Infection Disease & Health最新文献

Mapping Australia's COVID-19 quarantine cohort journeys 绘制澳大利亚 COVID-19 检疫队列旅程图。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Infection Disease & Health

Pub Date : 2024-08-13 DOI: 10.1016/j.idh.2024.07.001

Matiu Bush , Ana Hutchinson , Stéphane L. Bouchoucha , Catherine M. Bennett

Background

Australia rapidly developed COVID-19 quarantine programs to reduce the adverse outcomes of a novel pathogen imported by visitors and returned travellers. Different quarantine pathways were utilised over the pandemic, yet no definitive cohort map exists to guide future preparedness. We created a whole-of-system cohort journey map of Australian quarantine cohorts to inform future pandemic preparedness activities.

Methods

Australian parliamentary websites and Google were searched for publicly available grey literature from 2019 to 2023. Data about quarantine cohorts, pandemic plans and documents, journey activities, viral escape events, and quarantine recommendations were extracted and plotted to produce a whole-of-system cohort journey map.

Results

The system mapping process identified 22 distinct quarantine cohort journeys during COVID-19, yet few of the cohorts were mentioned in pandemic and emergency plans. Viral escape events were documented 27 times, and COVID-19 reviews and inquiries produced 282 quarantine-specific recommendations. Cohorts included international and domestic travellers who experienced home, hotel, and facility quarantine iterations. Other cohorts, such as humanitarian evacuations, diplomats, airline crews, community close contacts, and people experiencing homelessness, had distinctive quarantine journeys.

Conclusions

This whole-of-system quarantine cohort map furthers the case for governments and policymakers to update pandemic plans to include the 22 identified cohorts and test plans through pandemic exercises. Recommendations from inquiries should be acquitted to reduce the risk of viral escape and to strengthen national preparedness if quarantine systems are required in future pandemic responses.

背景：澳大利亚迅速制定了 COVID-19 检疫计划，以减少游客和回国旅行者输入的新型病原体造成的不良后果。大流行期间采用了不同的检疫途径，但没有明确的队列图来指导未来的准备工作。我们绘制了澳大利亚检疫队列的全系统队列历程图，为未来的大流行准备活动提供参考：方法：我们在澳大利亚议会网站和谷歌上搜索了 2019 年至 2023 年公开发表的灰色文献。提取并绘制了有关检疫队列、大流行计划和文件、旅程活动、病毒逃逸事件和检疫建议的数据，以生成整个系统队列旅程图：结果：系统图绘制过程确定了 COVID-19 期间 22 个不同的检疫队列旅程，但在大流行和应急计划中提及的队列却寥寥无几。病毒逃逸事件被记录了 27 次，COVID-19 的审查和调查产生了 282 项针对检疫的建议。这些人群包括经历过家庭、酒店和设施隔离的国际和国内旅行者。其他组群，如人道主义撤离、外交官、机组人员、社区密切接触者和无家可归者，也经历了与众不同的检疫旅程：这份全系统检疫群组图进一步说明，政府和政策制定者应更新大流行计划，将已确定的 22 个群组纳入其中，并通过大流行演习对计划进行测试。应采纳调查中提出的建议，以降低病毒逃逸的风险，并在未来大流行应对中需要检疫系统时加强国家准备工作。

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引用次数: 0

Reducing candidaemia risk in urology patients: Revised algorithm & Pharmacist-Led Implementation 降低泌尿科患者的念珠菌血症风险：修订算法与药剂师主导的实施。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Infection Disease & Health

Pub Date : 2024-07-25 DOI: 10.1016/j.idh.2024.06.001

Nicholai De La Cruz , Ann Whitaker , Nicholas Rukin , Kevin O'Callaghan

Background

Candidaemia is an invasive infection with high morbidity and mortality. All urology procedures carry risk of post-operative infection. Risk mitigation strategies include preoperative urine culture and treatment of cultured organism(s) regardless of symptoms. After zero cases of candidaemia for two years, there were five cases in elective urology patients within 15 weeks between June – September 2021. This increased incidence of candidaemia amongst these patients prompted multidisciplinary investigation.

Methods

Single centre case series, in a 250-bed hospital which annually performs 2000-2500 elective urology surgeries. Affected patients were elderly with multiple comorbidities. Notably, four of five patients had prior indwelling ureteral stents. All five patients had preoperative bacteriuria requiring antibiotics and one patient had pre-operative candiduria.

Results

Hypotheses including sterilisation failure, surgical instrument contamination, or surgical technique issues were unfounded. We propose that pre-operative duration of antibacterial therapy, particularly in the setting of ureteral stent biofilm, is a significant factor for candiduria. A new prescribing algorithm for urology patients was devised. Antibiotic treatment duration in asymptomatic patients with indwelling urinary tract foreign material was reduced from 14 to 3 days, and from 14 to 7 days in symptomatic patients. Dedicated pharmacist resources were allocated to support this change and pre-operatively manage these patients. These interventions led to zero candidaemia cases over the subsequent 21 months, along with zero post-operative bacterial bloodstream infections.

