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Knowledge of healthcare workers regarding occupational vaccinations

Abstract number: P1322

Loulergue P., Absi Z., Demontpion C., Moulin F., Menager C., Gorodetzky M., Vidal-Trecan G., Gendrel D., Guillevin L., Launay O.

Immunisation against diphteria, tetanus, poliomyelitis, hepatitis B and tuberculosis are mandatory for healthcare workers (HCW) in France. The Committee for Public Health (Haut Conseil de la Santé Publique) also strongly recommends immunisations against influenza, pertussis, varicella, measles and for non immunised HCW.

Objectives: To evaluate the knowledge of hospital HCW regarding mandatory or recommended vaccinations.

Methods: We performed a cross-sectional survey in two medical departments: one in an internal medicine department caring for immunosuppressed patients, and one in a paediatric department. A self-administered questionnaire was used to assess all the medical and non medical staff (physicians, students, nurses, paramedics and staff not caring for patients) knowledge regarding mandatory and recommended vaccinations, their current vaccination status and potential reasons for refusal of vaccine uptake.

Results: Three hundred and ninety-five questionnaires were analysed (280 from the Internal medicine and 115 from paediatric departments).

Although 95% of the staff declared a good knowledge of the compulsory vaccination, only 20.7% of the internal medicine staff and 30.6% of the paediatric staff could cite them correctly (p = 0.05). More than 70% declared knowing the recommended vaccinations: 68% cited influenza, 15.4%, pertussis, 5.7% measlesand 4.7%, varicella.

The overall influenza vaccination rate in 2006 was higher in paediatrics than in internal medicine unit (36% vs. 28%; p = 0.012); 50% of the physicians, 42.7% of the students and 22.6% of the nursing staff received influenza vaccine. The strongest motivations for having received influenza vaccination were to protect patients (73%) and to protect oneself (67%). Contrarily, the main reasons for vaccination refusal were believing the vaccine to be inefficacious (53%) and fearing adverse effects (21%). Reasons for not having been vaccined against influenza may differ between nursing/paramedical staff and physician staff.

Conclusion: Knowledge about vaccinations is poor among HCW. Despite recommendations for annual influenza vaccination, the proportion of HCW vaccinated is still insufficient, mainly due to a misperception of the efficacy of the influenza vaccination. This study highlights the need to strengthen continuous education of HCW regarding vaccinations.

Session Details

Date: 19/04/2008
Time: 00:00-00:00
Session name: 18th European Congress of Clinical Microbiology and Infectious Diseases
Subject:
Location: Barcelona, Spain
Presentation type:
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