1
|
Maltezou HC, Dounias G, Rapisarda V, Ledda C. Vaccination policies for healthcare personnel: Current challenges and future perspectives. Vaccine X 2022; 11:100172. [PMID: 35719325 PMCID: PMC9190304 DOI: 10.1016/j.jvacx.2022.100172] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Revised: 02/10/2022] [Accepted: 05/09/2022] [Indexed: 01/05/2023] Open
Abstract
Healthcare personnel (HCP) are at occupational risk for acquisition of several vaccine-preventable diseases and transmission to patients. Vaccinations of HCP are justified to confer them immunity but also to protect susceptible patients and healthcare services from outbreaks, HCP absenteeism and presenteeism. Mandatory vaccination policies for HCP are increasingly adopted and achieve high and sustainable vaccination rates in short term. In this article we review the scientific evidence for HCP vaccination. We also address issues pertaining to vaccination policies for HCP and present the challenges of implementation of mandatory versus voluntary vaccination policies. Finally, we discuss the issue of mandatory vaccination of HCP against COVID-19.
Collapse
Key Words
- CI, confidence interval
- COVID-19
- COVID-19, coronavirus disease 2019
- HCP, healthcare personnel
- Healthcare personnel
- ICU, intensive care unit
- ILI, influenza-like illness
- Immunization
- MMR, measles-mumps-rubella
- Mandatory
- NICU, neonatal intensive care unit
- Occupational
- PCR, polymerase chain reaction
- Policies
- RR, relative risk
- SARS-CoV-2, severe acute respiratory syndrome coronavirus 2
- US, United States
- VE, vaccine effectiveness
- VPD, vaccine-preventable disease
- Vaccination
- Vaccine-preventable diseases
- WHO, World Health Organization
Collapse
Affiliation(s)
- Helena C Maltezou
- Directorate of Research, Studies and Documentation, National Public Health Organization, Athens 15123, Greece
| | - George Dounias
- Department of Occupational and Environmental Health, University of West Attica, Athens, Greece
| | - Venerando Rapisarda
- Occupational Medicine, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
| | - Caterina Ledda
- Occupational Medicine, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
| |
Collapse
|
2
|
Seeber L, Conrad T, Hoppe C, Obermeier P, Chen X, Karsch K, Muehlhans S, Tief F, Boettcher S, Diedrich S, Schweiger B, Rath B. Educating parents about the vaccination status of their children: A user-centered mobile application. Prev Med Rep 2017; 5:241-250. [PMID: 28127527 PMCID: PMC5257187 DOI: 10.1016/j.pmedr.2017.01.002] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Revised: 01/06/2017] [Accepted: 01/08/2017] [Indexed: 01/05/2023] Open
Abstract
Parents are often uncertain about the vaccination status of their children. In times of vaccine hesitancy, vaccination programs could benefit from active patient participation. The Vaccination App (VAccApp) was developed by the Vienna Vaccine Safety Initiative, enabling parents to learn about the vaccination status of their children, including 25 different routine, special indication and travel vaccines listed in the WHO Immunization Certificate of Vaccination (WHO-ICV). Between 2012 and 2014, the VAccApp was validated in a hospital-based quality management program in Berlin, Germany, in collaboration with the Robert Koch Institute. Parents of 178 children were asked to transfer the immunization data of their children from the WHO-ICV into the VAccApp. The respective WHO-ICV was photocopied for independent, professional data entry (gold standard). Demonstrating the status quo in vaccine information reporting, a Recall Group of 278 parents underwent structured interviews for verbal immunization histories, without the respective WHO-ICV. Only 9% of the Recall Group were able to provide a complete vaccination status; on average 39% of the questions were answered correctly. Using the WHO-ICV with the help of the VAccApp resulted in 62% of parents providing a complete vaccination status; on average 95% of the questions were answered correctly. After using the VAccApp, parents were more likely to remember key aspects of the vaccination history. User-friendly mobile applications empower parents to take a closer look at the vaccination record, thereby taking an active role in providing accurate vaccination histories. Parents may become motivated to ask informed questions and to keep vaccinations up-to-date.
Collapse
Key Words
- ED, emergency department
- Electronic health records
- Immunization
- Mobile health
- Patient education
- Patient empowerment
- QM, quality management
- RSV, respiratory syncytial virus
- SOP, standard operating procedure
- VAccApp, Vaccination App, a mobile application for vaccination histories
- VPD, vaccine-preventable disease
- Vaccination history
- ViVI, Vienna Vaccine Safety Initiative
- WHO, World Health Organization
- WHO-ICV, International Certificate of Vaccination, issued by the World Health Organization
Collapse
Affiliation(s)
- Lea Seeber
- Department of Pediatrics, Charité University Medical Center, Augustenburger Platz 1, 13353 Berlin, Germany; Vienna Vaccine Safety Initiative, Berlin, Germany
| | - Tim Conrad
- Department of Mathematics and Computer Sciences, Freie University, Arnimallee 14, 14195 Berlin, Germany
| | - Christian Hoppe
- Department of Pediatrics, Charité University Medical Center, Augustenburger Platz 1, 13353 Berlin, Germany; Vienna Vaccine Safety Initiative, Berlin, Germany; Department of Mathematics and Computer Sciences, Freie University, Arnimallee 14, 14195 Berlin, Germany
| | - Patrick Obermeier
- Department of Pediatrics, Charité University Medical Center, Augustenburger Platz 1, 13353 Berlin, Germany; Vienna Vaccine Safety Initiative, Berlin, Germany
| | - Xi Chen
- Department of Pediatrics, Charité University Medical Center, Augustenburger Platz 1, 13353 Berlin, Germany; Vienna Vaccine Safety Initiative, Berlin, Germany
| | - Katharina Karsch
- Department of Pediatrics, Charité University Medical Center, Augustenburger Platz 1, 13353 Berlin, Germany
| | - Susann Muehlhans
- Department of Pediatrics, Charité University Medical Center, Augustenburger Platz 1, 13353 Berlin, Germany; Vienna Vaccine Safety Initiative, Berlin, Germany
| | - Franziska Tief
- Department of Pediatrics, Charité University Medical Center, Augustenburger Platz 1, 13353 Berlin, Germany; Vienna Vaccine Safety Initiative, Berlin, Germany
| | - Sindy Boettcher
- National Reference Center for Poliomyelitis and Enteroviruses, Robert Koch Institute, Seestr. 10, 13353 Berlin, Germany
| | - Sabine Diedrich
- National Reference Center for Poliomyelitis and Enteroviruses, Robert Koch Institute, Seestr. 10, 13353 Berlin, Germany
| | - Brunhilde Schweiger
- National Reference Center for Influenza, Robert Koch Institute, Seestr. 10, 13353 Berlin, Germany
| | - Barbara Rath
- Department of Pediatrics, Charité University Medical Center, Augustenburger Platz 1, 13353 Berlin, Germany; Vienna Vaccine Safety Initiative, Berlin, Germany; The University of Nottingham School of Medicine, Hucknall Road, Nottingham NG51PB, UK
| |
Collapse
|
3
|
Abstract
Vaccination of healthcare personnel (HCP) is an important component of worker and patient safety, yet vaccination rates are lagging. The findings from Taddei et al.'s study of healthcare personnel immunization attitudes and practices in Florence, Italy provides further data of the importance of routine assessment of and recommendations for vaccines for HCP in order to improve coverage.
Collapse
Affiliation(s)
- Samuel B Graitcer
- a Immunization Services Division ; National Center for Immunization and Respiratory Diseases; Centers for Disease Control and Prevention ; Atlanta , GA USA
| | | | | |
Collapse
|