan

2021 ◽  
Vol 18 (11) ◽  
pp. 5874
Author(s):  
Pier Mario Perrone ◽  
Giacomo Biganzoli ◽  
Maurizio Lecce ◽  
Emanuela Maria Campagnoli ◽  
Ambra Castrofino ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Teaching Hospital ◽  
Vaccination Coverage ◽  
Ad Hoc ◽  
Vaccination Campaign ◽  
Personal Data ◽  
Prevalence Ratio ◽  
Coverage Rate ◽  
Vaccination Coverage Rate ◽  
Research And Teaching

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.

scholarly journals Adherence, Perception of, and Attitude toward Influenza and Flu Vaccination: A Cross-Sectional Study among a Population of Future Healthcare Workers

2021 ◽  
Vol 18 (24) ◽  
pp. 13086
Author(s):  
Emanuele Chittano Congedo ◽  
Maria Emilia Paladino ◽  
Michele Augusto Riva ◽  
Michael Belingheri
Keyword(s):  
Logistic Regression ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Vaccine Uptake ◽  
Sectional Study ◽  
Cross Sectional ◽  
Flu Vaccination ◽  
Seasonal Flu ◽  
Vaccination Campaigns ◽  
Self Protection

Healthcare students (HCSs) represent a target category for seasonal flu vaccination. This study aimed to examine adherence to flu vaccination campaigns from 2016 to 2019 among HCSs and to investigate knowledge and perception of and attitude toward influenza and flu vaccination. This cross-sectional study was conducted among the HCSs of a northern Italian university. Data on adherence, knowledge, perception, and attitude were investigated through an anonymous online self-administered questionnaire. The questionnaire was filled out by 352 out of 392 third-year HCSs (response rate = 90%). The main reason for refusal was the perception of influenza as non-threatening (24.4%), while self-protection was the main reason for adherence (87.5%). A univariate logistic regression analysis revealed some statistically significant associations with the adherence to the 2018–2019 campaign: being a nursing/midwifery student (OR: 4.14; 95% CI: 1.77–9.71) and agreeing with (OR: 19.28; 95% CI: 2.47–146.85) or being undecided (OR: 10.81; 95% CI: 1.33–88.27) about the obligation of vaccination in health facilities. The associations were also evaluated with a multiple logistic regression model. Despite the low vaccine uptake, good knowledge of the risks for HCSs and patients related to flu has emerged. Improving promotion strategies will be necessary to increase the adhesion of future healthcare workers.

scholarly journals Prevalence of Needlestick Injuries among Healthcare Workers in Rizgary Teaching Hospital

2020 ◽  
Vol 10 (2) ◽  
pp. 27-31
Author(s):  
Salah H. Ali ◽  
Peshtewan T. Majeed ◽  
Umed A. Huwiezy
Keyword(s):  
Teaching Hospital ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Needlestick Injury ◽  
Needlestick Injuries ◽  
Cross Sectional ◽  
Healthcare Settings ◽  
Acute Injuries ◽  
Global Issue ◽  
Data Collections

Needlestick injury in healthcare settings is a global issue. Despite being recognized for many years, needlestick and sharps injuries (NSIs) continue to present a risk of occupational exposure to blood-borne pathogens for health care works (HCWs). The objectives of the study were to determine the prevalence of needlestick injuries among HCWs in Rizgary Teaching Hospital and to identify the causes of needlestick injuries. A cross-sectional study was conducted on 76 healthcare workers in Rizgary Teaching hospital; there were a total of 45 males, 31 females. The data collections were administrated using face-to-face interviews to ensure a good response rate and to ensure all questions were answered. Most (52.6%) needlestick injuries occurred in wards with syringe needles being the most common causative tool; surgery ward was the most prevalent site of needlestick injuries occurrence (42.1%). The percentage of acupuncture was high and needles were the most common cause, and most injuries occurred during the re-use of the needles. The study recommends several measures to prevent and reduce acute injuries among HCWs; these measures include health education, behavior change, safer devices, and an educational program to educate these HCWs.

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