Healthcare workers’ knowledge, beliefs, and coverage regarding vaccinations in critical care units in Italy

Napolitano, Francesco; Bianco, Aida; D’Alessandro, A.; Papadopoli, Rosa; Angelillo, Italo Francesco

doi:10.1016/j.vaccine.2019.09.053

Cited by 44 publications

(59 citation statements)

References 33 publications

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“…Indeed, since it is well established that HCWs play a role in nosocomial transmission of infectious diseases, the low-level coverage of those susceptible did not contribute to limit the spread of infections and might not provide indirect protection for the patients. The findings of previous investigations showed a higher coverage for several vaccinations in different groups of HCWs compared to the results of this survey, with values of 41.7% [21] and 45.7% [22] for influenza in Slovenia and France, respectively; values of 93.7% and 80.5% were reported for diphtheria-tetanus-acellular-pertussis and measles-mumps-rubella in Italy, respectively [12]; values of 88% and 72% were reported for diphtheria-tetanus-poliomyelitis and pertussis in France, respectively [23]; and a value of 50.5% was reported for pertussis in Australia [24]. One possible explanation for the observed poor immunization coverage could be the lack of free on-site vaccines at work.…”

Section: Discussioncontrasting

confidence: 59%

“…Furthermore, the results of the multivariate regression analysis showed that a higher level of knowledge and more frequent recommendation of vaccinations to the patients were more likely to be observed in physicians and in the younger age group. Additionally, previous investigations have found that doctors have a higher knowledge of vaccine-related topics than nurses [12,19,20]. This may be due to the fact that more coursework concerning vaccinations has emerged in medical degrees in recent years.…”

Section: Discussionmentioning

confidence: 97%

“…Reports worldwide have been carried out to examine the knowledge, attitudes, and practices of HCWs in relation to vaccinations [7][8][9]. Despite the low vaccination uptake rates in Italy, there have been few previous studies conducted to explore the knowledge, attitudes, and practices of HCWs [10][11][12]. Thus, the primary objective of the current investigation was to assess the knowledge, attitudes, and practices regarding the recommended vaccinations among a large sample of HCWs in Italy.…”

Section: Introductionmentioning

confidence: 99%

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Healthcare Workers’ Knowledge, Attitudes, and Practices about Vaccinations: A Cross-Sectional Study in Italy

et al. 2020

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The cross-sectional study assessed the knowledge, attitudes, and practices regarding the recommended vaccinations and factors affecting such outcomes among a sample of healthcare workers (HCWs) in public hospitals in Italy. Only 14.1% knew all the recommended vaccinations for HCWs. Physicians and those who had received information about vaccinations from scientific journals, educational activities, or professional associations were more likely to have this knowledge, while those aged 36–45 were more likely to have less knowledge than those in the age group below 36 years. Only 57.3% agreed that the information received about vaccinations was reliable. Respondents who had children, who worked in pediatric/neonatal wards, who were more knowledgeable, or who did not need further information about vaccinations considered the available information to be reliable. Only 17.7% of respondents always recommended vaccinations to their patients. This behavior was more likely to occur in physicians, in HCWs, in pediatric/neonatal wards, in those who considered the information received about vaccinations reliable, and in those who considered themselves to be at high risk of transmitting an infectious disease to their patients. Health promotion programs and efforts are needed to improve the level of knowledge about vaccinations and immunization coverage among HCWs.

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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Healthcare Workers’ Knowledge, Attitudes, and Practices about Vaccinations: A Cross-Sectional Study in Italy

et al. 2020

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“…26 For example, providing communication training to healthcare workers, together with tailored information sheets and patient education websites, should be evaluated for increasing SIV uptake, as it has been shown to be an effective strategy for increasing uptake for HPV vaccine. 28 As healthcare workers are also prone to vaccine hesitancy, 29,30 and SIV coverage remains suboptimal among them in many countries, [29][30][31][32] health authorities should also promote and evaluate multicomponent interventions to promote SIV among healthcare professionals. The strengths of this study include its large sample size, and the use of a combination of different criteria to identify patients with diabetes with various clinical features (Supplementary Table 1).…”

