scholarly journals Factors Associated with Seasonal Influenza Vaccination Among Nursing Staff of Three Teaching Hospitals Affiliated to Kerman University of Medical Sciences, Iran

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Ali Khalooei ◽  
Mehdi Shafiei Bafti
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Nursing Staff ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
Family Members ◽  
Coverage Rate ◽  
Teaching Hospitals ◽  
Medical Sciences ◽  
Seasonal Influenza Vaccination

Background: Although seasonal influenza vaccination decreases infection rate and associated complications, its coverage rate is suboptimal in healthcare workers worldwide. Objectives: The present study aimed at assessing the predictors of influenza vaccination and reasons for accepting or refusing it among nursing staff. Methods: The present study was conducted from February to March 2019 on nurses of three teaching hospitals affiliated to Kerman University of Medical Sciences in the Southeast of Iran. Data were collected using a validated questionnaire, including demographic data, knowledge, and attitude toward influenza and its vaccine, and reasons for accepting or refusing the vaccine. Data were analyzed by SPSS version 22. Independent samples t- and the chi-squared tests and the binary logistic regression were employed for data analysis. Results: The influenza vaccination coverage rate was 10.1% among the nursing staff. Male gender (adjusted odds ratio (AOR) = 4.77, 95% confidence interval (CI) =2.13 - 10.64), receiving a recommendation for influenza vaccination in hospital (AOR = 1.86, 95% CI = 1.06 - 3.26), influenza vaccination of the family members (AOR = 2.61, 95% CI = 1.55 - 4.41), and a higher score of attitude toward influenza vaccination (AOR = 1.05, 95% CI = 1.03 - 1.07) increased the likelihood of influenza vaccination in the nursing staff. Fear of vaccine adverse effects (64.7%), lack of trust in vaccine manufacturers (36.0%), and being healthy (29.7%) were the most common reasons for refusing vaccination. Likewise, self-protection (79.6%), patient protection (73.0%), and family protection (72.4%) were the most common reasons for undergoing vaccination. The odds of influenza vaccine uptake was four times more among males than females (AOR = 4.77, 95% CI = 2.13 - 10.64), and odds of influenza vaccination was 1.86 times more among nursing staff receiving recommendations for influenza vaccination in hospital than the ones not receiving such recommendations (AOR = 1.86, 95% CI = 1.06 - 3.26). Also, odds of influenza vaccination increased 2.73 times in nursing staff whose family members received influenza vaccine (AOR = 2.61, 95% CI = 1.55 - 4.41). Furthermore, the model showed that one unit increase in the attitude score increased odds of influenza vaccination by 1.05 units (AOR = 1.05, 95% CI = 1.03 - 1.07). Conclusions: The influenza vaccination rate was suboptimal among the nursing staff. Also, there were poor knowledge and improper attitude toward influenza and its vaccine among healthcare workers. Therefore, appropriate policies should be made at national and regional levels on increasing the rate of influenza vaccination.

scholarly journals Knowledge, attitudes, and practices of seasonal influenza vaccination in healthcare workers, Honduras

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246379
Author(s):  
Zachary J. Madewell ◽  
Rafael Chacón-Fuentes ◽  
Jorge Jara ◽  
Homer Mejía-Santos ◽  
Ida-Berenice Molina ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
Healthcare Facility ◽  
Sources Of Information ◽  
Seasonal Influenza Vaccination ◽  
Attitudes And Practices ◽  
Knowledge And Attitude ◽  
Knowledge Attitudes And Practices

