Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
COVID-19 Pandemisinin Üçüncü Basamak Bir Hastanedeki Sağlık Çalışanlarının Grip Aşısı Tercihlerine Etkisi: Tanımlayıcı Araştırma
The Impact of the COVID-19 Pandemic on Health Workers' Influenza Vaccine Preferences at a Tertiary Hospital: Descriptive Study
Saliha YARIMOĞLUa
aKaramanoğlu Mehmetbey Üniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji ABD, Karaman, Türkiye
Turkiye Klinikleri J Med Sci. 2023;43(4):360-71
doi: 10.5336/medsci.2023-98813
Article Language: TR
Full Text
ÖZET
 Amaç: İnfluenza ve koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] endemi ve pandemilere neden olabilen, risk grubundaki hastalarda mortal seyredebilen viral enfeksiyonlardır. Aşılama, bu enfeksiyonların önlenmesinde etkili bir uygulamadır. Bu çalışma, COVID-19 pandemisinin bir eğitim araştırma hastanesindeki sağlık çalışanlarının influenza aşısı tercihlerine etkisinin değerlendirilmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Ekim-Kasım 2021 tarihlerinde bir eğitim araştırma hastanesinde influenza aşısı yaptıran sağlık çalışanlarının dâhil edildiği tanımlayıcı tipte bir çalışmadır. Katılımcılara influenza ve COVID-19 aşıları tercihleriyle ilgili sorulan anket sorularına verilen cevaplar ve katılımcılara ait demografik özellikler kaydedildi ve analiz edildi. Bulgular: Çalışmada 87 katılımcıdan elde edilen veriler analiz edildi. Katılımcıların %40,2'si hemşire/ebe/teknisyen, %21,8'i doktor ve %37,9'u diğer hastane personeliydi. İnfluenza aşı tercihleri incelendiğinde, katılımcıların %43,7'sinin her sene, %26,4'ünün bazı yıllar, %12,6'sının geçen yıl COVID-19 salgınının etkisiyle ve %17,2'sinin bu yıl ilk kez influenza aşısı yaptırdığı görüldü. Katılımcıların %32,2'si influenza aşısının COVID-19'a karşı koruyucu etkisi olacağını düşünürken, %19,5'i etkisinin olmayacağını düşünmekteydi. Geri kalan katılımcıların bu konuda bir fikri ya da kararı yoktu. Katılımcıların grip aşısının COVID-19 hastalığına karşı koruyucu etkisi olduğuna dair görüşleri birlikte yaşadıkları kişilere ve mesleklerine göre farklılık gösterdi. Sonuç: Hastanemizdeki sağlık personelinin influenza aşısı olma alışkanlıkları irdelendiğinde pandemiyle birlikte influenza aşısına olan talebin arttığı görülmektedir. Bu artışta aşının mevsimsel influenza yanında COVID19 salgınına karşı koruyucu olabileceği düşüncesinin ön plana çıktığı görülmektedir.

Anahtar Kelimeler: Sağlık çalışanları; influenza aşıları; COVID-19; COVID-19 aşıları; pandemi
ABSTRACT
 Objective: Influenza and coronavirus disease-2019 (COVID-19) have the potential to cause endemics and pandemics. These can be fatal for individuals in the high-risk category. To prevent such infections, vaccination is a highly effective measure. This study assessed the impact of the COVID-19 pandemic on healthcare workers' preference for influenza vaccination in a training and research hospital. Material and Methods: This descriptive study included healthcare workers who received influenza vaccination in a training and research hospital between October and November 2021. Responses to the survey questions asked about influenza and COVID-19 vaccine preferences of the participants and the demographic characteristics of the participants were recorded and analyzed. Results: The study analyzed data from 87 participants. Among them, 40.2% were nurses/midwives/technicians, 21.8% were doctors, and 37.9% were other hospital personnel. Upon analyzing their influenza vaccine preferences, it was discovered that 43.7% received it annually, 26.4% received it sporadically, 12.6% took it last year due to the COVID-19 outbreak, and 17.2% decided to get it for the first time this year. While 32.2% of the participants thought the influenza vaccine would protect against COVID-19, 19.5% felt it would not. Others had no idea. Views differ by living and work situations. Conclusion: As a result, upon examining the influenza vaccination habits of our hospital's healthcare workers, there has been an evident increase in demand for the vaccine due to the ongoing pandemic. The surge in demand for influenza vaccines is mainly attributed to the belief that the vaccine can protect against seasonal flu and COVID-19.

