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Acil Tıp Uzmanlarının Aşılanma Durumu ve Aşılara İlişkin Görüşleri: Kesitsel Bir Çalışma

Year 2023, Volume: 3 Issue: 1, 38 - 44, 12.04.2023
https://doi.org/10.58252/artukluder.1219670

Abstract

Amaç: Sağlık çalışanları yaptıkları işi doğası gereği bazı mesleki risklere maruz kalabilir ve bunlardan birisi de enfeksiyon hastalıklarıdır. Enfeksiyon hastalıklarından korunma yollarından biri de aşılamadır ve bu çalışma acil tıp uzmanlarının aşılanma durumlarını ve bakış açılarını değerlendirmek amacıyla gerçekleştirilmiştir.
Materyal ve Metot: Tanımlayıcı ve kesitsel tipteki bu çalışma acil servislerde görev yapan 311 acil tıp hekiminde yapılmıştır.
Bulgular: Katılımcıların, %22.5’i mevsimsel grip aşısı, %83.0’ı en az bir doz tetanos-difteri aşısı, %90.7’si en az bir doz hepatit b aşısı, %63.0’ı en az bir doz kızamık-kızamıkçık-kabakulak aşısı ve %43.1’i de en az bir doz suçiçeği aşısı yaptırmıştır. Araştırma görevlisi doktor unvanında görev yapanların %16.5’i, uzman doktor unvanında olanların %22.6’sı ve öğretim üyelerinin de %40.0’ı mevsimsel grip aşısı yaptırmıştır (p<0.05). Tam doz tetanos-difteri, hepatit b, kızamık-kızamıkçık-kabakulak ve suçiçeği aşıları yaptıranların tamamında aşı olarak hastalıklara karşı kişisel bağışıklık kazanmayı tercih edenler, hastalığı geçirerek bağışıklık kazanmayı tercih edenlere göre 2.90 ile 2.96 arası kat daha yüksektir (p<0.05).
Sonuç: Acil tıp hekimlerinin, sağlık çalışanlarına yapılması önerilen aşıları yaptırma oranları düşüktür. Acil tıp hekimlerin aşı oranlarının bilinmesi, hekimler özelinde tüm sağlık çalışanlarının aşılanma hizmetlerinin planlanmasında katkı sağlayabilir.