Background Seasonal influenza is a highly contagious vaccine-preventable disease that may cause high morbidity and mortality in susceptible populations. Healthcare workers are a priority group for seasonal influenza vaccination to protect them from contracting influenza and prevent nosocomial transmission to patients. This study aimed to evaluate knowledge, attitudes, and practices (KAP) of seasonal influenza vaccination among healthcare workers in Honduras. Method From August 24 to October 21, 2018, we conducted a cross-sectional KAP survey regarding seasonal influenza vaccination to a random sample of healthcare workers who attended patients in hospitals of the Ministry of Health of Honduras (SESAL) and Honduran Social Security Institute (IHSS). We reported frequency distributions of demographics, vaccination KAP, sources of information, and reasons for non-vaccination. We used principal components factor analysis to create knowledge and attitude scores. We used linear regression to analyze associations between demographics and sources of information about the influenza vaccine, and knowledge and attitude scores. We used logistic regression to analyze associations between demographics, sources of information, knowledge scores, and attitude scores, and influenza vaccination. Result We surveyed 947 healthcare workers who attended patients in 13 SESAL hospitals and two IHSS hospitals. Only 4.6% of participants knew the seasonal influenza vaccine was composed of inactivated viruses, 94.7% believed vaccination causes flu-like symptoms, and 52.0% were vaccinated for influenza in 2018. Knowledge scores were lower for nursing assistants and other healthcare professionals compared to doctors, and higher for healthcare workers who attended a healthcare facility training (P-values≤0.030). Attitude scores were higher for healthcare workers who attended ≥11 patients per day having ≤10 patients per day as reference, self-reported influenza vaccination in previous year, and cited trainings and informal information at the healthcare facility as sources of information for influenza vaccination (P-values≤0.030). Factors associated with self-reported vaccination were self-reported influenza vaccination in previous year (aOR: 7.61; 95% CI: 5.24–11.04), attitude score (aOR: 1.14; 95% CI: 1.07–1.21), and worked in a SESAL hospital (aOR: 1.73; 95% CI: 1.12–2.68) having IHSS as reference. Conclusion Although influenza vaccination is required by law in Honduras and available for free in public health centers, coverage of healthcare workers in 2018 was half that reported in 2017. Lower coverage may be attributed to misconceptions of vaccination side effects.

scholarly journals Knowledge, attitudes, and practices for the use of seasonal influenza vaccination, healthcare workers, Costa Rica

2021 ◽  
Vol 15 (07) ◽  
pp. 1004-1013
Author(s):  
Zachary Madewell ◽  
Rafael Chacón-Fuentes ◽  
Xiomara Badilla-Vargas ◽  
Catalina Ramirez ◽  
Maria-Renee Ortiz ◽  
...  
Keyword(s):  
Costa Rica ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
Public Hospitals ◽  
Sources Of Information ◽  
Seasonal Influenza Vaccination ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Introduction: Annual seasonal influenza vaccination in healthcare workers prevents nosocomial transmission to patients, coworkers, and visitors, and reduces absenteeism. This study aimed to describe knowledge, attitudes, and practices (KAP) of seasonal influenza vaccine among public healthcare workers attending patients in Costa Rica. Methodology: We conducted a cross-sectional survey of healthcare personnel attending patients in public hospitals in 2017–2018. Frequency distributions of demographics, vaccination KAP, sources of information, clinical manifestations and reasons for non-vaccination were reported. Logistic regression was used to analyze associations between exposures of interest (demographics, sources of information, knowledge, attitudes towards vaccination) and self-reported influenza vaccination. Results: We surveyed 747 healthcare workers in 2017–2018. Of 706 participants who knew their vaccination status, 55.7% were vaccinated for seasonal influenza. Only 20.7% of participants knew the influenza vaccine was an inactivated virus, and 94.6% believed the vaccine causes flu-like symptoms. Factors associated with current influenza vaccination were vaccination in previous year (aOR: 8.13; 95% CI: 5.65–11.71) and believed influenza vaccination may be harmful (aOR: 0.62; 95% CI: 0.44–0.89). Reasons for non-vaccination included fear of adverse effects and access limitations. Conclusions: Suboptimal influenza vaccination among healthcare workers may be attributed to misconceptions about the vaccine and limited engagement strategies focusing on healthcare workers. Appropriate interventions are needed to increase healthcare worker vaccination rates and improve their knowledge and beneficence, which would improve patient safety in hospitals.

scholarly journals Characteristics of Healthcare Workers Vaccinated against Influenza in the Era of COVID-19

Vaccines ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 695
Author(s):  
Giorgia Della Polla ◽  
Francesca Licata ◽  
Silvia Angelillo ◽  
Concetta Paola Pelullo ◽  
Aida Bianco ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Perceived Risk ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
High Risk Group ◽  
High Coverage ◽  
Cross Sectional ◽  
Current Season ◽  
Study Results

