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Influenza Vaccination Strategies in Healthcare Workers: A Cohort Study (2018–2021) in an Italian University Hospital

Marco Dettori · Antonella Arghittu · Giovanna Deiana · Antonio Azara · María Dolores Masiá · Alessandra Palmieri +3 more

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Vaccine Coverage and Hesitancy Influenza Virus Research Studies Infection Control in Healthcare

Abstract

Vaccinating healthcare workers (HCWs) is the most effective intervention for preventing nosocomial influenza infection. However, influenza vaccination coverage (VC%) among HCWs remains low. The aim of the study was to analyse the trend of VC% among healthcare workers in an Italian hospital through a three-year vaccination project covering three influenza seasons (2018–2019, 2019–2020, and 2020–2021). A gap analysis was performed at the case base (2018–2019), on-site vaccination was trialled in the 2019–2020 season, and an integrated vaccination offer (on-site vaccination and the classic offer at a vaccination clinic) was implemented for the 2020–2021 season. For each unit of vaccinated HCWs, the following variables were recorded: main demographic details, area of affiliation (medical/surgical/services), and professional category. Logistic regression analyses were performed to assess the relationship between outcome (undergoing vaccination in 2020–2021) and other variables related to the healthcare workers’ characteristics. In the three seasons, VC% values of 13.2%. 27.7%, and 58.9% were recorded, respectively (p < 0.005). The highest VC% was recorded among physicians (94.93%), in the medical area (63.27%), and males (62.59%) and in general among the youngest HCWs. Comparison of the coverage values recorded in the three seasons showed that in the last season considered (2020–2021) about 80% of health workers preferred to be vaccinated in the workplace instead of using the standard vaccination delivery method (invitation to attend the vaccination clinic). Our study suggests that the integrated vaccination offer may lead to an increase in VC% among HCWs compared to the classical offer modalities.

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References

2020Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey 2009Influenza vaccination of health care workers in hospitals—A review of studies on attitudes and predictors 2017Influenza vaccination in healthcare workers: A comprehensive critical appraisal of the literature 2018Influenza Vaccination Coverage Among Health Care Personnel — United States, 2017–18 Influenza Season 2013Vaccination policies for healthcare workers in Europe 2008Influenza vaccination among healthcare workers in a multidisciplinary University hospital in Italy 2013Healthcare worker compliance with seasonal and pandemic influenza vaccination 2011Prevalence of influenza vaccination among nurses and ancillary workers in Italy: Systematic review and meta analysis

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2022Knowledge, Attitudes, Perceptions and Vaccination Acceptance/Hesitancy among the Community Pharmacists of Palermo’s Province, Italy: From Influenza to COVID-19 2021Web-based analysis on the role of Digital Media in Health Communication: the experience of VaccinarSinSardegna Website.2022Effectiveness of on-site influenza vaccination strategy in Italian healthcare workers: a systematic review and statistical analysis

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