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Pandemi Nedeniyle Sağlık Çalışanlarının İnfluenza Aşısına Yaklaşımı Değişti mi? Covid-19 Aşısına Bakış Açıları Nelerdir?

Yıl 2021, Cilt 11, Sayı 6, 870 - 874, 20.11.2021
https://doi.org/10.16899/jcm.929721

Öz

Giriş:Sağlık çalışanlarının influenza aşısı alımını artırmak, influenza enfeksiyonlarıyla ilişkili sağlık hizmetleri ve hastanelerin aşırı yüklenmesini önlemek, solunum salgınlarının yönetimini kolaylaştırmak gibi birçok sebepten koronavirüs pandemisinin yönetimine fayda sağlayacaktır. Bu çalışmada Covid-19 pandemisinin, influenza aşılaması ve Covid-19 aşısı üzerindeki etkilerinin amaçlandı. Metod:Bu çalışma 22-28.02.2021 tarihleri arasında survey üzerinden oluşturulan ankete sağlık çalışanlarının katıldığı tanımlayıcı tipte bir çalışmadır. Daha önceki influenza aşısı olma durumları ile bu yıl influenza aşısı ve Covid-19 aşısı olma durumları katılımcılara soruldu. Bunların meslek, riskli birimde çalışma ve kişilerin demografik özellikleriyle ilişkileri irdelendi. Bulgular:2019 yılında influenza aşısı yaptıranların oranı %19,1 (n=147) iken, 2020 yılında bu oran %27,5 (n=211) olarak tespit edilmiştir (p<0.001).2019 yılında influenza aşısı yaptıranlar 2020 yılında da aşılanmayı kabul etmiş (p<0.001)ve 2019 yılında aşı yaptırmadıysa 2020 yılında da yaptırmadığı görülmüştür(p<0.001). Doktorların her iki aşıyı da diğer gruplardan daha fazla kabul ettiği saptanmıştır. Covid aşısı yaptırmayı kabul edenler incelendiğinde, 2019 ve 2020’de influenza aşısı yaptıranların yaptırmayanlara göre anlamlı farklı kabul ettiği görülmüştür(p<0.001). Sonuç: Güvenliği bilinen, uzun yıllardır kullanılan influenza gibi aşıları bireylere kabul ettirebilmek için özellikle eğitim temelli çalışmalar yürütmek, bir tek bu hastalık için değil bulaş yolu aynı olan diğer hastalıkların aşılanması içinde önemli gibi görünmektedir.

Kaynakça

  • 1. Grohskopf, L.A., et al., Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices—United States, 2020–21 influenza season. MMWR Recommendations and Reports, 2020. 69(8): p. 1.
  • 2. Gostin, L.O. and D.A. Salmon, The dual epidemics of COVID-19 and influenza: vaccine acceptance, coverage, and mandates. Jama, 2020. 324(4): p. 335-336.
  • 3. Maltezou, H.C., K. Theodoridou, and G. Poland, Influenza immunization and COVID-19. Vaccine, 2020. 38(39): p. 6078.
  • 4. Patel, A. and D.B. Jernigan, Initial public health response and interim clinical guidance for the 2019 novel coronavirus outbreak—United States, December 31, 2019–February 4, 2020. Morbidity and mortality weekly report, 2020. 69(5): p. 140.
  • 5. Organization, W.H., WHO Director-General’s opening remarks at the media briefing on COVID-19;. March 11, 2020( https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-themedia-briefing-on-covid-19---11-march-2020).
  • 6. Hashemi, S.A., et al., Co‐infection with COVID‐19 and influenza A virus in two died patients with acute respiratory syndrome, Bojnurd, Iran. Journal of medical virology, 2020. 92(11): p. 2319-2321.
  • 7. Ma, S., et al., Clinical characteristics of critically ill patients co-infected with SARS-CoV-2 and the influenza virus in Wuhan, China. International Journal of Infectious Diseases, 2020. 96: p. 683-687.
  • 8. Earnest, J.T., et al., Coronavirus and influenza virus proteolytic priming takes place in tetraspanin-enriched membrane microdomains. Journal of virology, 2015. 89(11): p. 6093-6104.
  • 9. Eldanasory, O.A., A.A. Rabaan, and J.A. Al-Tawfiq, Can influenza vaccine modify COVID-19 clinical course? Travel Medicine and Infectious Disease, 2020. 37: p. 101872.
  • 10. Prematunge, C., et al., Factors influencing pandemic influenza vaccination of healthcare workers—a systematic review. Vaccine, 2012. 30(32): p. 4733-4743.
  • 11. Korkmaz, N., et al., Influenza vaccination rates, knowledge, attitudes and behaviours of healthcare workers in Turkey: A multicentre study. International Journal of Clinical Practice, 2021. 75(1): p. e13659.
  • 12. Gülnur, K. and N. Korkmaz, Sağlık Çalışanlarının İnfluenza Aşısına Yaklaşımı. Journal of Contemporary Medicine. 10(Erken Görünüm): p. 1-4.
  • 13. Kuster, S.P., et al., Incidence of influenza in healthy adults and healthcare workers: a systematic review and meta-analysis. PloS one, 2011. 6(10): p. e26239.
  • 14. Chiu, S., et al., Working with influenza-like illness: presenteeism among US health care personnel during the 2014-2015 influenza season. American journal of infection control, 2017. 45(11): p. 1254-1258.
  • 15. Chor, J.S., et al., Willingness of Hong Kong healthcare workers to accept pre-pandemic influenza vaccination at different WHO alert levels: two questionnaire surveys. Bmj, 2009. 339: p. b3391.
  • 16. Wang, K., et al., Intention of nurses to accept coronavirus disease 2019 vaccination and change of intention to accept seasonal influenza vaccination during the coronavirus disease 2019 pandemic: A cross-sectional survey. Vaccine, 2020. 38(45): p. 7049-7056.
  • 17. Geoghegan, S., K.P. O’Callaghan, and P.A. Offit, Vaccine safety: myths and misinformation. Frontiers in microbiology, 2020. 11: p. 372.
  • 18. Millner, V.S., et al., Influenza vaccination acceptance and refusal rates among health care personnel. Southern Medical Journal, 2010. 103(10): p. 993-998.
  • 19. Liao, Q., et al., Factors affecting intention to receive and self-reported receipt of 2009 pandemic (H1N1) vaccine in Hong Kong: a longitudinal study. PloS one, 2011. 6(3): p. e17713.
  • 20. Grech, V., C. Gauci, and S. Agius, Vaccine hesitancy among Maltese healthcare workers toward influenza and novel COVID-19 vaccination. Early human development, 2020.
  • 21. Grech, V., J. Bonnici, and D. Zammit, Vaccine hesitancy in Maltese family physicians and their trainees vis-a-vis influenza and novel COVID-19 vaccination. Early Human Development, 2020: p. 105259.
  • 22. Lin, C.J., et al., Importance of vaccination habit and vaccine choice on influenza vaccination among healthy working adults. Vaccine, 2010. 28(48): p. 7706-7712.
  • 23. Zarocostas, J., Healthcare workers should get top priority for vaccination against A/H1N1 flu, WHO says. 2009, British Medical Journal Publishing Group.
  • 24. Nuno, M., G. Chowell, and A. Gumel, Assessing the role of basic control measures, antivirals and vaccine in curtailing pandemic influenza: scenarios for the US, UK and the Netherlands. Journal of the Royal Society Interface, 2007. 4(14): p. 505-521.
  • 25. Hughes, M.M., et al., Projected population benefit of increased effectiveness and coverage of influenza vaccination on influenza burden in the United States. Clinical Infectious Diseases, 2020. 70(12): p. 2496-2502.