Keywords: Healthcare workers; influenza vaccines; COVID-19; COVID-19 vaccines; pandemics
REFERENCES:
  1. Osterholm MT, Kelley NS, Sommer A, Belongia EA. Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis. Lancet Infect Dis. 2012;12(1):36-44. Erratum in: Lancet Infect Dis. 2012;12(9):655. [Crossref]  [PubMed] 
  2. World Health Organization [Internet]. © 2023 WHO [Cited: July 11, 2023]. Influenza (Seasonal). Available from: [Link] 
  3. Grohskopf LA, Sokolow LZ, Broder KR, Walter EB, Bresee JS, Fry AM, et al. Prevention and control of seasonal influenza with vaccines: recommendations of the advisory committee on immunization practices - United States, 2017-18 Influenza Season. MMWR Recomm Rep. 2017;66(2):1-20. [Crossref]  [PubMed]  [PMC] 
  4. Hulo S, Nuvoli A, Sobaszek A, Salembier-Trichard A. Knowledge and attitudes towards influenza vaccination of health care workers in emergency services. Vaccine. 2017;35(2):205-7. [Crossref]  [PubMed] 
  5. Iuliano AD, Roguski KM, Chang HH, Muscatello DJ, Palekar R, Tempia S, et al; Global Seasonal Influenza-associated Mortality Collaborator Network. Estimates of global seasonal influenza-associated respiratory mortality: a modelling study. Lancet. 2018;391(10127):1285-300. Erratum in: Lancet. 2018.
  6. Guillari A, Polito F, Pucciarelli G, Serra N, Gargiulo G, Esposito MR, et al. Influenza vaccination and healthcare workers: barriers and predisposing factors. Acta Biomed. 2021;92(S2):e2021004.
  7. Pearson ML, Bridges CB, Harper SA; Healthcare Infection Control Practices Advisory Committee (HICPAC); Advisory Committee on Immunization Practices (ACIP). Influenza vaccination of health-care personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2006;55(RR-2):1-16. Erratum in: MMWR Recomm Rep. 2006;55(9):252. [Crossref] 
  8. Hofmann F, Ferracin C, Marsh G, Dumas R. Influenza vaccination of healthcare workers: a literature review of attitudes and beliefs. Infection. 2006;34(3):142-7. [Crossref]  [PubMed] 
  9. Solay A, Uzar H, Acar A, Eser F, Duman ZG, Şencan İ, et al. Üçüncü basamak sağlık hizmeti veren bir merkezde sağlık çalışanlarının influenza aşısına yaklaşımı, aşılanma oranları ve nozokomiyal influenza sıklığı [ Health workers' attitudes toward influenza vaccine, vaccination rates, and incidence of nosocomial influenza in a tertiary care center]. ANKEM Dergisi. 2020;34(1):6-12.