Conclusions

Prolonged pre-operative antibacterial therapy poses a risk for post-operative candidaemia, especially in patients with ureteral stents. Shortening pre-operative antibiotic courses, coupled with increased pharmacist involvement, effectively reduced candidaemia incidence.

背景：念珠菌病是一种侵袭性感染，发病率和死亡率都很高。所有泌尿外科手术都有术后感染的风险。降低风险的策略包括术前进行尿液培养，并对培养出的病原体进行治疗，而不论其症状如何。念珠菌血症病例在两年内为零，而在 2021 年 6 月至 9 月的 15 周内，泌尿外科择期手术患者中出现了五例念珠菌血症病例。这些患者中念珠菌血症发病率的增加引发了多学科调查：单中心病例系列，在一家拥有 250 张床位的医院进行，该医院每年进行 2000-2500 例泌尿外科择期手术。受影响的患者均为患有多种并发症的老年人。值得注意的是，五名患者中有四名曾使用过留置输尿管支架。五名患者术前均有细菌尿，需要使用抗生素，一名患者术前有念珠菌尿：结果：包括消毒失败、手术器械污染或手术技术问题在内的各种假设均不成立。我们认为，术前抗菌治疗的持续时间，尤其是在输尿管支架生物膜的情况下，是导致念珠菌尿的重要因素。我们为泌尿科患者设计了一种新的处方算法。无症状的留置尿道异物患者的抗生素治疗时间从 14 天缩短至 3 天，有症状的患者则从 14 天缩短至 7 天。药剂师被分配了专门的资源来支持这一变化，并对这些患者进行术前管理。通过这些干预措施，在随后的 21 个月中，念珠菌血症病例为零，术后细菌性血流感染病例为零：结论：长期的术前抗菌治疗会带来术后念珠菌血症的风险，尤其是在使用输尿管支架的患者中。缩短术前抗生素疗程，同时加强药剂师的参与，可有效降低念珠菌血症的发生率。

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引用次数: 0

Designing for transparency and trust: Next steps for healthcare associated infection surveillance in Queensland 为透明度和信任而设计：昆士兰州医疗相关感染监控的下一步工作。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Infection Disease & Health

Pub Date : 2024-06-12 DOI: 10.1016/j.idh.2024.05.002

引用次数: 0

The experience of infection prevention and control nurse (IPCN) in conducting post-discharge surveillance (PDS) of surgical site infections (SSI): A qualitative study 感染预防与控制护士（IPCN）对手术部位感染（SSI）进行出院后监测（PDS）的经验：定性研究。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Infection Disease & Health

Pub Date : 2024-06-03 DOI: 10.1016/j.idh.2024.05.001

Background

Surgical Site infections (SSI) are healthcare-associated infections (HAI) resulting from surgical procedures, which can increase morbidity, mortality, and economic burden. SSI surveillance is useful for detecting the magnitude of SSI cases and evaluating the impact of SSI prevention implementation. Post-discharge surveillance (PDS) of SSIs may identify more significant cases. To the best of our knowledge, there is no research exploring the experiences of Infection Prevention and Control Nurse (IPCN) in conducting PDS of SSI.

Methods

To explore the experience of IPCN in conducting PDS of SSI. A qualitative transcendent phenomenological (descriptive) research, using a purposive sampling technique with 15 informants from 9 hospitals in Indonesia. Data were collected through in-depth direct and semi-structured interviews and analyzed using thematic analysis through Nvivo 12 plus software.

Results

Five themes were generated, including the stages of PDS of SSI, the collaborative role of PDS of SSI officers, inhibiting factors of PDS of SSI, supporting factors of PDS of SSI, and optimization of PDS of SSI.

Conclusion

This study provides a deep understanding of the implementation PDS of SSI through an exploration of IPCN experiences, offering insights into the execution and various challenges faced by hospitals in conducting PDS of SSI.