Has the Approach of Healthcare Workers to Influenza Vaccine Changed due to the Pandemic? What are their Perspectives on Covid-19 Vaccine?

Yıl 2021, Cilt 11, Sayı 6, 870 - 874, 20.11.2021
https://doi.org/10.16899/jcm.929721

Öz

Objectives: Increasing influenza vaccine intake in healthcare workers during the pandemic period will benefit the management of respiratory tract infections. This study aimed to investigate the effects of COVID-19 pandemic on influenza vaccination and COVID-19 vaccine. Methods: Healthcare workers were questioned over a survey about their status of having received the previous influenza vaccine and the influenza vaccine and COVID-19 vaccine this year. Their relationship with occupation, working in risky conditions and demographic characteristics of the individuals was investigated. Results: While the rate of those who received the influenza vaccine in 2019 was 19.1% (n=147) this rate was 27.5% (n=211) in 2020 (p<0.001). Those who received the influenza vaccine in 2019 accepted to receive the vaccine in 2020 as well (p<0.001) and it was observed that those who did not receive the vaccine in 2019 did not receive it in 2020, either (p<0.001). The rate of physicians who accepted both vaccines was higher than the rate of the other groups. When those who accepted to receive the COVID-19 vaccine were analyzed it was observed that the rate of those who accepted to receive the influenza vaccine in 2019 and 2020 was significantly higher than the rate of those who did not (p<0.001). Conclusion: Especially conducting training-based works in order to help the individuals accept influenza-like vaccines that are known to be safe and have been used for years seems to be important for the vaccination of not only this disease but also the other diseases with the same transmission route.

