a Department of Pediatrics , Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital , Ankara , Turkey.
Hum Vaccin Immunother. 2019;15(5):1060-1065. doi: 10.1080/21645515.2019.1575164. Epub 2019 Mar 19.
Children are at higher risk of influenza complications. The goals of this article are, estimating influenza vaccination coverage of Health Care Workers (HCWs) in tertiary children hospital, evaluating attitudes and practices of HCWs and evaluating whether HCWs vaccination uptake improved with onsite vaccination campaign. This was a before-after trial, which was carried out in a tertiary children hospital at 2017-2018 influenza season. The vaccination team visited all participants and collected information about previous vaccination uptake, attitudes and beliefs of HCWs by means of an anonymous questionnaire. Moreover, the influenza vaccine was offered onsite to all participants. A total of 572 HCWs participated in this study (response rate: 94.2%). Coverage was 10.8% in 2016-17 season and 39.9% in 2017-18 season (p < 0.0001). Multivariate regression analysis showed that being younger than 35 years (OR: 2.09), being vaccinated in previous season (OR: 47.02) and professional category of the participant (clinicians being reference group; OR: 1.73 for support staff and OR: 0.23 for nurses,) were significantly associated with vaccination uptake in 2017-18 season [95% CI]. None of the participants with former bad experience about vaccination was vaccinated in 2017-2018 season. And 90% of the participants having lack of knowledge about the vaccine were vaccinated in 2017-2018 season. After onsite vaccination campaign, influenza vaccination coverage improved significantly among HCWs. In order to achieve target vaccination coverage we should break down the prejudices with a comprehensive education program. Abbreviations: OR- Odds ratio; CI- confidence interval.
儿童患流感并发症的风险较高。本文的目的是，评估三级儿童医院卫生保健工作者（HCWs）的流感疫苗接种率，评估 HCWs 的态度和实践，并评估 HCWs 的疫苗接种率是否随着现场疫苗接种活动而提高。这是一项在 2017-2018 流感季节进行的前后试验，在一家三级儿童医院进行。疫苗接种小组访问了所有参与者，并通过匿名问卷收集了有关以前接种情况、HCWs 态度和信念的信息。此外，还向所有参与者提供现场流感疫苗。共有 572 名 HCWs 参加了这项研究（应答率：94.2%）。2016-17 赛季的覆盖率为 10.8%，2017-18 赛季为 39.9%（p<0.0001）。多变量回归分析显示，年龄小于 35 岁（OR：2.09）、前一季接种疫苗（OR：47.02）和参与者的专业类别（以临床医生为参考组；OR：1.73 为支持人员，OR：0.23 为护士）与 2017-18 赛季的疫苗接种率显著相关[95%CI]。没有一位以前对疫苗接种有不良体验的参与者在 2017-18 赛季接种了疫苗。而 90%的疫苗知识缺乏的参与者在 2017-18 赛季接种了疫苗。现场疫苗接种活动后，HCWs 的流感疫苗接种覆盖率显著提高。为了实现目标接种率，我们应该通过全面的教育计划打破偏见。缩写：OR-比值比；CI-置信区间。
