Chamoux A, Denis-Porret M, Rouffiac K, Baud O, Millot-Theis B, Souweine B
Service de santé-travail-environnement, CHU de Clermont-Ferrand, rue Montalembert, 63000 Clermont-Ferrand, France.
Med Mal Infect. 2006 Mar;36(3):144-50. doi: 10.1016/j.medmal.2006.01.004. Epub 2006 Apr 11.
Protecting health care units from influenza epidemics has a double purpose: to decrease the mortality rate of patients at risk and to reduce work-leave in medical staff. An annual vaccination appears to be the most effective prevention against influenza. In France however the vaccinal coverage of health workers does not exceed 15%.
In the 2003-2004 winter, the department of occupational health and the nosocomial disease committee of the Clermont-Ferrand Teaching Hospital initiated an active vaccination campaign. Three joint actions were carried out: date and place of vaccination sessions were individually addressed to every healthcare worker, meetings on prevention of influenza were held, as well as vaccination sessions on the work place in exposed units.
Significant results were noted: vaccination rate increased 2.6 fold compared to the previous year (4.8 to 12.6%) and a vaccinal coverage rate of 29% in the exposed units.
The results even if far from national objectives encourage the pursuit of the campaigns promoting information and vaccination on the work place. The high frequency of reported postinjection adverse effects (1 out of 3) should be taken into account in future information campaign.
保护医疗保健单位免受流感流行影响有双重目的:降低高危患者的死亡率以及减少医务人员的工作缺勤。年度疫苗接种似乎是预防流感最有效的方法。然而在法国,医护人员的疫苗接种覆盖率不超过15%。
在2003 - 2004年冬季,克莱蒙费朗教学医院职业健康科和医院感染委员会发起了一项主动疫苗接种活动。开展了三项联合行动:为每位医护人员分别确定疫苗接种的日期和地点,举办预防流感的会议,以及在暴露科室的工作场所进行疫苗接种。
取得了显著成效:与上一年相比,疫苗接种率提高了2.6倍(从4.8%提高到12.6%),在暴露科室的疫苗接种覆盖率达到了29%。
尽管结果远未达到国家目标,但这些成果鼓励继续开展在工作场所宣传信息和疫苗接种的活动。在未来的宣传活动中应考虑到报告的注射后不良反应的高发生率(三分之一)。