Kaynakça

  • 1. Grohskopf, L.A., et al., Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices—United States, 2020–21 influenza season. MMWR Recommendations and Reports, 2020. 69(8): p. 1.
  • 2. Gostin, L.O. and D.A. Salmon, The dual epidemics of COVID-19 and influenza: vaccine acceptance, coverage, and mandates. Jama, 2020. 324(4): p. 335-336.
  • 3. Maltezou, H.C., K. Theodoridou, and G. Poland, Influenza immunization and COVID-19. Vaccine, 2020. 38(39): p. 6078.
  • 4. Patel, A. and D.B. Jernigan, Initial public health response and interim clinical guidance for the 2019 novel coronavirus outbreak—United States, December 31, 2019–February 4, 2020. Morbidity and mortality weekly report, 2020. 69(5): p. 140.
  • 5. Organization, W.H., WHO Director-General’s opening remarks at the media briefing on COVID-19;. March 11, 2020( https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-themedia-briefing-on-covid-19---11-march-2020).
  • 6. Hashemi, S.A., et al., Co‐infection with COVID‐19 and influenza A virus in two died patients with acute respiratory syndrome, Bojnurd, Iran. Journal of medical virology, 2020. 92(11): p. 2319-2321.
  • 7. Ma, S., et al., Clinical characteristics of critically ill patients co-infected with SARS-CoV-2 and the influenza virus in Wuhan, China. International Journal of Infectious Diseases, 2020. 96: p. 683-687.
  • 8. Earnest, J.T., et al., Coronavirus and influenza virus proteolytic priming takes place in tetraspanin-enriched membrane microdomains. Journal of virology, 2015. 89(11): p. 6093-6104.
  • 9. Eldanasory, O.A., A.A. Rabaan, and J.A. Al-Tawfiq, Can influenza vaccine modify COVID-19 clinical course? Travel Medicine and Infectious Disease, 2020. 37: p. 101872.
  • 10. Prematunge, C., et al., Factors influencing pandemic influenza vaccination of healthcare workers—a systematic review. Vaccine, 2012. 30(32): p. 4733-4743.
  • 11. Korkmaz, N., et al., Influenza vaccination rates, knowledge, attitudes and behaviours of healthcare workers in Turkey: A multicentre study. International Journal of Clinical Practice, 2021. 75(1): p. e13659.
  • 12. Gülnur, K. and N. Korkmaz, Sağlık Çalışanlarının İnfluenza Aşısına Yaklaşımı. Journal of Contemporary Medicine. 10(Erken Görünüm): p. 1-4.
  • 13. Kuster, S.P., et al., Incidence of influenza in healthy adults and healthcare workers: a systematic review and meta-analysis. PloS one, 2011. 6(10): p. e26239.
  • 14. Chiu, S., et al., Working with influenza-like illness: presenteeism among US health care personnel during the 2014-2015 influenza season. American journal of infection control, 2017. 45(11): p. 1254-1258.
  • 15. Chor, J.S., et al., Willingness of Hong Kong healthcare workers to accept pre-pandemic influenza vaccination at different WHO alert levels: two questionnaire surveys. Bmj, 2009. 339: p. b3391.
  • 16. Wang, K., et al., Intention of nurses to accept coronavirus disease 2019 vaccination and change of intention to accept seasonal influenza vaccination during the coronavirus disease 2019 pandemic: A cross-sectional survey. Vaccine, 2020. 38(45): p. 7049-7056.
  • 17. Geoghegan, S., K.P. O’Callaghan, and P.A. Offit, Vaccine safety: myths and misinformation. Frontiers in microbiology, 2020. 11: p. 372.
  • 18. Millner, V.S., et al., Influenza vaccination acceptance and refusal rates among health care personnel. Southern Medical Journal, 2010. 103(10): p. 993-998.
  • 19. Liao, Q., et al., Factors affecting intention to receive and self-reported receipt of 2009 pandemic (H1N1) vaccine in Hong Kong: a longitudinal study. PloS one, 2011. 6(3): p. e17713.
  • 20. Grech, V., C. Gauci, and S. Agius, Vaccine hesitancy among Maltese healthcare workers toward influenza and novel COVID-19 vaccination. Early human development, 2020.
  • 21. Grech, V., J. Bonnici, and D. Zammit, Vaccine hesitancy in Maltese family physicians and their trainees vis-a-vis influenza and novel COVID-19 vaccination. Early Human Development, 2020: p. 105259.
  • 22. Lin, C.J., et al., Importance of vaccination habit and vaccine choice on influenza vaccination among healthy working adults. Vaccine, 2010. 28(48): p. 7706-7712.
  • 23. Zarocostas, J., Healthcare workers should get top priority for vaccination against A/H1N1 flu, WHO says. 2009, British Medical Journal Publishing Group.
  • 24. Nuno, M., G. Chowell, and A. Gumel, Assessing the role of basic control measures, antivirals and vaccine in curtailing pandemic influenza: scenarios for the US, UK and the Netherlands. Journal of the Royal Society Interface, 2007. 4(14): p. 505-521.
  • 25. Hughes, M.M., et al., Projected population benefit of increased effectiveness and coverage of influenza vaccination on influenza burden in the United States. Clinical Infectious Diseases, 2020. 70(12): p. 2496-2502.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Nesibe KORKMAZ
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA DIŞKAPI YILDIRIM BEYAZIT SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
0000-0002-2532-5157
Türkiye


Gülnur KUL (Sorumlu Yazar)
HATAY KIRIKHAN DEVLET HASTANESİ
0000-0001-7317-3461
Türkiye

Yayımlanma Tarihi 20 Kasım 2021
Kabul Tarihi 12 Eylül 2021
Yayınlandığı Sayı Yıl 2021, Cilt 11, Sayı 6

Kaynak Göster

AMA Korkmaz N. , Kul G. Has the Approach of Healthcare Workers to Influenza Vaccine Changed due to the Pandemic? What are their Perspectives on Covid-19 Vaccine?. J Contemp Med. 2021; 11(6): 870-874.