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[医护人员的流感疫苗接种。综合医院实现依从性的策略]

[Influenza vaccination in healthcare workers. Strategies to achieve compliance in a general hospital].

作者信息

García de Codes Ilario Aurelia, Arrazola Martínez M del Pilar, de Juanes Pardo José Ramón, Sanz Gallardo M Inmaculada, Jaén Herreros Felisa, Lago López Emilia

机构信息

Servicio de Medicina Preventiva, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, Spain.

出版信息

Med Clin (Barc). 2004 Oct 23;123(14):532-4. doi: 10.1016/s0025-7753(04)74586-8.

Abstract

BACKGROUND AND OBJECTIVE

Since healthcare workers can transmit the influenza virus to high risk patients, they should be vaccinated prior to the influenza season. In this study we describe the influenza vaccination coverage in healthcare workers in a general hospital and study its evolution over the last years.

SUBJECTS AND METHOD

Descriptive epidemiological study to determine the anti-influenza vaccination coverage in healthcare workers in a hospital during 2002-2003 and 2003-2004 seasons. The variables studied in each season were sex, age and professional category.

RESULTS

During each of the campaigns, 1,215 and 2,287 workers were vaccinated. The vaccination coverage increased significantly (p < 0.01) (20.2% in 2002-2003 and 38% in 2003-2004). Men were vaccinated more than women although the coverage increase was significant in both sexes (p < 0.01). During the 2002-2003 season, workers older than 50 years (24.4%) had the greatest coverage, while during 2003-2004 those older than 31 years (48.7%) were the ones with more coverage. By professional categories, the medical staff (33.8% in 2002-2003 and 59.9% in 2003-2004) had a greater vaccination acceptance. The coverage increase during these two years was significant in all healthcare workers (p < 0.01).

CONCLUSIONS

A significant increase in the vaccination coverage has been observed during the two seasons studied. This fact can be related to the changes introduced in the informative strategies and the performance of more active vaccination campaigns which connect vaccination to employment areas.

摘要

背景与目的

由于医护人员可将流感病毒传播给高危患者,因此他们应在流感季节前接种疫苗。在本研究中,我们描述了一家综合医院医护人员的流感疫苗接种覆盖率,并研究了其在过去几年中的变化情况。

对象与方法

进行描述性流行病学研究,以确定2002 - 2003年和2003 - 2004年流感季节期间医院医护人员的抗流感疫苗接种覆盖率。每个季节研究的变量包括性别、年龄和专业类别。

结果

在每次活动中,分别有1215名和2287名工作人员接种了疫苗。疫苗接种覆盖率显著提高(p < 0.01)(2002 - 2003年为20.2%,2003 - 2004年为38%)。男性接种疫苗的人数多于女性,尽管两性的覆盖率均显著提高(p < 0.01)。在2002 - 2003年季节,50岁以上的工作人员接种覆盖率最高(24.4%),而在2003 - 2004年,31岁以上的人员接种覆盖率最高(48.7%)。按专业类别划分,医务人员的疫苗接种接受率更高(2002 - 2003年为33.8%,2003 - 2004年为59.9%)。在这两年中,所有医护人员的覆盖率提高均显著(p < 0.01)。

结论

在所研究的两个季节中,观察到疫苗接种覆盖率显著提高。这一事实可能与宣传策略的改变以及开展更积极的疫苗接种活动有关,这些活动将疫苗接种与工作区域联系起来。

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