Attitude towards vaccination against SARS-CoV-2

Janssens, Uwe; Kluge, Stefan; Marx, Gernot; Hermes, Carsten; Salzberger, Bernd; Karagiannidis, Christian

doi:10.1007/s00063-021-00821-4

Cited by 12 publications

(11 citation statements)

References 26 publications

(26 reference statements)

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“…At the beginning of the vaccination campaign, vaccination willingness rates stood between 50% and 70% depending on the professional group. Just a few weeks after the vaccination campaign began, however, a constant rise in vaccination willingness was observed in all professional groups [12,14,24]. There are various reasons for the increase.…”

Section: Discussionmentioning

confidence: 99%

“…Acceptance was markedly higher among physicians than among nursing staff (81% vs. 71%). On both survey dates, vaccination willingness was higher among men than women overall (73% and 81% vs. 54% and 73%, respectively) [12]. Nursing staff in particular-predominantly women-stated that they had serious concerns about side effects and long-term consequences [13,15,16].…”

Section: Introductionmentioning

confidence: 96%

“…In late 2020 and early 2021, HCWs from a range of fields in Germany were asked about their vaccination willingness. Initially, vaccination willingness was rather low (between 57% and 64%), but it increased to 76% as the vaccination campaign progressed [11][12][13][14]. Acceptance was markedly higher among physicians than among nursing staff (81% vs. 71%).…”

Section: Introductionmentioning

confidence: 98%

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COVID-19 Vaccination: Status and Willingness to Be Vaccinated among Employees in Health and Welfare Care in Germany

Kozak

Nienhaus

2021

IJERPH

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Healthcare workers are at particular risk due to their occupational exposure to SARS-CoV-2. Therefore, they belong to the top priority group for vaccination. However, earlier studies show that nursing staff in particular are hesitant to be inoculated. This study presents the current picture with regard to vaccination status, willingness, vaccine preference, and reasons for or against a COVID-19 vaccination among health and welfare workers. An online survey was conducted between 4 March and 10 April 2021 among professional associations and providers of health and social services. Data sets of n = 3401 participants were analyzed. Of these, 62% stated that they had already been vaccinated at least once. A further 22% wanted to be vaccinated, while 6.6% were still hesitant and 9% refused to be vaccinated. Preference was given to predominantly mRNA-based vaccines. Altogether, there was a high vaccination rate and a great willingness to be vaccinated (>80%) across all professional groups and fields of work. Among nursing staff, the total figure was 83.5%. The percentage was highest in geriatric care at 87.5%. Contrary to findings of earlier surveys, vaccination willingness has risen in all professional groups during the course of the vaccination campaign in Germany.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 98%

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COVID-19 Vaccination: Status and Willingness to Be Vaccinated among Employees in Health and Welfare Care in Germany

Kozak

Nienhaus

2021

IJERPH

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“…against COVID-19) throughout their careers. A current study about the opinion of hospital employees on the COVID-19 vaccination shows, however, that affiliation to the occupational group of nursing personnel was associated with significantly less willingness to get vaccinated [ 14 ]. It was therefore the goal of the current study to conduct a survey on the factors that influence the decision on vaccination in order to work out potential approaches for improving the stance on vaccination and the willingness to get vaccinated.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude and behavior towards vaccinations among nursing- and health care students in Hesse. An observational study

Berg¹,

Wicker

2021

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Objective: Work-related vaccinations are recommended for employees in nursing and health care professions due to their elevated risk of infection because of job-related exposure. These vaccinations prevent work-related infections, protect patients and help to maintain the medical infrastructure. Thorough training and imparting of knowledge about vaccinations and work-related infections are essential pillars of the vaccination decision and thus for achieving a protective immune status. The present study examines the knowledge, attitudes and behavior of nursing- and health care students in Hesse regarding work-related infections and vaccinations. Methods: In spring 2018, seven nursing schools in Hesse took part in an anonymous survey study. A total of 690 surveys from students of various health care professions were included in the study. The content of the survey was based on the recommendations of the Standing Committee on Vaccination (STIKO), a literature review and sample questions from the World Health Organization (WHO) regarding “vaccine hesitancy”. Vaccination cards were also evaluated based on the STIKO recommendations concerning standard vaccinations and occupational vaccinations for health care workers. Results: The risk of acquiring a work-related infection was estimated to be quite high over all years of training. Gaps in knowledge were particularly evident in the area of vaccinations. Only three quarter of those surveyed believed that the effectiveness of vaccinations has been proven, and nearly 30% believed that the doses of the drugs used in vaccines were dangerous. Over 80% of the students had never had an influenza vaccination documented in their vaccination card. Conclusions: The knowledge about vaccinations imparted in the course of the education should be expanded. A special course on the subject of vaccinations and the immune system with practical elements could contribute to a better understanding of how vaccinations work and misunderstandings could be eliminated in early stages of the training through the dialog between the students and the teacher in the classroom and the occupational physician as part of preventive occupational health check-ups.

