ArticleBMC infectious diseases2015
Sustained low influenza vaccination in health care workers after H1N1 pandemic: a cross sectional study in an Italian health care setting for at-risk patients.
Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- The long road of pandemic vaccine development to rollout: A systematic review on the lessons learnt from the 2009 H1N1 influenza pandemic.American journal of infection control · 2022Pooled it
- Hypertransaminasemia Is a Marker of Severity in Children Hospitalized for Influenza.Influenza and other respiratory viruses · 2026Article
- Qualitative exploration of COVID-19 vaccine uptake among healthcare workers in Sierra Leone: do the 'trusted messengers' trust the vaccine?BMJ public health · 2026Article
- West Nile Virus Infection: A Cross-Sectional Study on Italian Medical Professionals during Summer Season 2022.Tropical medicine and infectious disease · 2022Article
- Article
- Perception, knowledge and attitude towards influenza vaccine during COVID-19 pandemic in Jordanian population.European journal of integrative medicine · 2022Article
- Hesitancy towards COVID-19 Vaccination among Healthcare Workers: A Multi-Centric Survey in France.Vaccines · 2021Article
- While studies on COVID-19 vaccine is ongoing, the public's thoughts and attitudes to the future COVID-19 vaccine.International journal of clinical practice · 2021Article
- Article
- Factors associated with influenza vaccination of general medicine interns in Nancy, France, in 2017.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019Article
- Improving influenza vaccination uptake among healthcare workers by on-site influenza vaccination campaign in a tertiary children hospital.Human vaccines & immunotherapeutics · 2019Article
- Factors associated with influenza vaccination among healthcare workers in acute care hospitals in Canada.Influenza and other respiratory viruses · 2018Article
- Vaccine Safety and Surveillance for Adverse Events Following Immunization (AEFI) in India.Indian journal of pediatrics · 2018Review
- Beliefs, attitudes, and activities of healthcare personnel about influenza and pneumococcal vaccines.Human vaccines & immunotherapeutics · 2018Article
- Knowledge, attitudes and practices (KAP) towards vaccinations in the school settings: an explorative survey.Journal of preventive medicine and hygiene · 2017Article
- The Role of Sociodemographic and Psychological Variables on Risk Perception of the Flu.SAGE open · 2017Article
- Knowledge, attitudes, beliefs and practices of Occupational Physicians towards seasonal influenza vaccination: a cross-sectional study from North-Eastern Italy.Journal of preventive medicine and hygiene · 2017Article
- Attitudinal variables and a possible mediating mechanism for vaccination practice in health care workers of a local hospital in L'Aquila (Italy).Human vaccines & immunotherapeutics · 2017Article
- ADHERENCE TO INFLUENZA VACCINATION AMONG MEDICAL STUDENTS DURING AND AFTER INFLUENZA A (H1N1) PANDEMIC.Revista do Instituto de Medicina Tropical de Sao Paulo · 2016Article
- Immunization of Health-Care Providers: Necessity and Public Health Policies.Healthcare (Basel, Switzerland) · 2016Review
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite consistent recommendations by all Public Health Authorities in support of annual influenza vaccination for at-risk categories, there is still a low uptake of influenza vaccine in these groups including health care workers (HCWs). Aim of this observational two-phase study was to estimate the immunization rates for influenza in four subsequent seasons and for pandemic H1N1 influenza in HCWs of a University Hospital, and to investigate its distribution pattern and the main determinants of immunization. Phase 1 data collection was performed in 2009-2010, during the peak of H1N1 pandemic. Phase 2 data collection, aimed to investigate seasonal influenza vaccination coverage in the three seasons after pandemic, was performed in 2012-2013.
methodsThe overall H1N1 vaccination rate was derived by the Hospital immunization registry. In 2010, the personnel of three Departments (Infectious Diseases, Pediatrics and Gynecology/Obstetrics) completed a survey on influenza. A second-phase analysis was performed in 2012 to investigate influenza vaccination coverage in three consecutive seasons.
resultsThe first-phase survey showed a low coverage for influenza in all categories (17 %), with the lowest rate in nurses (8.1 %). A total of 37 % of health care workers received H1N1 vaccine, with the highest rate among physicians and the lowest in nurses. H1N1 vaccination was closely related to the Department, being higher in the Department of Infectious Diseases (53.7 %) and Pediatrics (42.4 %) than in Gynecology/Obstetrics (8.3 %). The second-phase survey showed the lowest rate of influenza vaccination in 2012/13 season. The main reasons for not being vaccinated were "Unsure of the efficacy of vaccine" and "Feel not at-risk of getting influenza or its complications". Despite recommendations, influenza vaccine uptake remains poor.
conclusionImmunization is largely perceived as a personal protection rather than a measure needed to prevent disease spreading to at-risk patients. Compulsory vaccination against influenza should be considered as a possible strategy, at least in health institutions where at-risk patients are admitted.
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