El-Sokkary Rehab H, Tash Rehab M ElSaid, Zalat Marwa M, Arafa Mohamed, Malek Mai M
Medical Microbiology & Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Department of Community, Occupational and Environmental Medicine, Zagazig University, Zagazig, Egypt.
Infect Drug Resist. 2020 Feb 10;13:395-402. doi: 10.2147/IDR.S234378. eCollection 2020.
Healthcare workers (HCWs) should have an active role in measles control.
This study aimed to assess the HCWs' measles immune status and its influencing factors; to measure their knowledge, attitude, and practice toward measles infection/vaccination; and to identify factors predicting their vaccination status.
Data were collected using a semi-tailored questionnaire. Immunoglobulin G against measles was measured. Regression analysis for measles vaccination was performed.
Approximately 97 HCWs (93.3%) were seropositive, 79 (76.0%) were vaccinated, 18 (17.3%) were previously infected, and 9 (8.7%) were both vaccinated and previously infected. One previously vaccinated participant was seronegative. The immune status was associated with marital status, residence, work duration, infection control training, and wearing personal protective equipment. Positive attitudes and practices were reported. Marital status and infection control training were predictors for measles vaccination.
HCWs showed readiness to control the spread of measles. National policies for compulsory HCWs' vaccination and immune status check before training and employment are required.
医护人员应在麻疹控制中发挥积极作用。
本研究旨在评估医护人员的麻疹免疫状况及其影响因素；衡量他们对麻疹感染/疫苗接种的知识、态度和行为；并确定预测其疫苗接种状况的因素。
使用半定制问卷收集数据。检测麻疹免疫球蛋白G。对麻疹疫苗接种进行回归分析。
约97名医护人员（93.3%）血清学呈阳性，79名（76.0%）接种过疫苗，18名（17.3%）曾感染过，9名（8.7%）既接种过疫苗又曾感染过。一名曾接种疫苗的参与者血清学呈阴性。免疫状况与婚姻状况、居住地、工作时长、感染控制培训及佩戴个人防护装备有关。报告显示态度和行为积极。婚姻状况和感染控制培训是麻疹疫苗接种的预测因素。
医护人员已做好控制麻疹传播的准备。需要制定国家政策，要求医护人员在培训和就业前进行强制疫苗接种和免疫状况检查。
