Riccio Marianna, Marte Mattia, Imeshtari Valentin, Vezza Francesca, Barletta Vanessa India, Shaholli David, Colaprico Corrado, Di Chiara Maria, Caresta Elena, Terrin Gianluca, Papoff Paola, La Torre Giuseppe
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy.
Department of Maternal and Child Health, Policlinico Umberto I, Sapienza University of Rome, 00185 Rome, Italy.
Vaccines (Basel). 2023 Jan 16;11(1):196. doi: 10.3390/vaccines11010196.
Background: Recommended vaccinations are the cheapest and most effective measure to reduce the risk of transmission and related complications, especially in high-risk healthcare settings. This study aimed to evaluate the knowledge, attitudes and behaviours of HCWs in relation to national recommendations. Methods: A transversal study was conducted through administration of a questionnaire by personal interview. The following care units were involved: Paediatric, Neonatal, Cardiac Surgery and General Intensive Care Units and Infectious Diseases Unit. Results: The study sample comprised 308 HCWs. Half the sample were aware of the vaccination recommendations, with occupation and age found to be predictive factors (OR = 9.38, 95%CI: 2.07−42.41; OR = 0.36, 95%CI: 0.22−0.60). A higher percentage defined the diseases as a risk for their patients’ health, although this perception was lower in the over-40 age group. In several cases, there were statistically significant differences between the care units (p < 0.001). Around three-quarters of the sample agreed that vaccination should be mandatory; willingness to undergo a future booster vaccination was statistically correlated with the variables of age and care unit (p < 0.001, p = 0.03). Conclusion: The protection of health in the workplace can be achieved through some strategic actions, such as the implementation of educational strategies, and protocols for the monitoring of immunocompetence and the improvement of vaccination.
推荐接种疫苗是降低传播风险及相关并发症的最经济有效的措施，尤其是在高风险的医疗环境中。本研究旨在评估医护人员关于国家推荐疫苗接种的知识、态度和行为。方法：通过个人访谈发放问卷进行横断面研究。涉及以下护理单元：儿科、新生儿科、心脏外科、综合重症监护病房和传染病科。结果：研究样本包括308名医护人员。样本中有一半知晓疫苗接种推荐，发现职业和年龄是预测因素（OR = 9.38，95%CI：2.07−42.41；OR = 0.36，95%CI：0.22−0.60）。较高比例的人认为这些疾病对患者健康构成风险，尽管40岁以上年龄组的这种认知较低。在某些情况下，各护理单元之间存在统计学显著差异（p < 0.001）。约四分之三的样本同意疫苗接种应强制执行；未来接受加强疫苗接种的意愿与年龄和护理单元变量存在统计学相关性（p < 0.001，p = 0.03）。结论：通过一些战略行动，如实施教育战略、免疫能力监测方案以及改善疫苗接种，可以实现工作场所的健康保护。