References

  • Doğan M. Public health approach in emergency health services. In: Doğan M editor. Paramedic. First ed. Academician Publishing House 2020 p:3-12.
  • Paksoy VM. Acil sağlık hizmetlerinde uluslararası uygulama modellerinin karşılaştırması: Anglo-Amerikan ve Franko-German modeli. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Dergisi. 2016;4:6-23.
  • Karcıoğlu Ö. Emergency medicine in Turkey: A summary of 26 years. Journal of ADEM. 2020;1:19-31.
  • Sağlık Bakanlığı Tıpta Uzmanlık Kurulu. Available from: https://tuk.saglik.gov.tr/Eklenti/43690/0/tuk-karar-1087----egitim-sureleri-05072022pdf.pdf Date: 04.09.2022.
  • Turkish Infectious Diseases and Clinical Microbiology Specialization Association (UKMED). Adult Immunization Guidelines 2019. 2019. Available from: https://www.ekmud.org.tr/emek/rehberler/1-ekmud-rehberleri Date: 04.09.2022.
  • Erken RR, Ergin A. Health care personnel’s attitudes and behaviors for vaccination recommendations of health care providers, Klimik Derg. 2019;32:259-64.
  • Ministry of Health. Guideline for prevention of infectious diseases in pre-hospital emergency health services. 2019. Available from: https://hsgm.saglik.gov.tr/depo/birimler/Bulasici-hastaliklar-db/hastaliklar/SHIE/Rehber/HASH_Enfeksiyon_Hastaliklarndan_Korunma_Rehberi.pdf Date: 04.09.2022.
  • Edirne T, Edirne Y, Atmaca B, Keskin S. Yüzüncü Yıl Üniversitesi tıp fakültesi acil servis hastalarının özellikleri. Van Tıp Dergisi. 2008;15:107-111.
  • Kabaroğlu K, Eroğlu S, Ecmel Onur Ö, Denizbaşı A, Akoğlu H. Factors that affect patient satisfaction in emergency department. Marmara Med J. 2013;26:82-89.
  • Esen H, Kaya Ü. Estimated number of patients applied to a training research hospital emergency department. Journal of Productivity. 2021;3:129-145.
  • Turkish Public Health Institution, Department of Vaccine Preventable Diseases. Circular on Risk Group Vaccinations. 2016. Available from: https://asirehberi.saglik.gov.tr/genelgeler/risk-grubu-genelgesi Date: 04.09.2022.
  • Song JY, Nahm MH, Cheong HJ, Kim WJ. Impact of preceding flu-like illness on the serotype distribution of pneumococcal pneumonia. PLoS One. 2014;9:e93477
  • Fıore AE, Shay DK, Haber P, Iskander JK, Uyeki TM, Mootrey G. et al. Advisory Committee on Immunization Practices (ACIP), Centers for Disease Control and Prevention (CDC). Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2007. MMWR Recomm Rep 2007;56(RR-6):1-54.
  • Ministry of Health. Turkey Healthcare-Associated Infections Prevention and Control Program 2019 – 2024. 2019. Available from: https://hsgm.saglik.gov.tr/depo/birimler/Bulasici-hastaliklar-db/hastaliklar/SHIE/Programlar/SHIE_PROGRAMI.pdf Date: 04.09.2022.
  • Akçay Ciblak M, Nohutçu N, Gürbüz İ, Badur S, Güldal D. Influenza and influenza vaccine in family practice: Is knowledge sufficient for practice? Türk Aile Hek Derg. 2012;16:157-163.
  • World Health Organization. World Health Statistics 2022. Available from: https://cdn.who.int/media/docs/default-source/gho-documents/world-health-statistic-reports/worldhealthstatistics_2022.pdf?sfvrsn=6fbb4d17_1 Date: 04.09.2022.
  • Centers for Disease Control and Prevention. Learn about how COVID-19 impacts those with viral hepatitis. Available from: https://www.cdc.gov/hepatitis/hbv/index.htm Date: 04.09.2022.
  • Türk Tabipleri Birliği. Birinci Basamak Sağlık Çalışanları İçin Aşı Rehberi. Available from: https://www.ttb.org.tr/kutuphane/asi_rehberi.pdf Date: 04.09.2022.
  • Erken RR. Attitudes and behaviors of healthcare workers about their required immunizations. PhD Thesis, Pamukkale University Faculty of Medicine, Department of Family Medicine, Denizli 2017.
  • Koruk İ, Tekin-Koruk S, Tuncer K, Demir C, Kara B, Şeyhanoğlu AZ. The immunization level of healthcare workers against occupational infectious diseases in Şanlıurfa. Klimik Dergisi. 2014;27:48-56.
  • Cılız N, Gazi H, Ecemiş T, Şenol Ş, Akçalı S, Kurutepe S. Seroprevalance of measles, rubella, mumps, varicella, diphtheria, tetanus and hepatitis B in healthcare workers. Klimik Dergisi. 2013;26:26-30.
  • Ünver-Ulusoy T, Tanyel E. Knowledge levels, perceptions, attitudes, and behaviors regarding flu, common cold, influenza vaccine and antimicrobial usage among physicians working at a university hospital. Klimik Dergisi. 2017;30:71-7.
  • Özyaman G. Physicians and nurses in a university hospitals, vaccination status to healthcare professionals and affecting factors. PhD Thesis, Zonguldak Bülent Ecevit University Faculty of Medicine, Department of Family Medicine, Zonguldak 2021.

Emergency Medicine Specialists’ Vaccination Status and their Views on Vaccines: A Cross-Sectional Study

Year 2023, Volume: 3 Issue: 1, 38 - 44, 12.04.2023
https://doi.org/10.58252/artukluder.1219670

Abstract

Objective: Health workers may be exposed to some occupational risks due to the nature of their work and one of them is infectious diseases. One of the ways to prevent infectious diseases is vaccination and this study was carried out to evaluate the vaccination status and perspectives of emergency medicine physicians.
Materials and Methods: This descriptive and cross-sectional study was conducted on 311 emergency medicine physicians working in emergency departments.
Results: Of the participants, 22.5% had seasonal flu vaccine, 83.0% had at least one dose of tetanus-diphtheria vaccine, 90.7% had at least one dose of hepatitis b vaccine, and 63.0% had at least one dose of the measles-rubella-mumps vaccine and 43.1% had at least one dose of chickenpox vaccine. 16.5% of those working as research assistants, 22.6% of specialists, and 40.0% of faculty members had the seasonal flu vaccine (p<0.05). Among those who had full dose tetanus-diphtheria, hepatitis b, measles-rubella-mumps, and chickenpox vaccines, those who preferred to gain personal immunity against diseases were between 2.90 and 2.96 times higher than those who preferred to gain immunity by passing the disease (p<0.05).
Conclusion: Emergency medicine physicians have low rates of vaccinations recommended for healthcare workers. Knowing the vaccination rates of emergency medicine physicians can contribute to the planning of vaccination services for all healthcare professionals, especially physicians.

