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Should influenza immunization be mandatory for all health care providers?所有医护人员都应该强制接种流感疫苗吗?
Can J Hosp Pharm. 2015 Jan-Feb;68(1):60-3. doi: 10.4212/cjhp.v68i1.1427.
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The evidence, ethics and politics of mandatory health care worker vaccination.
J Health Serv Res Policy. 2015 Jan;20(1):1-3. doi: 10.1177/1355819614546960. Epub 2014 Sep 11.
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Estimating influenza deaths in Canada, 1992-2009.估算加拿大 1992-2009 年的流感死亡人数。
PLoS One. 2013 Nov 27;8(11):e80481. doi: 10.1371/journal.pone.0080481. eCollection 2013.
4
AMMI Canada position paper: 2012 Mandatory influenza immunization of health care workers.加拿大农业气象学与气象信息学会立场文件:2012年医护人员强制流感免疫
Can J Infect Dis Med Microbiol. 2012 Winter;23(4):e93-5. doi: 10.1155/2012/756824.
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Effect of influenza vaccination of healthcare personnel on morbidity and mortality among patients: systematic review and grading of evidence.医务人员流感疫苗接种对患者发病率和死亡率的影响:系统评价和证据分级。
Clin Infect Dis. 2014 Jan;58(1):50-7. doi: 10.1093/cid/cit580. Epub 2013 Sep 17.
6
Immunizing health care workers against influenza: a glimpse into the challenges with voluntary programs and considerations for mandatory policies.为医护人员接种流感疫苗:探讨自愿接种计划所面临的挑战以及强制接种政策的考虑因素。
Am J Infect Control. 2013 Nov;41(11):1017-23. doi: 10.1016/j.ajic.2013.05.016. Epub 2013 Aug 21.
7
Health care worker influenza immunization rates: the missing pieces of the puzzle.医护人员流感疫苗接种率:拼图中的缺失部分。
Am J Infect Control. 2013 Aug;41(8):685-90. doi: 10.1016/j.ajic.2012.09.022. Epub 2013 Feb 5.
8
Statistical estimates of respiratory admissions attributable to seasonal and pandemic influenza for Canada.加拿大季节性流感和大流行性流感所致呼吸道疾病住院的统计估计数。
Influenza Other Respir Viruses. 2013 Sep;7(5):799-808. doi: 10.1111/irv.12011. Epub 2012 Nov 5.
9
Measuring influenza immunization coverage among health care workers in acute care hospitals and continuing care organizations in Canada.测量加拿大急症护理医院和长期护理机构中卫生保健工作者的流感免疫覆盖率。
Am J Infect Control. 2013 Apr;41(4):340-4. doi: 10.1016/j.ajic.2012.04.333. Epub 2012 Aug 15.
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Seasonal influenza vaccination campaigns for health care personnel: systematic review.季节性流感疫苗接种运动对医护人员的影响:系统评价。
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通过保护自己来保护我们的患者:安大略省社区药剂师个人流感疫苗接种率分析

Protecting our patients by protecting ourselves: An analysis of the personal influenza immunization rate of Ontario community pharmacists.

作者信息

Ziegler Blake, Alsabbagh Wasem, Houle Sherilyn, Wenger Lisa, Church Dana, Waite Nancy

机构信息

School of Pharmacy, University of Waterloo, Kitchener, Ontario.

出版信息

Can Pharm J (Ott). 2016 Jul;149(4):246-55. doi: 10.1177/1715163516651630. Epub 2016 May 27.

DOI:10.1177/1715163516651630
PMID:27540407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4973417/
Abstract

BACKGROUND

With recent expansions to scope of practice that have allowed Canadian pharmacists to play a larger role in administering influenza vaccinations to the public, it is important that pharmacists themselves meet Canadian guidelines recommending that 80% of health care professionals and 100% of vaccinators receive an annual influenza vaccination. Unvaccinated health care professionals pose an infection risk to patients they serve and are at an increased risk of infection themselves.

METHODS

An online, anonymous survey was sent to Ontario community pharmacists to determine whether they had received the influenza vaccination during the 2013-2014 influenza season. All significant univariate chi-square analysis respondent characteristics were included in a multivariate regression analysis model to determine predictors of vaccination status.

RESULTS

A total of 780 pharmacists completed the survey (18.1% response rate), which showed that 7 in 10 Ontario community pharmacists received the influenza vaccine. Those certified to immunize were nearly 3 times more likely to have received the influenza vaccine than those not certified (81.6% versus 61.2%, respectively).

DISCUSSION

Having 70% of Ontario community pharmacists vaccinated against influenza is both an accomplishment and an opportunity to improve vaccination rates. While similar to the influenza immunization rates of other health care professions, Ontario community pharmacists did not meet Public Health Canada's recommendations. Comprehensive worksite programs, including promotion, education and convenient access to influenza vaccination at no cost, could increase community pharmacist influenza vaccination rates.

CONCLUSION

The authors issue a call to arms to encourage all pharmacists to receive the influenza vaccine to protect the public and themselves.

摘要

背景

随着近期执业范围的扩大,加拿大药剂师在为公众接种流感疫苗方面能够发挥更大作用。药剂师自身符合加拿大指南的建议非常重要,该指南建议80%的医疗保健专业人员和100%的疫苗接种人员每年接种流感疫苗。未接种疫苗的医疗保健专业人员会对他们服务的患者构成感染风险,而且他们自身感染的风险也会增加。

方法

向安大略省社区药剂师发送了一项在线匿名调查,以确定他们在2013 - 2014流感季节是否接种了流感疫苗。所有具有显著差异的单变量卡方分析应答者特征都纳入了多变量回归分析模型,以确定疫苗接种状态的预测因素。

结果

共有780名药剂师完成了调查(应答率为18.1%),结果显示十分之七的安大略省社区药剂师接种了流感疫苗。获得免疫接种认证的药剂师接种流感疫苗的可能性几乎是未获认证者的3倍(分别为81.6%和61.2%)。

讨论

让70%的安大略省社区药剂师接种流感疫苗既是一项成就,也是提高疫苗接种率的一个契机。虽然安大略省社区药剂师的流感免疫接种率与其他医疗保健行业相似,但未达到加拿大公共卫生署的建议。全面的工作场所计划,包括推广、教育以及免费便捷地接种流感疫苗,可能会提高社区药剂师的流感疫苗接种率。

结论

作者发出号召,鼓励所有药剂师接种流感疫苗,以保护公众和他们自己。