Infectious Diseases Department, Lyon University Hospitals, Lyon, France.
Vaccine. 2013 Jan 11;31(4):592-5. doi: 10.1016/j.vaccine.2012.11.070. Epub 2012 Dec 7.
Health-care authorities encouraged A(H1N1)2009 influenza vaccination for all hospital workers because of their high risk of contracting and transmitting the virus. Six months after the vaccination campaign began, an electronic anonymous questionnaire was completed by 1630 among 14,000 hospital workers (11.6%). Vaccination rate was 54.3%. Independent predictors for vaccination acceptance were advanced age (OR=1.61-2.19), being a physician (OR=5.07), working in gynaecology-obstetrics or podiatry (OR=1.62), and having been informed about vaccination (OR=2.78). The main reasons for getting vaccinated were to avoid flu for relatives (82.4%), themselves (65.8%) and patients (57.1%). Arguments against vaccination were lack of sufficient studies of the vaccine (75.7%) and the perception of A(H1N1)2009 influenza as a benign disease (51.5%). Vaccination coverage would be insufficient to keep the health-care system operating at maximum capacity during a severe pandemic disease, and to avoid nosocomial transmission of influenza. These results suggest a better-targeted vaccination campaign.
卫生保健当局鼓励所有医院工作人员接种 A(H1N1)2009 流感疫苗，因为他们感染和传播病毒的风险很高。疫苗接种活动开始六个月后，14000 名医院工作人员中有 1630 名（11.6%）通过电子匿名问卷完成了调查。疫苗接种率为 54.3%。接种接受的独立预测因素包括年龄较大（OR=1.61-2.19）、医生（OR=5.07）、在妇科-产科或足病科工作（OR=1.62）以及已被告知接种（OR=2.78）。接种疫苗的主要原因是为了避免亲属（82.4%）、自己（65.8%）和患者（57.1%）感染流感。反对接种疫苗的理由是缺乏对疫苗的充分研究（75.7%）和认为 A(H1N1)2009 流感是一种良性疾病（51.5%）。在严重的大流行疾病期间，疫苗接种覆盖率不足以维持医疗保健系统的最大容量，并避免流感的医院内传播。这些结果表明需要更有针对性的疫苗接种活动。