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“…Im Laufe der COVID-19-Pandemie sind in den vergangenen Monaten in Deutschland zwischenzeitlich bis zu 6000 Patienten täglich gleichzeitig intensivmedizinisch behandelt worden ( www.intensivregister.de ), mit einer hohen Sterblichkeit von etwa 50 % aller Beatmungsfälle [ 7 , 9 , 10 ]. Nachdem uns die Pandemie sowohl intensivmedizinisch als auch gesamtgesellschaftlich seit Anfang 2020 permanent in Atem hält [ 11 ] und es 2020 nur die Möglichkeit der nichtpharmazeutischen Interventionen zum Schutz vor dem Virus gab [ 5 ], steht seit Anfang 2021 eine sehr gut wirksame Impfung zur Verfügung [ 2 , 6 , 8 ], die sukzessiv im ersten Halbjahr 2021 zu einer Reduktion der Belastung des Gesundheitssystems geführt und mit dazu beigetragen hat, dass die dritte Welle abgeebbt ist.…”

Section: Introductionunclassified

Intensivbettenbedarf für COVID‑19 im Herbst/Winter 2021

Schuppert

Weber‐Carstens

Karagiannidis

2021

Med Klin Intensivmed Notfmed

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Zusammenfassung Hintergrund Auch im Herbst 2021 droht trotz der steigenden Impfquoten gegen SARS-CoV-2 aufgrund saisonaler Veränderungen und der damit verbundenen erhöhten Infektionsraten eine erneute Infektionswelle mit einhergehender erneuter möglicher starker Belastung der Intensivmedizin. Im Folgenden sind verschiedene Szenarien mithilfe mathematischer Modelle simuliert, die unter der Annahme bestimmter Voraussetzungen eine Einschätzung hinsichtlich der Auslastung der Intensivbettenkapazitäten im Herbst in bestimmten Grenzen ermöglichen. Methodik Die Simulation der Szenarien verwendet ein stationäres Modell, ergänzt um den Effekt der Impfungen. Das altersgruppenspezifische Risikoprofil für einen intensivpflichtigen Krankheitsverlauf wird anhand von Einweisungsdaten der 3. Welle auf Intensivstationen in Sentinel-Kliniken, den lokalen DIVI-Register-Belegungsdaten sowie den entsprechenden lokalen Inzidenzen durch lineare Regression mit Zeitversatz berechnet. Wir simulieren hierbei Impfquoten von 15 % für die U18-Kohorte, 70 % für die 15- bis 34-jährige Kohorte, 75/80/85 % für die Kohorte von 35 bis 59 Jahren sowie 85/90/95 % für die Ü60-Kohorte. Die Simulationen berücksichtigen, dass eine Impfung zu 100 % vor einem intensivpflichtigen Krankheitsverlauf schützt. Für den Schutz vor Infektion der Geimpften wurden die Simulationen zum einen für das Szenario Impfschutz für 70 % der Geimpften und zum anderen für das Szenario Impfschutz für 85 % der Geimpften dargestellt. Ergebnisse Die Intensivbettenauslastung verläuft proportional zur Inzidenz. Der Faktor für dieses Verhältnis (Proportionalitätsfaktor) ist höher als in der 2. und 3. Welle, sodass vergleichbare Intensivbettenbelegungen erst bei höherer Inzidenz erreicht werden. Eine 10 %ige Steigerung der Impfquoten der Ü35 auf 85 % und der Ü60 auf 95 % führt zu einer erheblich verringerten Intensivbettenbelegung. Diskussion Es besteht auch in den kommenden Monaten eine enge und lineare Beziehung zwischen der SARS-CoV-2-Inzidenz und der Intensivbettenbelegung. Bereits ab Inzidenzen von 200/100.000 ist wieder eine erhebliche Belastung der Intensivstationen mit mehr als 3000 COVID-19-Patienten zu erwarten, sofern die Impfquote nicht noch deutlich gesteigert wird. Wenige Prozentpunkte in der Impfquote haben eine erhebliche Auswirkung auf die potenzielle Intensivbelegung im Herbst, sodass Bemühungen um die Steigerung der Impfakzeptanz in den kommenden Wochen im Vordergrund stehen sollten. Für die Intensivmedizin ist die Impfquote der über 35-Jährigen von entscheidender Bedeutung.

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Attitude towards vaccination against SARS-CoV-2

Cited by 12 publications

References 26 publications

COVID-19 Vaccination: Status and Willingness to Be Vaccinated among Employees in Health and Welfare Care in Germany

COVID-19 Vaccination: Status and Willingness to Be Vaccinated among Employees in Health and Welfare Care in Germany

Knowledge, attitude and behavior towards vaccinations among nursing- and health care students in Hesse. An observational study

Intensivbettenbedarf für COVID‑19 im Herbst/Winter 2021

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