背景：手术部位感染（SSI）是由外科手术引起的医疗相关感染（HAI），可增加发病率、死亡率和经济负担。SSI 监测有助于发现 SSI 病例的规模并评估 SSI 预防措施的实施效果。出院后 SSI 监测（PDS）可发现更多重要病例。据我们所知，目前还没有研究探讨感染预防与控制护士（IPCN）在开展 SSI 的 PDS 方面的经验：方法：探讨感染预防和控制护士在对 SSI 进行 PDS 时的经验。采用目的性抽样技术，对印度尼西亚 9 家医院的 15 名信息提供者进行超越现象学（描述性）定性研究。通过深入的直接和半结构化访谈收集数据，并通过 Nvivo 12 plus 软件进行主题分析：产生了五个主题，包括 SSI 的 PDS 阶段、SSI 的 PDS 官员的协作作用、SSI 的 PDS 的抑制因素、SSI 的 PDS 的支持因素和 SSI 的 PDS 的优化：本研究通过对综合医院网络经验的探索，深入了解了社会安全倡议公共卫生服务系统的实施情况，为医院开展社会安全倡议公共卫生服务系统的执行工作和面临的各种挑战提供了启示。

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引用次数: 0

From basic research to clinical practice: The impact of laminar airflow filters on surgical site infection in vascular surgery 从基础研究到临床实践：层流气流过滤器对血管外科手术部位感染的影响。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Infection Disease & Health

Pub Date : 2024-05-11 DOI: 10.1016/j.idh.2024.04.004

Background

Laminar airflow filters have been suggested as a potential preventive factor for surgical site infections, given their ability to reduce the airborne microbiological load. However, their role is still unclear, and evidence regarding vascular surgery patients is scarce. Our aim was to assess the impact of laminar-airflow filters on surgical site infections.

Methods

This single-centre retrospective cohort study was conducted with vascular surgery patients who underwent arterial vascular intervention through a groin incision between July 2018 and July 2019 (turbulent airflow cohort) and July 2020 and July 2021 (laminar airflow cohort). Data were prospectively collected from electronic medical files. We estimated the cumulative incidence of surgical site infections and its 95% confident interval (95%CI). A propensity score matching analysis was performed.

Results

We included 200 patients, 78 in the turbulent airflow cohort and 122 in the laminar airflow cohort. The cumulative incidence was 15.4% (12/78; 95%CI: 9.0–25.0%) in the turbulent-airflow cohort and 14.8% (18/122; 95%CI: 9.5 –22.1%) in the laminar-airflow cohort (p-value: 1.00). The propensity score matching yielded a cumulative incidence of surgical site infection of 13.9% (10/72) with turbulent airflow and 12.5% (9/72) with laminar airflow (p-value: 1.00). Risk factors associated with infection were chronic kidney disease (OR 2.70; 95%CI: 1.14–6.21) and a greater body mass index (OR 1.47; 95%CI: 1.01–2.14).

Conclusion

Laminar airflow filters were associated with a non-significant reduction of surgical site infections. Further research is needed to determine its usefulness and cost-effectiveness. Surgical site infection incidence was associated with chronic kidney disease and a greater body mass index. Hence, efforts should be made to optimize the body mass index before surgery and prevent chronic kidney disease in patients with known arterial disease.

背景：层流气流过滤器能够减少空气中的微生物负荷，因此被认为是手术部位感染的潜在预防因素。然而，层流空气过滤器的作用尚不明确，有关血管手术患者的证据也很少。我们的目的是评估层流空气过滤器对手术部位感染的影响：这项单中心回顾性队列研究的对象是在 2018 年 7 月至 2019 年 7 月（湍流气流队列）和 2020 年 7 月至 2021 年 7 月（层流气流队列）期间通过腹股沟切口接受动脉血管介入治疗的血管外科患者。我们从电子病历中收集了前瞻性数据。我们估算了手术部位感染的累积发生率及其 95% 置信区间 (95%CI)。我们还进行了倾向得分匹配分析：我们共纳入了 200 例患者，其中 78 例属于湍流气流队列，122 例属于层流气流队列。湍流气流队列的累计发病率为 15.4%（12/78；95%CI：9.0-25.0%），层流气流队列的累计发病率为 14.8%（18/122；95%CI：9.5-22.1%）（P 值：1.00）。倾向得分匹配结果显示，湍流气流的手术部位感染累计发生率为 13.9%（10/72），层流气流的手术部位感染累计发生率为 12.5%（9/72）（P 值：1.00）。与感染相关的风险因素有慢性肾病（OR 2.70；95%CI：1.14-6.21）和体重指数较大（OR 1.47；95%CI：1.01-2.14）：结论：层流气流过滤器可显著减少手术部位感染。结论：层流空气过滤器与手术部位感染的减少无明显关系，需要进一步研究确定其实用性和成本效益。手术部位感染的发生与慢性肾病和体重指数较大有关。因此，在手术前应努力优化体重指数，并预防已知动脉疾病患者的慢性肾病。

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引用次数: 0

Oral care practices and hospital-acquired pneumonia prevention: A national survey of Australian nurses 口腔护理实践与医院获得性肺炎预防：澳大利亚护士全国调查。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Infection Disease & Health

Pub Date : 2024-05-08 DOI: 10.1016/j.idh.2024.04.006

Background

Hospital-acquired pneumonia (HAP) also known as non-ventilator associated pneumonia, is one of the most common infections acquired in hospitalised patients. Improving oral hygiene appears to reduce the incidence of HAP. This study aimed to describe current practices, barriers and facilitators, knowledge and educational preferences of registered nurses performing oral health care in the Australian hospital setting, with a focus on the prevention of HAP. We present this as a short research report.