  10. Kant S, Önal Ö. Birinci basamak sağlık personelinin mevsimsel influenza aşısı hakkındaki bilgi ve tutumları [Recognition of the seasonal influenza vaccine at the adultimmunization by the primary care health staff and specification of their approach in this regard]. Konuralp Tıp Dergisi. 2016;8(1). [Link] 
  11. Alhalaseh L, Fayoumi H, Khalil B. The Health Belief Model in predicting healthcare workers' intention for influenza vaccine uptake in Jordan. Vaccine. 2020;38(46):7372-8. [Crossref]  [PubMed] 
  12. Zanettini C, Omar M, Dinalankara W, Imada EL, Colantuoni E, Parmigiani G, et al. Influenza vaccination and COVID-19 mortality in the USA: an ecological study. Vaccines (Basel). 2021;9(5):427. [Crossref]  [PubMed]  [PMC] 
  13. Marín-Hernández D, Schwartz RE, Nixon DF. Epidemiological evidence for association between higher influenza vaccine uptake in the elderly and lower COVID-19 deaths in Italy. J Med Virol. 2021;93(1):64-5. [Crossref]  [PubMed]  [PMC] 
  14. Jehi L, Ji X, Milinovich A, Erzurum S, Rubin BP, Gordon S, et al. Individualizing risk prediction for positive coronavirus disease 2019 testing: results from 11,672 patients. Chest. 2020;158(4):1364-75. [Crossref]  [PubMed]  [PMC] 
  15. Del Riccio M, Lorini C, Bonaccorsi G, Paget J, Caini S. The Association between influenza vaccination and the risk of SARS-CoV-2 infection, severe illness, and death: a systematic review of the literature. Int J Environ Res Public Health. 2020;17(21):7870. [Crossref]  [PubMed]  [PMC] 
  16. Robbins T, Berry L, Wells F, Randeva H, Laird S. Healthcare staff perceptions towards influenza and potential COVID-19 vaccination in the 2020 pandemic context. J Hosp Infect. 2021;112:45-8. [Crossref]  [PubMed]  [PMC] 
  17. Knowler P, Barrett M, Watson DAR. Attitudes of healthcare workers to influenza vaccination. Infection, Disease & Health. 2018;23(3):156-62. [Crossref] 
  18. Yarimoğlu R, Yarimoğlu S. Bir eğitim araştırma hastanesi yoğun bakım çalışanlarının COVID-19 aşıları hakkındaki tutumları: bir tanımlayıcı çalışma [Attitude towards COVID-19 vaccines of intensive care healthcare workers of a training and research hospital: a descriptive study]. Turkiye Klinikleri J Anest Reanim. 2021;19(2):71-80. [Crossref] 
  19. Olsen SJ, Azziz-Baumgartner E, Budd AP, Brammer L, Sullivan S, Pineda RF, et al. Decreased Influenza Activity During the COVID-19 Pandemic - United States, Australia, Chile, and South Africa, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(37):1305-9. [Crossref]  [PubMed]  [PMC] 
  20. Akan H, Yavuz E, Yayla ME, Külbay H, Kaspar EÇ, Zahmacıoğlu O, et al. Factors affecting uptake of influenza vaccination among family physicians. Vaccine. 2016;34(14):1712-8. [Crossref]  [PubMed] 
  21. Dini G, Toletone A, Sticchi L, Orsi A, Bragazzi NL, Durando P. Influenza vaccination in healthcare workers: A comprehensive critical appraisal of the literature. Hum Vaccin Immunother. 2018;14(3):772-89. [Crossref]  [PubMed]  [PMC] 
  22. Leng A, Maitland E, Wang S, Nicholas S, Liu R, Wang J. Individual preferences for COVID-19 vaccination in China. Vaccine. 2021;39(2):247-54. [Crossref]  [PubMed]  [PMC] 
  23. Liu T, He Z, Huang J, Yan N, Chen Q, Huang F, et al. A Comparison of vaccine hesitancy of COVID-19 vaccination in China and the United States. Vaccines (Basel). 2021;9(6):649. [Crossref]  [PubMed]  [PMC] 
  24. Yılmaz Hİ, Turğut B, Çıtlak G, Mert O, Paralı B, Engin M, et al. Türkiye'de insanların COVID-19 aşısına bakışı [People's view of COVID-19 vaccine in Turkey]. Dicle Tıp Dergisi. 2021;48(3):583-94. [Crossref] 
  25. Maltezou HC, Theodoridou K, Ledda C, Rapisarda V, Theodoridou M. Vaccination of healthcare workers: is mandatory vaccination needed? Expert Rev Vaccines. 2019;18(1):5-13. [Crossref]  [PubMed] 
  26. Black CL, Yue X; MPS; Ball SW, Fink R, de Perio MA, Laney AS, et al. Influenza Vaccination Coverage Among Health Care Personnel - United States, 2016-17 Influenza Season. MMWR Morb Mortal Wkly Rep. 2017;66(38):1009-15. [Crossref]  [PubMed]  [PMC] 
  27. Gualano MR, Corradi A, Voglino G, Catozzi D, Olivero E, Corezzi M, et al. Healthcare Workers' (HCWs) attitudes towards mandatory influenza vaccination: A systematic review and meta-analysis. Vaccine. 2021;39(6):901-14. [Crossref]  [PubMed] 

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30.03.2014

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