Section: Discussionmentioning

confidence: 99%

Seasonal influenza vaccination among people with diabetes: influence of patients’ characteristics and healthcare use on behavioral changes

Bocquier

Cortaredona

Fressard

et al. 2020

Human Vaccines & Immunotherapeutics

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Annual seasonal influenza vaccination (SIV) is recommended for people with diabetes, but vaccine coverage remains low. We estimated the probabilities of stopping or starting SIV, their correlates, and the expected time spent in the vaccinated state over 10 seasons for different patient profiles. We set up a retrospective cohort study of patients with diabetes in 2006 (n = 16,026), identified in a representative sample of beneficiaries of the French National Health Insurance Fund. We followed them up over 10 seasons (2005/06-2015/16). We used a Markov model to estimate transition probabilities and a proportional hazards model to study covariates. Between two consecutive seasons, the probabilities of starting (0.17) or stopping (0.09) SIV were lower than those of remaining vaccinated (0.91) or unvaccinated (0.83). Men, older patients, those with type 1 diabetes, treated diabetes or more comorbidities, frequent contacts with doctors, and with any hospital stay for diabetes or influenza during the last year were more likely to start and/or less likely to stop SIV. The mean expected number of seasons with SIV uptake over 10 seasons (range: 2.6-7.9) was lowest for women <65 years with untreated diabetes and highest for men ≥65 years with type 1 diabetes. Contacts with doctors and some clinical events may play a key role in SIV adoption. Healthcare workers have a crucial role in reducing missed opportunities for SIV. The existence of empirical patient profiles with different patterns of SIV uptake should encourage their use of tailored educational approaches about SIV to address patients' vaccine hesitancy.

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“…In Italy, several studies have been conducted on HCW vaccination coverage [18][19][20][21][22], but few studies have investigated the knowledge and risk perception of vaccinations [23][24][25][26], and to our best knowledge, none specifically addressed PHPs.…”

Section: Introductionmentioning

confidence: 99%

Adherence to Vaccination Policy among Public Health Professionals: Results of a National Survey in Italy

et al. 2020

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Starting from 2013, the number of unvaccinated people alarmingly increased in Italy; therefore, in 2017 a new Vaccine National Plan was approved. Healthcare workers (HCWs), especially public health professionals (PHPs, i.e., workers in in the sector of hygiene and preventive medicine), have an important role in informing and promoting vaccinations. In this context, the Italian Study Group of Hospital Hygiene of the Italian Society of Hygiene, Preventive Medicine and Public Health (GISIO-SItI) conducted a national survey to assess knowledge, attitude, and practices towards recommended vaccinations among PHPs. The survey was conducted during October 2019 with an anonymous questionnaire distributed to PHPs attending the 52° SItI National Congress. Overall, 57.1% of operators answered correctly to all seven recommended vaccinations, 12.8% reported to be vaccinated for all seven recommended vaccinations, while 30% were naturally immunized. A higher immunization coverage was reported for anti-hepatitis B (88.9%) and measles (86.1%), and 81.3% of the participants reported being offered the influenza vaccination during the 2018/2019 season. The majority of our sample indicated that hepatitis B (95%) and influenza (93.7%) were the recommended vaccines for HCWs, while less was known regarding varicella, pertussis, diphtheria, and tetanus boosters every 10 years. PHPs who were vaccinated (or who intended to be vaccinated) were more likely to recommend vaccinations to their patients and provided a reassuring example to those hesitant patients. Finally, this is the first study that identified good algorithms (using the techniques of machine learning as Random Forest and Deep Learning) to predict the knowledge of PHPs regarding recommended vaccinations with possible applications in other national and international contexts.

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Healthcare workers’ knowledge, beliefs, and coverage regarding vaccinations in critical care units in Italy

Cited by 44 publications

References 33 publications

Healthcare Workers’ Knowledge, Attitudes, and Practices about Vaccinations: A Cross-Sectional Study in Italy

Healthcare Workers’ Knowledge, Attitudes, and Practices about Vaccinations: A Cross-Sectional Study in Italy

Seasonal influenza vaccination among people with diabetes: influence of patients’ characteristics and healthcare use on behavioral changes

Adherence to Vaccination Policy among Public Health Professionals: Results of a National Survey in Italy

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