References

  • Doğan M. Public health approach in emergency health services. In: Doğan M editor. Paramedic. First ed. Academician Publishing House 2020 p:3-12.
  • Paksoy VM. Acil sağlık hizmetlerinde uluslararası uygulama modellerinin karşılaştırması: Anglo-Amerikan ve Franko-German modeli. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Dergisi. 2016;4:6-23.
  • Karcıoğlu Ö. Emergency medicine in Turkey: A summary of 26 years. Journal of ADEM. 2020;1:19-31.
  • Sağlık Bakanlığı Tıpta Uzmanlık Kurulu. Available from: https://tuk.saglik.gov.tr/Eklenti/43690/0/tuk-karar-1087----egitim-sureleri-05072022pdf.pdf Date: 04.09.2022.
  • Turkish Infectious Diseases and Clinical Microbiology Specialization Association (UKMED). Adult Immunization Guidelines 2019. 2019. Available from: https://www.ekmud.org.tr/emek/rehberler/1-ekmud-rehberleri Date: 04.09.2022.
  • Erken RR, Ergin A. Health care personnel’s attitudes and behaviors for vaccination recommendations of health care providers, Klimik Derg. 2019;32:259-64.
  • Ministry of Health. Guideline for prevention of infectious diseases in pre-hospital emergency health services. 2019. Available from: https://hsgm.saglik.gov.tr/depo/birimler/Bulasici-hastaliklar-db/hastaliklar/SHIE/Rehber/HASH_Enfeksiyon_Hastaliklarndan_Korunma_Rehberi.pdf Date: 04.09.2022.
  • Edirne T, Edirne Y, Atmaca B, Keskin S. Yüzüncü Yıl Üniversitesi tıp fakültesi acil servis hastalarının özellikleri. Van Tıp Dergisi. 2008;15:107-111.
  • Kabaroğlu K, Eroğlu S, Ecmel Onur Ö, Denizbaşı A, Akoğlu H. Factors that affect patient satisfaction in emergency department. Marmara Med J. 2013;26:82-89.
  • Esen H, Kaya Ü. Estimated number of patients applied to a training research hospital emergency department. Journal of Productivity. 2021;3:129-145.
  • Turkish Public Health Institution, Department of Vaccine Preventable Diseases. Circular on Risk Group Vaccinations. 2016. Available from: https://asirehberi.saglik.gov.tr/genelgeler/risk-grubu-genelgesi Date: 04.09.2022.
  • Song JY, Nahm MH, Cheong HJ, Kim WJ. Impact of preceding flu-like illness on the serotype distribution of pneumococcal pneumonia. PLoS One. 2014;9:e93477
  • Fıore AE, Shay DK, Haber P, Iskander JK, Uyeki TM, Mootrey G. et al. Advisory Committee on Immunization Practices (ACIP), Centers for Disease Control and Prevention (CDC). Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2007. MMWR Recomm Rep 2007;56(RR-6):1-54.
  • Ministry of Health. Turkey Healthcare-Associated Infections Prevention and Control Program 2019 – 2024. 2019. Available from: https://hsgm.saglik.gov.tr/depo/birimler/Bulasici-hastaliklar-db/hastaliklar/SHIE/Programlar/SHIE_PROGRAMI.pdf Date: 04.09.2022.
  • Akçay Ciblak M, Nohutçu N, Gürbüz İ, Badur S, Güldal D. Influenza and influenza vaccine in family practice: Is knowledge sufficient for practice? Türk Aile Hek Derg. 2012;16:157-163.
  • World Health Organization. World Health Statistics 2022. Available from: https://cdn.who.int/media/docs/default-source/gho-documents/world-health-statistic-reports/worldhealthstatistics_2022.pdf?sfvrsn=6fbb4d17_1 Date: 04.09.2022.
  • Centers for Disease Control and Prevention. Learn about how COVID-19 impacts those with viral hepatitis. Available from: https://www.cdc.gov/hepatitis/hbv/index.htm Date: 04.09.2022.
  • Türk Tabipleri Birliği. Birinci Basamak Sağlık Çalışanları İçin Aşı Rehberi. Available from: https://www.ttb.org.tr/kutuphane/asi_rehberi.pdf Date: 04.09.2022.
  • Erken RR. Attitudes and behaviors of healthcare workers about their required immunizations. PhD Thesis, Pamukkale University Faculty of Medicine, Department of Family Medicine, Denizli 2017.
  • Koruk İ, Tekin-Koruk S, Tuncer K, Demir C, Kara B, Şeyhanoğlu AZ. The immunization level of healthcare workers against occupational infectious diseases in Şanlıurfa. Klimik Dergisi. 2014;27:48-56.
  • Cılız N, Gazi H, Ecemiş T, Şenol Ş, Akçalı S, Kurutepe S. Seroprevalance of measles, rubella, mumps, varicella, diphtheria, tetanus and hepatitis B in healthcare workers. Klimik Dergisi. 2013;26:26-30.
  • Ünver-Ulusoy T, Tanyel E. Knowledge levels, perceptions, attitudes, and behaviors regarding flu, common cold, influenza vaccine and antimicrobial usage among physicians working at a university hospital. Klimik Dergisi. 2017;30:71-7.
  • Özyaman G. Physicians and nurses in a university hospitals, vaccination status to healthcare professionals and affecting factors. PhD Thesis, Zonguldak Bülent Ecevit University Faculty of Medicine, Department of Family Medicine, Zonguldak 2021.
There are 23 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Research Articles
Authors

