Ghazali Daniel Aiham, Choquet Christophe, Bouzid Donia, Colosi Luisa, Ben Hammouda Arsalene, Wargon Mathias, Gay Matthieu, Vaittinada Ayar Prabakar, Douay Bendecite, Revue Eric, Soulat Louis, Hellmann Romain, Casalino Enrique
Emergency Department and EMS, Assistance Publique-Hôpitaux de Paris (AP-HP), University Hospital of Bichat, 75018 Paris, France.
The French National Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities, Université de Paris, 75018 Paris, France.
Vaccines (Basel). 2021 Apr 19;9(4):400. doi: 10.3390/vaccines9040400.
Vaccination is one of the most effective ways to fight the influenza epidemic and the coronavirus disease 2019 (COVID-19) pandemic, which represent a major public issue. The objective was to investigate the adherence of heads of French emergency departments (ED) and nursing departments on a potential vaccination campaign of healthcare workers (HCW) and patients in ED.
In February 2021, ED and nursing department heads were asked to answer a national survey. It included 24 questions designed to cover some dimensions, including characteristics of the hospital and emergency departments (ED) and questions on vaccination.
414 responses out of 800 questionnaires (51.8%) were collected. Scores out of 10 were, respectively, 7 (6-8) and 8 (6-9) for vaccination against influenza and COVID-19 for HCW and 2 (2-3) and 2 (2-4) for ED patients (H = 989.3; < 0.0001). Multivariate logistic regression found that the existence of a vaccine program in the hospital and the use of point of care influenza PCR in ED were positively associated with the acceptance of influenza vaccination campaign for HCW ( = 0.003) and patients ( = 0.015). Factors limiting adherence to a vaccination program of HCW and patients were lack of medical staff ( = 0.041 for HCW and < 0.0001 for patients), overcrowded ED ( < 0.001), and the inability to follow up with patients after the ED visit ( < 0.0001).
There have been many missed opportunities for influenza vaccination, and there is pressure to vaccinate against COVID-19 as soon as possible. Vaccination campaigns in ED could help to improve vaccination coverage. ED staff are more likely to vaccinate HCW than patients. There are factors that support the implementation of such programs, which can be grouped into a culture of diagnosis, control, and prevention of viral infectious diseases within the hospital and ED. On the other hand, there are limiting factors, such as overcrowding and lack of personnel.
接种疫苗是对抗流感疫情和2019冠状病毒病（COVID-19）大流行的最有效方法之一，而这两者都是重大的公共问题。目的是调查法国急诊科和护理部门负责人对医护人员和急诊科患者潜在疫苗接种活动的依从性。
2021年2月，要求急诊科和护理部门负责人回答一项全国性调查。该调查包括24个问题，旨在涵盖一些方面，包括医院和急诊科的特征以及关于疫苗接种的问题。
在800份问卷中收集到414份回复（51.8%）。医护人员接种流感疫苗和COVID-19疫苗的评分（满分10分）分别为7（6 - 8）和8（6 - 9），急诊科患者接种这两种疫苗的评分分别为2（2 - 3）和2（2 - 4）（H = 989.3；P < 0.0001）。多因素逻辑回归发现，医院存在疫苗接种计划以及在急诊科使用即时护理流感PCR检测与医护人员（P = 0.003）和患者（P = 0.015）接受流感疫苗接种活动呈正相关。限制医护人员和患者接种疫苗计划依从性的因素包括医务人员短缺（医护人员P = 0.041，患者P < 0.0001）、急诊科过度拥挤（P < 0.001）以及在急诊科就诊后无法对患者进行随访（P < 0.0001）。
流感疫苗接种存在许多错失的机会，并且尽快接种COVID-19疫苗存在压力。急诊科的疫苗接种活动有助于提高疫苗接种覆盖率。急诊科工作人员给医护人员接种疫苗的可能性高于给患者接种。存在支持实施此类计划的因素，这些因素可归纳为医院和急诊科内病毒传染病的诊断、控制和预防文化。另一方面，也存在限制因素，如过度拥挤和人员短缺。
