title: Low vaccination coverage among italian healthcare workers in 2013.
abstract: Vaccination of healthcare workers (HCWs) reduces the risk of occupational infections, prevents nosocomial transmission and maintains healthcare delivery during outbreaks. Despite the European directive and national legislation on workers' protection, immunization coverage among HCWs has often been very low. In light of Italian National Vaccination Plan 2012-2014 recommendations, the aim of this study was to assess levels of immunization and factors influencing adherence to vaccinations needed for HCWs in Puglia region, South Italy. The study was conducted using an interview-based standardized anonymous questionnaire administered to hospital employees in the period November 2009-March 2011. A total of 2198 health professionals responded in 51/69 Apulian hospitals (median age: 45 years; 65.2% nurses, 22.6% doctors and 12.2% other hospital personnel). Vaccination coverage was 24.8% for influenza, 70.1% for hepatitis B, 9.7% for MMR, 3.6% for varicella, and 15.5% for Td booster. Receiving counselling from occupational health physicians (OHPs) was associated with influenza (OR = 1.8; 95%CI = 1.5-2.2; P &lt; 0.001), hepatitis B (OR = 4.9; 95%CI = 3.9-6.3; P &lt; 0.001), varicella (OR = 43.7; 95%CI = 18.9-101.7; P &lt; 0.001), MMR (OR = 8.8; 95%CI = 4.1-18.6; P &lt; 0.001) and tetanus (OR = 50.5; 95%CI = 30.1-88.3; P &lt; 0.001) vaccine uptake.   OHPs should be trained with standard guidelines specific for healthcare settings and HCWs' risk groups to facilitate their crucial role in improving vaccine coverage among HCWs and increase awareness on the duty to protect both employees and patients.
authors.affiliation: a Department of Medical and Surgical Sciences; University of Foggia; Foggia, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Fortunato
authors.forename: Silvio
authors.initials: S
authors.lastname: Tafuri
authors.forename: Vanessa
authors.initials: V
authors.lastname: Cozza
authors.forename: Domenico
authors.initials: D
authors.lastname: Martinelli
authors.forename: Rosa
authors.initials: R
authors.lastname: Prato
mesh_terms: D000328:Adult; D000368:Aged; D001428:Bacterial Vaccines / Q000008:administration & dosage; D003428:Cross Infection / Q000517:prevention & control; D005260:Female; D019983:Guideline Adherence; D006282:Health Personnel; D006761:Hospitals; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000517:prevention & control; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data; D014765:Viral Vaccines / Q000008:administration & dosage; D055815:Young Adult
chemical_list: D001428:Bacterial Vaccines; D014765:Viral Vaccines
keywords: Td booster; healthcare workers; hepatitis B; influenza; measles; mumps; rubella; vaccine; varicella