Sydney School of Veterinary Sciences, Faculty of Science, the University of Sydney, Camperdown, NSW, Australia.
School of Animal and Veterinary Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia.
PLoS One. 2018 Jun 1;13(6):e0198421. doi: 10.1371/journal.pone.0198421. eCollection 2018.
Q fever vaccine uptake among veterinary nurses in Australia is low, suggesting veterinarians are not recommending the vaccination to veterinary personnel. This study aimed to determine the willingness of veterinarians to recommend Q fever vaccination to veterinary personnel and to identify factors influencing Q fever vaccine uptake by veterinary nurses in Australia. An online cross sectional survey targeted veterinarians and veterinary nurses in Australia in 2014. Responses were analysed using multivariable logistic regression. Factors significantly (p<0.05) associated with a willingness to recommend the vaccination, expressed by 35% (95% CI 31-38%) of veterinarians (n = 828), were (1) being very concerned for colleagues regarding Coxiella burnetii (OR 4.73), (2) disagreeing the vaccine is harmful (OR 3.80), (3) high Q fever knowledge (OR 2.27), (4) working within small animal practice (OR 1.67), (5) disagreeing the vaccine is expensive (OR 1.55), and (6) age, with veterinarians under 39 years most likely to recommend vaccination. Of the veterinary nursing cohort who reported a known Q fever vaccination status (n = 688), 29% (95% CI 26-33%) had sought vaccination. This was significantly (p<0.05) associated with (1) agreeing the vaccine is important (OR 8.34), (2) moderate/high Q fever knowledge (OR 5.51), (3) working in Queensland (OR 4.00), (4) working within livestock/mixed animal practice (OR 3.24), (5) disagreeing the vaccine is expensive (OR 1.86), (6) strong reliance on work culture for biosecurity information (OR 2.5), (7) perceiving personal exposure to Coxiella burnetii to be at least low/moderate (OR 2.14), and (8) both agreeing the vaccine is safe and working within a corporate practice structure (OR 4.28). The study identified the need for veterinarians to take greater responsibility for workplace health and safety promotion, and calls for better education of veterinary personnel to raise awareness of the potential for occupational exposure to C. burnetii and improve the perception of the Q fever vaccine as being important, safe and cost-effective.
在澳大利亚，兽医护士接种 Q 热疫苗的比例很低，这表明兽医没有向兽医人员推荐这种疫苗。本研究旨在确定兽医向兽医人员推荐 Q 热疫苗的意愿，并确定影响澳大利亚兽医护士接种 Q 热疫苗的因素。2014 年，对澳大利亚的兽医和兽医护士进行了一项在线横断面调查。使用多变量逻辑回归分析对调查结果进行了分析。有 35%（95%CI 31-38%）的兽医（n=828）表示愿意推荐接种疫苗，其原因包括：（1）对同事感染柯克斯体的担忧（OR 4.73）；（2）不同意疫苗有危害（OR 3.80）；（3）Q 热知识水平较高（OR 2.27）；（4）在小动物诊所工作（OR 1.67）；（5）不同意疫苗昂贵（OR 1.55）；（6）年龄，年龄在 39 岁以下的兽医最有可能推荐接种疫苗。在报告已知 Q 热疫苗接种情况的兽医护理队列中（n=688），29%（95%CI 26-33%）的人已寻求接种疫苗。这与以下因素显著相关（p<0.05）：（1）认为疫苗很重要（OR 8.34）；（2）中等/高 Q 热知识水平（OR 5.51）；（3）在昆士兰州工作（OR 4.00）；（4）在牲畜/混合动物诊所工作（OR 3.24）；（5）不同意疫苗昂贵（OR 1.86）；（6）强烈依赖工作文化获取生物安全信息（OR 2.5）；（7）认为个人接触柯克斯体的风险至少为低/中度（OR 2.14）；（8）都认为疫苗安全且在企业实践结构内工作（OR 4.28）。该研究确定了兽医需要为促进工作场所健康和安全承担更大的责任，并呼吁对兽医人员进行更好的教育，以提高对职业接触柯克斯体的认识，并提高对 Q 热疫苗的重要性、安全性和成本效益的认识。
