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Current preventive policies and practices against Vaccine-Preventable Diseases and tuberculosis targeted for workers from hospitals of the Sardinia Region, Italy

机译:针对意大利撒丁岛地区医院工作人员的针对疫苗可预防的疾病和结核病的现行预防政策和措施

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摘要

Introduction. Health care Workers are exposed to infectious diseases more than the general population. Many of these infections are preventable by vaccination. The objective in this study is to investigate whether, how, and which vaccination underwent Sardinia Health Care Workers (HCWs) and the variability of policies in different Hospital Health Managements of the whole region. Methods. In March 2013, we enrolled the Hospital Health Management of all the 32 Sardinia hospitals. We investigate on immunity against vaccine-preventable diseases and education campaigns about recommended vaccinations for HCWs. Flu, hepatitis B, measles-mumps-rubella, varicella and tuberculosis were the objects of our research. Results. In most of the hospitals, influenza vaccination coverage among HCWs is less than 6%. Hepatitis B antibody assay was performed in all the respondent hospitals but only 14 had available data as collected electronically. Most of the hospitals did not perform serological tests for the evaluation of antibodies against Varicella, Measles, Mumps and Rubella in their HCWs. In 30 hospitals Mantoux test was replaced or integrated by "in vitro" test for health surveillance protocols. Conclusions. This method produced a large amount of data in small time and at a low cost. Sending back data to respective Hospital Health Management (HHM) we took a step towards greater awareness of the issue of biological risks of HCWs and of vaccine coverage.
机译:介绍。卫生保健工人比普通人群更容易感染传染病。通过疫苗接种可以预防许多此类感染。这项研究的目的是调查撒丁岛卫生保健工作者(HCW)是否,如何以及进行了何种疫苗接种,以及整个地区不同医院卫生管理部门的政策差异。方法。 2013年3月,我们加入了撒丁岛所有32家医院的医院健康管理。我们调查了针对疫苗可预防疾病的免疫力,并开展了针对医护人员的建议疫苗接种的宣传运动。流感,乙型肝炎,麻疹,腮腺炎,风疹,水痘和结核病是我们研究的对象。结果。在大多数医院中,医护人员中的流感疫苗接种率不到6%。在所有响应医院中均进行了乙型肝炎抗体测定,但只有14家具有电子收集的可用数据。大多数医院没有进行血清学检查以评估其HCW中的水痘,麻疹,腮腺炎和风疹抗体。在30所医院中,Mantoux测试被“体外”测试取代或整合为健康监测方案。结论。这种方法可在短时间内以低成本生成大量数据。将数据发送回各自的医院健康管理部门(HHM),我们迈出了一步,进一步意识到了医护人员的生物学风险和疫苗覆盖率问题。

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