Understanding the potential impact of COVID-19 on receiving influenza vaccination among healthcare workers (HCWs) is of utmost importance. The purposes of the present cross-sectional study were to describe the characteristics and to explore the predictors of receiving influenza vaccination among a large cohort of Italian HCWs in hospital settings. Information was collected through an anonymous questionnaire from December 2020 through January 2021. General and practice characteristics, perceived risk of seasonal influenza, attitudes towards efficacy and safety of influenza vaccination, and reasons behind the decision to be vaccinated against influenza were explored. Fewer than half (46.2%) of HCWs agreed that influenza is a serious illness and perceived the risk of getting infected with influenza, and concerns about the safety of the vaccination were significant positive predictors. Fewer than half of the respondents were not concerned at all about the efficacy (48.6%) and safety (49.8%) of influenza vaccination, and 51.9% reported that they have not received a seasonal influenza vaccine during the previous season. The most mentioned reason for receiving the influenza vaccine in the current season was that influenza and COVID-19 share some similar symptoms. Study results will aid policymakers in developing vaccination education programs, promotion of trust to address negative misconceptions, and to achieve future high coverage among this high-risk group.

scholarly journals Influenza vaccination campaigns targeted at healthcare workers:results of four hospitals in Rome

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Tognetto ◽  
A Abbondanzieri ◽  
G Cerone ◽  
M Di Pumpo ◽  
A Nardi ◽  
...  
Keyword(s):  
Public Health ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Seasonal Influenza ◽  
Teaching Hospitals ◽  
Easy Access ◽  
Cross Sectional ◽  
Seasonal Influenza Vaccination ◽  
Coverage Rates ◽  
Vaccination Campaigns

Abstract Background Seasonal influenza vaccination (SIV) of health care workers (HCWs) is well recognized as a public health measure that can protect both HCWs from infection and patients from the risk of influenza complications. Nevertheless, vaccination coverage rates among this specific population result generally lower than the recommended target. With our study, we aimed to describe the activities and the outcomes of four different SIV campaigns targeted at HCWs and organized during the season 2018/2019 in four hospitals in Rome. Methods A cross-sectional study involving four teaching hospitals was performed. The collected data were synthetized into a set of descriptors and indicators, validated through a previous study that had involved the same Centers. Results The Medical Directorates, in collaboration with the University Hygiene and Public Health Units of the four hospitals organized different strategies: Hospital 1, 3 and 4 realized educational courses for HCWs and actively promoted the campaigns through e-mail invitations to all HCWs. As for the access to vaccination, all the hospitals provided a dedicated unit for SIV; Hospital 1 and Hospital 4 organized also on-site vaccination sessions in the hospital wards, that required a large number of staff. The vaccination coverage rates resulted: 22.37% in Hospital 1, 18.10% in Hospital 4, 9.28% in Hospital 2 and 8,51% in Hospital 3. Conclusions Our results demonstrate that multi-activity campaigns, involving education, promotion and easy access to vaccination constitute an effective approach to reinforce the value of SIV. Our findings suggest that on-site vaccination may play a key role in determining a higher vaccination coverage. Key messages Multi-activity vaccination campaigns, involving education, promotion and easy access to vaccination constitute an effective approach to reinforce the value of seasonal influenza vaccination for HCWs. On-site vaccination may play a key role in determining a higher vaccination coverage.

scholarly journals Influenza Vaccination Hesitancy among Healthcare Workers in South Al Batinah Governorate in Oman: A Cross-Sectional Study

Vaccines ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 661
Author(s):  
Salah T. Al Awaidy ◽  
Zayid K. Al Mayahi ◽  
Malak Kaddoura ◽  
Ozayr Mahomed ◽  
Nathalie Lahoud ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
General Medicine ◽  
Knowledge Score ◽  
Vaccine Uptake ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk

Background: Seasonal influenza infections are a major cause of morbidity and mortality worldwide. Healthcare workers (HCWs) are an important target group for vaccination against influenza due to their increased risk of infection and their potential to transmit the infection to their patients, families and communities. The aim of this study was to assess the potential hesitancy and its associated factors towards influenza vaccination amongst HCWs in the South Al Batinah governorate in Oman. Methods: A cross-sectional survey of 390 HCWs with direct or indirect patient contact was conducted in May and June 2019 using a self-administered questionnaire. Associations between HCW characteristics and vaccination status were examined using bivariate and multivariate analyses to identify the likelihood of vaccination against seasonal influenza among HCWs. Results: Overall, 60% of HCWs were vaccinated in the 2018/2019 season; vaccine uptake among nurses was 52% and uptake was higher among women. Self-protection and protection of the community were the most cited reasons for vaccine acceptance, with side effects being the main reason for hesitancy. Vaccinated respondents had a higher mean knowledge score (7.18; standard deviation SD: 2.14) than unvaccinated respondents (6.30; SD: 2.2). Odds of vaccination were highest among respondents who believed influenza vaccine should be mandatory for HCWs (Odds ratio (OR): 2.04 [1.30–3.18]), those working in the general medicine, emergency medicine, or intensive care units (OR: 1.92 [1.20–3.10]), nurses and doctors (OR: 1.75 [1.09–2.79]) and those who believe that HCWs should receive an influenza vaccine (OR: 1.35 [1.07–2.77]). Conclusions: The study provides valuable insights into the enablers and barriers of influenza vaccination practices among HCWs and may inform interventions to increase acceptance of vaccination.

