InVS Institut de Veille Sanitaire (French Institute for Public Health Surveillance), 12 rue du Val d'Osne, 94415 Saint-Maurice Cedex, France.
Vaccine. 2012 Jun 29;30(31):4648-54. doi: 10.1016/j.vaccine.2012.04.098. Epub 2012 May 10.
We conducted a national cross-sectional survey to investigate vaccination coverage (VC) in health care personnel (HCP) working in clinics and hospitals in France. We used a two-stage stratified random sampling design to select 1127 persons from 35 health care settings. Data were collected by face-to-face interviews and completed using information gathered from the occupational health doctor. A total of 183 physicians, 110 nurses, 58 nurse-assistants and 101 midwives were included. VC for compulsory vaccinations was 91.7% for hepatitis B, 95.5% for the booster dose of diphtheria-tetanus-polio (DTP), 94.9% for BCG. For non-compulsory vaccinations, coverage was 11.4% for the 10 year booster of the DTP pertussis containing vaccine, 49.7% for at least one dose of measles, 29.9% for varicella and 25.6% for influenza. Hepatitis B VC did not differ neither between HCP working in surgery and HCP in other sectors, nor in surgeons and anaesthesiologists compared to physicians working in medicine. Young HCP were better vaccinated for pertussis and measles (p<0.01), and those working in an obstetric or a paediatric ward were better vaccinated for influenza and pertussis (p<0.01). HCP are overall well covered by compulsory vaccinations, whereas VC for non-compulsory vaccinations is very insufficient. The vaccination policy regarding these latter vaccinations should be reinforced in France.
我们进行了一项全国性的横断面调查，以调查在法国诊所和医院工作的卫生保健人员（HCP）的疫苗接种覆盖率（VC）。我们使用两阶段分层随机抽样设计从 35 个卫生保健环境中选择了 1127 人。数据通过面对面访谈收集，并使用从职业保健医生那里收集的信息完成。共纳入 183 名医生、110 名护士、58 名护士助理和 101 名助产士。强制性疫苗接种的 VC 为乙型肝炎 91.7%、白喉破伤风无细胞百日咳（DTP）加强剂量 95.5%、卡介苗 94.9%。对于非强制性疫苗接种，10 年 DTP 百日咳含疫苗加强剂量的覆盖率为 11.4%，麻疹至少一剂的覆盖率为 49.7%，水痘为 29.9%，流感为 25.6%。手术和非手术部门的 HCP 之间、外科医生和麻醉师与内科医生之间的乙型肝炎 VC 没有差异。年轻的 HCP 对百日咳和麻疹的疫苗接种情况更好（p<0.01），而在妇产科或儿科病房工作的 HCP 对流感和百日咳的疫苗接种情况更好（p<0.01）。HCP 总体上已充分接种强制性疫苗，但对非强制性疫苗的 VC 非常不足。法国应加强对这些疫苗接种的疫苗接种政策。