Mehmet Doğan 0000-0002-2971-7246

Muhammet Bayraktar 0000-0002-2242-8046

Emre Bulbul 0000-0003-2574-376X

Publication Date April 12, 2023
Submission Date December 15, 2022
Published in Issue Year 2023 Volume: 3 Issue: 1

Cite

APA Doğan, M., Bayraktar, M., & Bulbul, E. (2023). Emergency Medicine Specialists’ Vaccination Status and their Views on Vaccines: A Cross-Sectional Study. Artuklu International Journal of Health Sciences, 3(1), 38-44. https://doi.org/10.58252/artukluder.1219670
AMA Doğan M, Bayraktar M, Bulbul E. Emergency Medicine Specialists’ Vaccination Status and their Views on Vaccines: A Cross-Sectional Study. Artuklu International Journal of Health Sciences. April 2023;3(1):38-44. doi:10.58252/artukluder.1219670
Chicago Doğan, Mehmet, Muhammet Bayraktar, and Emre Bulbul. “Emergency Medicine Specialists’ Vaccination Status and Their Views on Vaccines: A Cross-Sectional Study”. Artuklu International Journal of Health Sciences 3, no. 1 (April 2023): 38-44. https://doi.org/10.58252/artukluder.1219670.
EndNote Doğan M, Bayraktar M, Bulbul E (April 1, 2023) Emergency Medicine Specialists’ Vaccination Status and their Views on Vaccines: A Cross-Sectional Study. Artuklu International Journal of Health Sciences 3 1 38–44.
IEEE M. Doğan, M. Bayraktar, and E. Bulbul, “Emergency Medicine Specialists’ Vaccination Status and their Views on Vaccines: A Cross-Sectional Study”, Artuklu International Journal of Health Sciences, vol. 3, no. 1, pp. 38–44, 2023, doi: 10.58252/artukluder.1219670.
ISNAD Doğan, Mehmet et al. “Emergency Medicine Specialists’ Vaccination Status and Their Views on Vaccines: A Cross-Sectional Study”. Artuklu International Journal of Health Sciences 3/1 (April 2023), 38-44. https://doi.org/10.58252/artukluder.1219670.
JAMA Doğan M, Bayraktar M, Bulbul E. Emergency Medicine Specialists’ Vaccination Status and their Views on Vaccines: A Cross-Sectional Study. Artuklu International Journal of Health Sciences. 2023;3:38–44.
MLA Doğan, Mehmet et al. “Emergency Medicine Specialists’ Vaccination Status and Their Views on Vaccines: A Cross-Sectional Study”. Artuklu International Journal of Health Sciences, vol. 3, no. 1, 2023, pp. 38-44, doi:10.58252/artukluder.1219670.
Vancouver Doğan M, Bayraktar M, Bulbul E. Emergency Medicine Specialists’ Vaccination Status and their Views on Vaccines: A Cross-Sectional Study. Artuklu International Journal of Health Sciences. 2023;3(1):38-44.

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