Nedene yönelik çözümlerle artan aşılanma oranları: ikinci basamak hastane örneği

Öz

Amaç: Aynı hastanede daha önce yapılan bir çalışmada, 2013-2014 sezonunda personelin mevsimsel grip aşısı MGA ve hepatit B virüsü HBV aşısı konusunda eğitim ve motivasyona ihtiyacı olduğu saptanmıştır. Gerekli eğitici faaliyetlerden sonra yeniden değerlendirme yapılması hedeflenmiştir. Bu çalışma ile hastanede bağışıklama konusundaki sorunların çözümünde elde edilen başarının değerlendirilmesi amaçlanmıştır.Yöntem: Bu çalışma, Enfeksiyon Kontrol Komitesi EKK ’nin 01.01.2015 - 01.05.2016 tarihleri arasındaki kayıtları kullanılarak retrospektif olarak yapılmıştır. Hastanemizde sözü edilen dönemde, EKK tarafından MGA ve HBV aşılaması ile tarama testlerinin amacı, yararları, yan etkileri, risk grupları gibi konularda toplu eğitimler verilmiştir. Gerekli görülen hallerde bireysel yüz yüze görüşme şeklinde eğitim faaliyetleri uygulanmıştır. motive edici görüşmeler yapılmıştır. Bu aktivitelerin sonunda personelin HBV ve hepatit C virüsü HCV için serolojik tarama testleri yapılmıştır. HBV’ye duyarlı personele üçlü aşı takvimine uygun olarak aşılama yapılmış ve antikor yanıtları takip edilmiştir. Personele study were transferred to SPSS IBM 22.0 statistical software, and a p

Anahtar Kelimeler

• sağlık personeli, aşılama, hepatit B virüsü, mevsimsel grip aşısı

Increased rates of vaccination among healthcare workers through cause-directed solutions: a state hospital example

Öz

Objective: It was observed in our hospital in the 2013-2014 period that the need existed for the education and motivation of the staff about seasonal flu vaccine SFV and hepatitis B virus HBV vaccinations.This study was performed to evaluate the success obtained with the solution to the problems related to immunization that were previously uncovered in our hospital.Methods: Data of this study were retrospectively collected from the 2015 and 2016 records of the Infection Control Committee ICC . During the mentioned period, the ICC performed educational activities regarding the objective, benefits, adverse effects and risk groups of SFV and HBV vaccinations and screening tests, including face-to-face interviews, if necessary. Motivational interviews were conducted with staff who were afraid of the injection. After these activities, serolologic tests for HBV and hepatitis C virus HCV were carried out on personnel. HBV-sensitive staff were administered a triple vaccine, and their antibody reponses were monitored. A 2015-2016 SFV was administered. Participants’ age, gender, occupation, department of work, HBV serology outcomes, screening test and reasons for not desiring vaccination with SFV were recorded. The data of the study were transferred to SPSS IBM 22.0 statistical software, and a p

Anahtar Kelimeler

• healthcare personnel, vaccination, hepatitis B virus, seasonal flu vaccine

Kaynakça

1. Puro V, De Carli G, Cicalini S, Soldani F, Balslev U, Begovac J, et al. European recommendations for the management of healthcare workers occupationally exposed to hepatitis B virus and hepatitis C virus. Eurosurveillance, 2005;10(10):1–9.
2. Anonymous. Genişletilmiş Bağışıklama Programı Genelgesi. Ankara: T.C. Sağlık Bakanlığı Temel Sağlık hizmetleri Genel Müdürlüğü. 2009: B100TSH0110005. Tarih: 13.03.2009/7941. 2009. http://www.saglik. gov.tr/TR/belge/1-8187/genisletilmis-bagisiklama- programi-genelgesi-2009.html, (Accessed: Nov,02, 2016).
3. Dokuzoguz B. Updated vaccine recommendation in health care workers. Ankem, 2014; 28(Ek 2): 199–206.
4. Ertek M, Sevencan F, Kalaycioglu H. Pandemic influenza A (H1N1) vaccination status and factors affecting vaccination: Ankara and Diyarbakir 2009 data from Turkey. Microbiol Bul, 2011; 45(4): 684– 96.
5. Savaser S, Canbulat N, Sahin S. Awareness stages of nursing students about ınfluenza A (H1N1) and it’s vaccine. J İÜFN Hem, 2011; 19(3): 122–8.
6. Gazmararian JA, Coleman M, Prill M, Hinman AR, Ribner BS, Washington ML, et al. Influenza vaccination of health care workers: policies and practices of hospitals in a community setting. Am J Infect Control, 2007; 35(7): 441–7.
7. Launay O, Le Strat Y, Tosini W, Kara L, Quelet S, Lévy S, et al. Impact of free on-site vaccine and/ or healthcare workers training on hepatitis B vaccination acceptability in high-risk subjects: a pre-post cluster randomized study. Clin Microbiol Infect, 2014; 20(10): 1033–9.
8. Karacaer Z, Ozturk I, Cicek H, Simsek S, Duran G, Gorenek L. The knowledge, attitudes and behaviors on immunization of healthcare workers. TAF Prev Med Bull, 2015; 14(6): 353.

9. Koruk I, Tekin Koruk S, Tuncer K, Demir C, Kara B, Seyhanoglu AS. The immunization level of healthcare workers against occupational infectious diseases in Şanlıurfa. Klimik, 2014; 27(2): 48–56.
10. Baysal B, Kaya S. Seroprevalance of HBV, HCV and HIV among health care workers in a training and research hospital. Viral Hepatitis J, 2012; 18(3): 94– 7.
11. Chaudhari CN, Bhagat MR, Ashturkar A, Misra RN. Hepatitis B immunisation in health care workers. MJAFI, 2009; 65(1): 13–7.
12. Gavazzi G. Influenza vaccination for healthcare workers: from a simple concept to a resistant issue? Aging Clin Exp Res, 2009; 21(3): 216–21.
13. Wilde JA, McMillan JA, Serwint J, Butta J, O’Riordan MA, Steinhoff MC. Effectiveness of influenza vaccine in health care professionals: a randomized trial. J Am Med Assoc, 1999; 281(10): 908–13.
14. Couto CR, Pannuti CS, Paz JP, Fink MCD, Machado AA, de Marchi M, et al. Fighting misconceptions to improve compliance with influenza vaccination among health care workers: an educational project. PLoS One, 2012; 7(2): 1–6.
15. Leitmeyer K, Buchholz U, Kramer M, Schenkel K, Stahlhut H, Köllstadt M, et al. Influenza vaccination in German health care workers: effects and findings after two rounds of a nationwide awareness campaign. Vaccine, 2006; 24 (47–48): 7003–8.
16. Esposito S, Bosis S, Pelucchi C, Tremolati E, Sabatini C, Semino M, et al. Influenza vaccination among healthcare workers in a multidisciplinary University hospital in Italy. BMC Public Health, 2008; 8(422): 1–10.
17. Maltezou HC, Maragos A, Katerelos P, Paisi A, Karageorgou K, Papadimitriou T, et al. Influenza acceptance vaccination workers: a nationwide survey. Vaccine, 2008; 26:1408–10. among health-care
18. Qureshi AM, Hughes NJM, Murphy E, Primrose WR. Factors influencing uptake of influenza vaccination among hospital-based health care workers. Occup Med, 2004; 54(3): 197–201.
19. Schmidt S, Saulle R, Di Thiene D, Boccia A, La Torre G. Do the quality of the trials and the year of publication affect the efficacy of intervention to improve seasonal influenza vaccination among healthcare workers? results of a systematic review. Hum Vaccines Immunother, 2013; 9(2): 1–13.