Focus su copertura e promozione della vaccinazione antinfluenzale nei lavoratori della sanita: Risultati e prospettive di un gruppo di lavoro multicentrico

Translated title of the contribution: Focus on coverage and promotion of influenza vaccination among healthcare workers: Results and perspective of a multicenter working group

D. Placidi, G. Franco, M. Bacis, L. Belotti, N. Biggi, P. Carrer, L. Cologni, V. Gattini, V. Lodi, N. Magnavita, G. Micheloni, C. Negro, R. Polato, V. Puro, F. Tonelli, S. Porru

Research output: Contribution to journalArticle

Abstract

Introduction. The influenza illness is a concern for health care workers (HCW) due to the potential nosocomial transmission and sickness absenteeism. Immunization and Isolation Precautions might be effective preventive measures. Aims. To formulate recommendations on vaccination in healthcare settings. Methods. A multidisciplinary working group, led by occupational physicians (OP), examined the information on seasonal influenza immunisation campaign in 9 Italian hospitals in the period 2005-2009 and reviewed scientific evidence. Results. Many health organizations recommend vaccination of HCW. The literature shows that seasonal influenza vaccination of healthy adult have a modest effect in reducing work day lost; there is no evidence that it affects transmission or it prevents the disease in elderly residents. These observations might be conditioned by methodological limitations. Further studies are required to avoid the risk of bias and in pediatric settings. The rate of flu vaccination among HCW is widely variable and it depends on individual risk perception and information about efficacy and side effects. In the considered hospitals, in the five-years period the vaccination rate ranged between 0 and 29%: the median value was 16-17% in 2005,2008 and 2009 (only against H1N1 influence), 11% and 13% in 2007 and 2006 respectively. OP participation in the vaccination campaign seems to increase the immunization rate. Discussion. Seasonal influenza immunization of HCW might be effective. We recommend to formalize written procedures in health care settings, to perform data computing and to periodically revise immunization activities and promotion and scientific litterature, with the aim to appropriately address resources.

Original languageItalian
Pages (from-to)286-291
Number of pages6
JournalGiornale Italiano di Medicina del Lavoro ed Ergonomia
Volume32
Issue number3
Publication statusPublished - Jul 2010

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Immunization Programs
Human Influenza
Immunization
Vaccination
Delivery of Health Care
Physicians
Absenteeism
Pediatrics
Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Focus su copertura e promozione della vaccinazione antinfluenzale nei lavoratori della sanita : Risultati e prospettive di un gruppo di lavoro multicentrico. / Placidi, D.; Franco, G.; Bacis, M.; Belotti, L.; Biggi, N.; Carrer, P.; Cologni, L.; Gattini, V.; Lodi, V.; Magnavita, N.; Micheloni, G.; Negro, C.; Polato, R.; Puro, V.; Tonelli, F.; Porru, S.

In: Giornale Italiano di Medicina del Lavoro ed Ergonomia, Vol. 32, No. 3, 07.2010, p. 286-291.

Research output: Contribution to journalArticle

Placidi, D, Franco, G, Bacis, M, Belotti, L, Biggi, N, Carrer, P, Cologni, L, Gattini, V, Lodi, V, Magnavita, N, Micheloni, G, Negro, C, Polato, R, Puro, V, Tonelli, F & Porru, S 2010, 'Focus su copertura e promozione della vaccinazione antinfluenzale nei lavoratori della sanita: Risultati e prospettive di un gruppo di lavoro multicentrico', Giornale Italiano di Medicina del Lavoro ed Ergonomia, vol. 32, no. 3, pp. 286-291.
Placidi, D. ; Franco, G. ; Bacis, M. ; Belotti, L. ; Biggi, N. ; Carrer, P. ; Cologni, L. ; Gattini, V. ; Lodi, V. ; Magnavita, N. ; Micheloni, G. ; Negro, C. ; Polato, R. ; Puro, V. ; Tonelli, F. ; Porru, S. / Focus su copertura e promozione della vaccinazione antinfluenzale nei lavoratori della sanita : Risultati e prospettive di un gruppo di lavoro multicentrico. In: Giornale Italiano di Medicina del Lavoro ed Ergonomia. 2010 ; Vol. 32, No. 3. pp. 286-291.
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AU - Franco, G.

AU - Bacis, M.

AU - Belotti, L.

AU - Biggi, N.

AU - Carrer, P.

AU - Cologni, L.

AU - Gattini, V.

AU - Lodi, V.

AU - Magnavita, N.

AU - Micheloni, G.

AU - Negro, C.

AU - Polato, R.

AU - Puro, V.

AU - Tonelli, F.

AU - Porru, S.

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AB - Introduction. The influenza illness is a concern for health care workers (HCW) due to the potential nosocomial transmission and sickness absenteeism. Immunization and Isolation Precautions might be effective preventive measures. Aims. To formulate recommendations on vaccination in healthcare settings. Methods. A multidisciplinary working group, led by occupational physicians (OP), examined the information on seasonal influenza immunisation campaign in 9 Italian hospitals in the period 2005-2009 and reviewed scientific evidence. Results. Many health organizations recommend vaccination of HCW. The literature shows that seasonal influenza vaccination of healthy adult have a modest effect in reducing work day lost; there is no evidence that it affects transmission or it prevents the disease in elderly residents. These observations might be conditioned by methodological limitations. Further studies are required to avoid the risk of bias and in pediatric settings. The rate of flu vaccination among HCW is widely variable and it depends on individual risk perception and information about efficacy and side effects. In the considered hospitals, in the five-years period the vaccination rate ranged between 0 and 29%: the median value was 16-17% in 2005,2008 and 2009 (only against H1N1 influence), 11% and 13% in 2007 and 2006 respectively. OP participation in the vaccination campaign seems to increase the immunization rate. Discussion. Seasonal influenza immunization of HCW might be effective. We recommend to formalize written procedures in health care settings, to perform data computing and to periodically revise immunization activities and promotion and scientific litterature, with the aim to appropriately address resources.

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