title: Knowledge, attitudes and vaccination coverage of healthcare workers regarding occupational vaccinations.
abstract: OBJECTIVE
  Immunization of healthcare workers (HCWs) is a major issue for infection control in healthcare facilities. The aim of this study was to evaluate knowledge regarding occupational vaccinations, HBV, varicella and influenza vaccination rates and attitudes towards influenza vaccine among HCWs.
  
  
  METHODS
  A cross-sectional survey was conducted in two wards (Medicine and Paediatrics) of a 1182-bed teaching hospital in Paris, France.
  
  
  METHODS
  A standardized, anonymous, self-administered questionnaire was used.
  
  
  RESULTS
  Of 580 HCWs, 395 (68%) completed the questionnaire. Knowledge about the occupational vaccinations of HCWs was low. HBV (69%), tuberculosis (54%) and influenza (52%) were the most cited vaccinations. Paediatric staff was more aware of influenza and pertussis immunizations (p<.05). HBV vaccination rate was 93%, among whom 65% were aware of their immune status. Influenza vaccination rate for 2006-2007 was 30% overall, ranging from 50% among physicians to 20% among paramedical staff (p<.05). Physicians based their refusal on doubts about vaccine efficacy, although paramedics feared side effects. Influenza vaccination was associated with knowledge of vaccine recommendations [OR=1.75, 95% CI: 1.13-2.57] and contact with patients [OR=3.05, 95% CI: 1.50-5.91].
  
  
  CONCLUSIONS
  Knowledge of recommended occupational vaccinations is insufficient in HCWs, except for HBV and influenza. Although the HBV vaccine coverage of HCWs is satisfactory, a large proportion of them is unaware of immune status. Influenza vaccine coverage remains low, especially among paramedical staff because of fear of side effects. As vaccine coverage is associated with knowledge, educational campaigns should be strengthened to increase the adhesion of HCWs to vaccinations.
authors.affiliation: Université Paris Descartes, Faculté de médecine, INSERM, CIC BT 505, Assistance Publique-Hôpitaux de Paris (AP-HP), Groupe Hospitalier Cochin-Saint Vincent de Paul, Pôle de Médecine, CIC de Vaccinologie Cochin Pasteur, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Loulergue
authors.forename: F
authors.initials: F
authors.lastname: Moulin
authors.forename: G
authors.initials: G
authors.lastname: Vidal-Trecan
authors.forename: Z
authors.initials: Z
authors.lastname: Absi
authors.forename: C
authors.initials: C
authors.lastname: Demontpion
authors.forename: C
authors.initials: C
authors.lastname: Menager
authors.forename: M
authors.initials: M
authors.lastname: Gorodetsky
authors.forename: D
authors.initials: D
authors.lastname: Gendrel
authors.forename: L
authors.initials: L
authors.lastname: Guillevin
authors.forename: O
authors.initials: O
authors.lastname: Launay
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000517:prevention & control*; D010297:Paris; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult