Low tetanus-diphtheria-acellular pertussis (Tdap) vaccine coverage among healthcare workers in a quaternary university hospital in São Paulo, Brazil: need for continuous surveillance and implementation of active strategies
Braz. j. infect. dis
; Braz. j. infect. dis;23(4): 231-236, July-Aug. 2019. tab, graf
Article
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| LILACS
| ID: biblio-1039230
Biblioteca responsable:
BR1.1
ABSTRACT
Abstract Introduction:
Vaccination with tetanus-diphtheria-acellular pertussis (Tdap) has been recommended for healthcare workers (HCWs) by Brazilian Ministry of Health since November 2014.Objective:
To describe the strategies implemented to improve Tdap uptake, cumulative vaccine coverage after each intervention, variables associated to Tdap vaccination, and reasons for non-vaccination among HCWs of the main building of a quaternary hospital attached to the Sao Paulo University Medical School.Methods:
A list of HCWs eligible for pertussis vaccination was generated. From April to December 2015, the following interventions were implemented note on intern journal reminding the importance of pertussis vaccination; email to the head nurses strengthening vaccine recommendations; lectures on pertussis and Tdap for physicians of Obstetrics and Neonatology Clinics; on-site vaccination by mobile teams at the Obstetrics, Neonatology, and Anesthesiology Clinics. Vaccine coverage was accessed at the end of each month. Multivariate Poisson regression model with a robust error variance was used to evaluate variables associated with Tdap vaccination. Reasons for non-vaccination were evaluated from January to May 2017 through phone calls for HCWs who had not received Tdap.Results:
The study included 456 HCWs. After the interventions, Tdap coverage raised from 2.8% to 41.2%. In the multivariate analysis, occupation (physician), working place (obstetrics or anesthesiology) and influenza vaccination in 2015 were independently associated to Tdap vaccination. The main reason for non-vaccination was unawareness of Tdap recommendations.Conclusions:
Tdap uptake among HCWs was low in our hospital. Providing vaccination at convenient places/times for HCW seems to be the most efficient strategy to increase vaccine uptake.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Contexto en salud:
14_ODS3_health_workforce
Problema de salud:
14_implementation_strategies_healthcare_workers
Asunto principal:
Personal de Salud
/
Vacunas contra Difteria, Tétanos y Tos Ferina Acelular
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Cobertura de Vacunación
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Hospitales Universitarios
Tipo de estudio:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Screening_studies
Aspecto:
Implementation_research
Límite:
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
America do sul
/
Brasil
Idioma:
En
Revista:
Braz J Infect Dis
/
Braz. j. infect. dis
/
Braz. j. infect. dis. (Online)
/
Brazilian journal of infectious diseases (Impresso)
Asunto de la revista:
DOENCAS TRANSMISSIVEIS
Año:
2019
Tipo del documento:
Article
País de afiliación:
Brasil