Poor health care worker vaccination coverage and knowledge of vaccination recommendations in a tertiary Australia hospital.

Abstract:

OBJECTIVES:Guidelines for vaccination of health care workers (HCWs) have been available in Victoria since 1998. We estimated knowledge and attitudes towards vaccination among HCWs as well as self-reported vaccination status in a tertiary adult hospital in Melbourne, Australia. METHODS:A cross-sectional survey was conducted in July 2000 using a telephone questionnaire and proportionate random sampling. RESULTS:Only 18% of 269 HCWs were fully vaccinated. Most (76%) had not heard of or seen current guidelines for HCW vaccination despite a stated belief in the importance of full vaccination (94%) and a willingness to update their vaccination status if necessary (96%). Less than half kept vaccination records (39%). Hepatitis B vaccination (95%) was most commonly completed. However, only half of all HCWs had received influenza vaccination in the past 12 months and other vaccines often had suboptimal coverage. A common reason cited for avoiding vaccination was concern over vaccine side effects (17%). While the hospital staff clinic was an acceptable site for vaccination, improved access was seen as important. CONCLUSIONS:HCW vaccination coverage and knowledge of vaccination requirements were poor. Concerns about vaccine side effects were common. IMPLICATIONS:Adequately resourced HCW vaccination programs that include ongoing education for HCWs and improved access to vaccination are necessary to improve vaccination coverage and reduce the risk of vaccine-preventable diseases among staff and patients.

authors

Murray SB,Skull SA

doi

10.1111/j.1467-842x.2002.tb00273.x

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

65-8

issue

1

eissn

1326-0200

issn

1753-6405

journal_volume

26

pub_type

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