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Hepatitis B vaccination programs for hospital workers: results of a statewide survey.

Abstract：

:To assess the implementation of hepatitis B virus (HBV) vaccination programs for hospital workers, we mailed questionnaires to all 229 licensed Michigan hospitals. The response rate was 96% (221/229); of these, 68% (150/221) had vaccination programs. Although multiple hospital characteristics were associated with the presence of a vaccination program, characteristics that independently predicted the presence of a program were medical school affiliation, nonpsychiatric specialty, and the existence of a hepatitis B immune globulin protocol. The most common reason given (56%, 40/71) for the absence of a program was insufficient worker risk of hepatitis B infection; this response was frequent in psychiatric (91%, 10/11) and rural hospitals (61%, 11/18). Among high-risk workers, attending physicians were less likely than other high-risk workers to be included in vaccination programs (68% vs. 95%, respectively). Fear of vaccine-associated acquired immunodeficiency syndrome was most frequently cited as the primary reason for vaccine refusal. We conclude that unwarranted fears about the vaccine's safety need to be dispelled, that high-risk physicians should be included in vaccination programs, and that rural and psychiatric hospital policies reflect their perceived risk of occupational HBV infection.

journal_name

Am J Infect Control

journal_title

American journal of infection control

authors

Sienko DG,Anda RF,McGee HB,Weber JA,Remington PL,Hall WN,Gunn RA

doi

10.1016/0196-6553(88)90059-4

subject

Has Abstract

pub_date

1988-10-01 00:00:00

pages

193-7

issue

5

eissn

0196-6553

issn

1527-3296

pii

0196-6553(88)90059-4

journal_volume

16

pub_type

杂志文章

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