Schumacher Sofie, Salmanton-García Jon, Cornely Oliver A, Mellinghoff Sibylle C
Faculty of Medicine and University Hospital Cologne, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), University of Cologne, Herderstraße 52-54, 50931, Cologne, Germany.
Faculty of Medicine and University Hospital Cologne, Cologne Excellence Cluster On Cellular Stress Responses in Aging-Associated Diseases (CECAD), Chair Translational Research, University of Cologne, Cologne, Germany.
Infection. 2021 Jun;49(3):387-399. doi: 10.1007/s15010-020-01555-9. Epub 2020 Dec 7.
Increasing influenza vaccination coverage in healthcare workers is a challenge. Especially during the ongoing COVID-19 pandemic, high vaccination coverage should be attained. This review analyzed strategies to increase influenza vaccination coverage in healthcare workers.
A literature search using PubMed was conducted and 32 publications on influenza vaccination campaigns for healthcare workers were reviewed for key interventions and resulting vaccination coverage.
Among key interventions analyzed, mandatory vaccination policies or multifaceted campaigns including a vaccinate-or-wear-a-mask policy as well as mandatory declination reached vaccination coverage in healthcare workers of over 90%. Although campaigns solely based on education and promotion or on-site-vaccination did not regularly exceed an absolute vaccination coverage of 40%, a substantial relative increase in vaccination coverage was reached by implementation of these strategies.
Mandatory vaccination policies are effective measures to achieve high overall vaccination coverage. In clinics where policies are infeasible, multifaceted campaigns comprising on-site vaccination, vaccination stands and educational and promotional campaigns as well as incentives should be implemented. Lessons learned from influenza campaigns could be implemented in future SARS-CoV-2 vaccination campaigns.
提高医护人员的流感疫苗接种率是一项挑战。尤其是在当前的新冠疫情期间，应实现高接种率。本综述分析了提高医护人员流感疫苗接种率的策略。
利用PubMed进行文献检索，并对32篇关于医护人员流感疫苗接种活动的出版物进行综述，以获取关键干预措施及由此产生的接种率。
在分析的关键干预措施中，强制接种政策或多方面的活动，包括接种或戴口罩政策以及强制拒绝，使医护人员的接种率达到了90%以上。尽管仅基于教育和推广或现场接种的活动通常未超过40%的绝对接种率，但通过实施这些策略，接种率有了显著的相对提高。
强制接种政策是实现高总体接种率的有效措施。在政策不可行的诊所，应实施包括现场接种、接种站、教育和推广活动以及激励措施在内的多方面活动。从流感疫苗接种活动中吸取的经验教训可应用于未来的新冠病毒疫苗接种活动。