scholarly journals The Effects of Imprinting and Repeated Seasonal Influenza Vaccination on Adaptive Immunity after Influenza Vaccination

Vaccines ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 663
Author(s):  
Amy C. Sherman ◽  
Lilin Lai ◽  
Mary Bower ◽  
Muktha S. Natrajan ◽  
Christopher Huerta ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Seasonal Influenza ◽  
Geometric Mean ◽  
Fold Change ◽  
Post Vaccination ◽  
Seasonal Influenza Vaccination ◽  
Vaccine Responses ◽  
Immune Factors ◽  
Antibody Secreting Cells

(1) Background: The influenza virus continues to cause significant annual morbidity and mortality. The overall efficacy of seasonal influenza vaccination is suboptimal, which is partly due to host immune factors. The effects of imprinting and repeated seasonal influenza vaccination were investigated to assess for immune factors and mechanisms that impact influenza vaccine responses. (2) Methods: Twenty participants were enrolled into a prospective pilot study based on birth cohort and seasonal influenza immunization history. Immunologic parameters were assessed over a six-month period after the seasonal influenza vaccine was administered. (3) Results: There was no significant imprinting effect, as measured by hemagglutination inhibition (HAI) fold change, HAI geometric mean titer (GMT) for Day 29 or Day 180 post-vaccination and antigen- specific antibody-secreting cells (ASC) for Day 8 post-vaccination. Individuals who had minimal prior seasonal influenza vaccination had a higher magnitude ASC response and a higher HAI fold change post-vaccination than individuals who were repeatedly vaccinated. (4) Conclusions: Repeated seasonal influenza vaccination resulted in a decreased fold change of the immune response, although individuals in this cohort tended to have high HAI titers at baseline that persisted after vaccination. Imprinting effects were not observed in this cohort. These host immune factors should be considered in the development of universal influenza vaccines. ClinicalTrials.gov Identifier: NCT03686514.

scholarly journals Factors associated with seasonal influenza immunization in people with chronic diseases

2021 ◽  
Vol 72 (2) ◽  
pp. 19-25
Author(s):  
Slađana Arsenović ◽  
Tatjana Gazibara
Keyword(s):  
Health Care ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Chronic Diseases ◽  
Health Care System ◽  
Vaccination Coverage ◽  
Seasonal Influenza ◽  
Seasonal Influenza Vaccination ◽  
Influenza Immunization ◽  
Factors Associated

Annually, at a global level, 3 to 5 million people present severe clinical forms of seasonal influenza and up to 650 000 people die of influenza-related complications. People with chronic diseases, such as cardiovascular, pulmonary, renal, hepatic, neurologic, hematologic and metabolic diseases or those reciveing immunosuppressive therapy, constitute a high-risk population group for the development of influenza-related complications, more severe clinical course and poorer health-related outcomes. Due to all of the above, people with chronic diseases are of high priority to receive the influenza vaccine. Immunization represents the key strategy to prevent influenza both in terms of effectiveness and health care costs. Based on the World Health Organization (WHO) recommendations, adequate seasonal influenza immunization coverage among people with chronic diseases is set at 75%. However, few countries achieve this threshold. Understanding predictive factors of vaccination, at different levels of health care delivery (such as individuals, service providers, health policy), is essential to secure acceptance of influenza immunization and achieve the recommended level of vaccination coverage. In this mini review, all the available evidence regarding seasonal influenza vaccination coverage is summarized, alongside factors associated with vaccine uptake in people with chronic diseases as a whole, as well as according to specific diseases such as: cardiovascular and pulmonary disorders, diabetes and cancer. Based on the reviewed empirical evidence, a wide spectrum of factors associated with immunization against influneza was found in people who have chronic diseases. Although diverse, these factors can be systematized into 4 distinctive groups: socio-demographic characteristics, individual attitudes and beliefs, health promoting behaviors and factors related to the health care system. Further efforts are needed to improve the seasonal influenza vaccination coverage. The immunization strategy needs to include the health care system and the community to support people with chronic diseases to continously accept the influenza vaccine.

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