Infection Control and Antimicrobial Stewardship Unit, University Hospital Wuerzburg, Wuerzburg, Germany; Department of Internal Medicine I, University Hospital Wuerzburg, Wuerzburg, Germany.
Infection Control and Antimicrobial Stewardship Unit, University Hospital Wuerzburg, Wuerzburg, Germany.
Public Health. 2023 Sep;222:186-195. doi: 10.1016/j.puhe.2023.07.008. Epub 2023 Aug 8.
COVID-19 vaccination is a key prevention strategy to reduce the spread and severity of SARS-CoV-2 infections. However, vaccine-related inability to work among healthcare workers (HCWs) could overstrain healthcare systems.
The study presented was conducted as part of the prospective CoVacSer cohort study.
This study examined sick leave and intake of pro re nata medication after the first, second, and third COVID-19 vaccination in HCWs. Data were collected by using an electronic questionnaire.
Among 1704 HCWs enrolled, 595 (34.9%) HCWs were on sick leave following at least one COVID-19 vaccination, leading to a total number of 1550 sick days. Both the absolute sick days and the rate of HCWs on sick leave significantly increased with each subsequent vaccination. Comparing BNT162b2mRNA and mRNA-1273, the difference in sick leave was not significant after the second dose, but mRNA-1273 induced a significantly longer and more frequent sick leave after the third.
In the light of further COVID-19 infection waves and booster vaccinations, there is a risk of additional staff shortages due to postvaccination inability to work, which could negatively impact the already strained healthcare system and jeopardise patient care. These findings will aid further vaccination campaigns to minimise the impact of staff absences on the healthcare system.
COVID-19 疫苗接种是减少 SARS-CoV-2 感染传播和严重程度的关键预防策略。然而,医护人员(HCWs)因疫苗相关原因无法工作可能会使医疗系统不堪重负。
本研究是作为前瞻性 CoVacSer 队列研究的一部分进行的。
本研究调查了 HCWs 在接种第一、第二和第三剂 COVID-19 疫苗后请病假和使用临时药物的情况。通过使用电子问卷收集数据。
在纳入的 1704 名 HCWs 中,有 595 名(34.9%)HCWs 在至少一次 COVID-19 疫苗接种后请病假,导致总病假天数为 1550 天。随着每次后续接种,绝对病假天数和请病假的 HCWs 比例都显著增加。与 BNT162b2mRNA 和 mRNA-1273 相比,第二剂后病假差异不显著,但 mRNA-1273 导致第三剂后病假时间更长、更频繁。
鉴于未来 COVID-19 感染浪潮和加强针接种,由于接种后无法工作,可能会出现额外的人员短缺风险,这可能会对已经紧张的医疗系统产生负面影响,并危及患者护理。这些发现将有助于进一步的疫苗接种运动,以最大程度地减少员工缺勤对医疗系统的影响。