2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure
<i>Background:</i> Despite recommendations, the influenza vaccination coverage rate in healthcare workers (HCWs) in Italy is far from the recommended target. The aim of the study is to analyze the influenza vaccination campaign performed in 2019 in a research and teaching hospital in Mil...
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doaj-d97f7b15ed0e46d9b26c7170de68326e2020-11-25T03:03:50ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-05-01173881388110.3390/ijerph171138812019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its FailureManuel Maffeo0Ester Luconi1Ambra Castrofino2Emanuela Maria Campagnoli3Andrea Cinnirella4Federica Fornaro5Claudia Gallana6Pier Mario Perrone7Viktoriia Shishmintseva8Elena Pariani9Silvana Castaldi10Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, ItalyQuality Unit Fondazione IRCCS Ca’ Granda OMP, 20122 Milan, ItalyPostgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, ItalyPostgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, ItalyPostgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, ItalyPostgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, ItalyPostgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, ItalyPostgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, ItalyPostgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, ItalyPostgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, ItalyPostgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy<i>Background:</i> Despite recommendations, the influenza vaccination coverage rate in healthcare workers (HCWs) in Italy is far from the recommended target. The aim of the study is to analyze the influenza vaccination campaign performed in 2019 in a research and teaching hospital in Milan. <i>Methods:</i> The vaccination strategy included an ad hoc ambulatory, as in the previous years, and an onsite ambulatory, introduced for the first time. Personal data and professional categories were collected and analyzed using univariate logistic regression. HCWs who refused the vaccination were asked to fill in a questionnaire to explain their reasons for dissent. <i>Results:</i> The achieved vaccination coverage rate (VCR) for HCWs was 21.5 %, compared to 17.1% in 2018. The lowest VCR was registered among nurses (11.9%), while physicians had the highest VCR (40.7%). Prevalence ratios show that some professional categories were more frequently vaccinated for the first time than attending physicians (reference category); those with statistically significant confidence intervals were nurses (PR: 2.42; 95% CI: 1.78–3.28), residents (PR: 1.85; 95% CI: 1.36–2.53), and auxiliary staff (PR: 2.33; 95% CI: 1.45–3.74). <i>Conclusions:</i> An onsite vaccination strategy failed in providing a remarkable increase in VCR in 2019, but it is important to point out that the campaign was influenced by several logistic problems.https://www.mdpi.com/1660-4601/17/11/3881influenzahealth personnelvaccinationvaccination coveragevaccination refusal |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Manuel Maffeo Ester Luconi Ambra Castrofino Emanuela Maria Campagnoli Andrea Cinnirella Federica Fornaro Claudia Gallana Pier Mario Perrone Viktoriia Shishmintseva Elena Pariani Silvana Castaldi |
spellingShingle |
Manuel Maffeo Ester Luconi Ambra Castrofino Emanuela Maria Campagnoli Andrea Cinnirella Federica Fornaro Claudia Gallana Pier Mario Perrone Viktoriia Shishmintseva Elena Pariani Silvana Castaldi 2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure International Journal of Environmental Research and Public Health influenza health personnel vaccination vaccination coverage vaccination refusal |
author_facet |
Manuel Maffeo Ester Luconi Ambra Castrofino Emanuela Maria Campagnoli Andrea Cinnirella Federica Fornaro Claudia Gallana Pier Mario Perrone Viktoriia Shishmintseva Elena Pariani Silvana Castaldi |
author_sort |
Manuel Maffeo |
title |
2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure |
title_short |
2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure |
title_full |
2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure |
title_fullStr |
2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure |
title_full_unstemmed |
2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure |
title_sort |
2019 influenza vaccination campaign in an italian research and teaching hospital: analysis of the reasons for its failure |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-05-01 |
description |
<i>Background:</i> Despite recommendations, the influenza vaccination coverage rate in healthcare workers (HCWs) in Italy is far from the recommended target. The aim of the study is to analyze the influenza vaccination campaign performed in 2019 in a research and teaching hospital in Milan. <i>Methods:</i> The vaccination strategy included an ad hoc ambulatory, as in the previous years, and an onsite ambulatory, introduced for the first time. Personal data and professional categories were collected and analyzed using univariate logistic regression. HCWs who refused the vaccination were asked to fill in a questionnaire to explain their reasons for dissent. <i>Results:</i> The achieved vaccination coverage rate (VCR) for HCWs was 21.5 %, compared to 17.1% in 2018. The lowest VCR was registered among nurses (11.9%), while physicians had the highest VCR (40.7%). Prevalence ratios show that some professional categories were more frequently vaccinated for the first time than attending physicians (reference category); those with statistically significant confidence intervals were nurses (PR: 2.42; 95% CI: 1.78–3.28), residents (PR: 1.85; 95% CI: 1.36–2.53), and auxiliary staff (PR: 2.33; 95% CI: 1.45–3.74). <i>Conclusions:</i> An onsite vaccination strategy failed in providing a remarkable increase in VCR in 2019, but it is important to point out that the campaign was influenced by several logistic problems. |
topic |
influenza health personnel vaccination vaccination coverage vaccination refusal |
url |
https://www.mdpi.com/1660-4601/17/11/3881 |
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