Methods

We undertook a cross sectional online anonymous survey of Australian registered nurses. Participants were recruited via electronic distribution through existing professional networks and social media. The survey used was modified from an existing survey on oral care practice.

Results

The survey was completed by 179 participants. Hand hygiene was considered a very important strategy to prevent pneumonia (n = 90, 58%), while 45% (n = 71) felt that oral care was very important. The most highly reported barriers for providing oral care included: an uncooperative patient; inadequate staffing; and a lack of oral hygiene requisite. Patients' reminders, prompts and the provision of toothbrushes were common ways believed to help facilitate improvements in oral care.

Conclusion

Findings from this survey will be used in conjunction with consumer feedback, to help inform a planned multi-centre randomised trial, the Hospital Acquired Pneumonia PrEveNtion (HAPPEN) study, aimed at reducing the incidence of HAP. Findings may also be useful for informing studies and quality improvement initiatives aimed at improving oral care to reduce the incidence of HAP.

背景：医院获得性肺炎（HAP）又称非呼吸机相关肺炎，是住院病人最常见的感染之一。改善口腔卫生似乎可以降低 HAP 的发病率。本研究旨在描述在澳大利亚医院环境中从事口腔保健工作的注册护士的当前做法、障碍和促进因素、知识和教育偏好，重点是预防 HAP。我们将此作为一份简短的研究报告提交：我们对澳大利亚注册护士进行了一次横断面在线匿名调查。我们通过现有的专业网络和社交媒体以电子分发的方式招募参与者。所使用的调查表是根据现有的口腔护理实践调查表修改而成的：结果：179 名参与者完成了调查。手部卫生被认为是预防肺炎的一项非常重要的策略（n = 90，58%），而 45% 的参与者（n = 71）认为口腔护理非常重要。据报告，提供口腔护理的最大障碍包括：病人不合作；人手不足；缺乏口腔卫生必要条件。患者的提醒、提示和牙刷的提供被认为是有助于改善口腔护理的常见方法：本次调查的结果将与消费者的反馈意见结合起来，为计划中的多中心随机试验 "医院获得性肺炎预防（HAPPEN）研究 "提供信息，该研究旨在降低医院获得性肺炎的发病率。研究结果还有助于为旨在改善口腔护理以降低 HAP 发病率的研究和质量改进措施提供信息。

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引用次数: 0

N-95/P2 respirator compliance with fit testing recommendations and respirator satisfaction amongst hospital staff 医院员工对 N-95/P2 呼吸器是否符合密合度测试建议以及对呼吸器的满意度。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Infection Disease & Health

Pub Date : 2024-05-03 DOI: 10.1016/j.idh.2024.04.001

Liam Hackett , Melanie (Meilun) Zhang , Matthew Casey , Joseph Miller , Jesse Smith , Caitlin Low , Emogene Aldridge , Patrick J. Owen , Paul Buntine

Background

Filtering Facepiece Respirators (FFRs) are an important and readily scalable infection control measure; however their effectiveness is ultimately determined by compliance. We aimed to examine staff compliance and satisfaction with wearing the N95/P2 FFRs assigned to them via the standardised fit testing protocol implemented in a single large healthcare network in Victoria, Australia.

Methods

In this cross-sectional survey, employees from five hospital campuses who participated in the health networks N95/P2 FFR fit testing process were invited in person to participate in the study. Data were analysed descriptively, after which chi-squared analysis was performed to determine differences between respirator types, gender, and age groups.

Results

Amongst the 258 staff members surveyed, 28% had either never or only sometimes worn an FFR to which they had been successfully fit tested, and 11% had experienced facial changes that potentially rendered their most recent fit test invalid. More than half (53%) of those surveyed had experienced side effects, the most common being skin irritation and pressure sores. A majority (87%) of staff felt that wearing an FFR had some impact on their ability to perform their duties. Pooled mean self-reported satisfaction ratings were highest for three-panel flat-fold and duckbill models.

Conclusion

28% of HCWs surveyed described not wearing N-95/P2 FFRs for which they had successfully been fit tested. Reasons for non-compliance remain unclear, but rates of side effects and interference with duties were high. Further research is required to determine and address potential causative factors and ascertain ongoing optimal organisation-level fit test strategies.

背景：过滤式面罩呼吸器（FFR）是一项重要且易于推广的感染控制措施，但其有效性最终取决于员工的依从性。我们的目的是调查员工对澳大利亚维多利亚州一个大型医疗保健网络实施的标准化密合度测试协议分配给他们的 N95/P2 FFR 佩戴的依从性和满意度：在这项横断面调查中，我们邀请了五家医院参与医疗网络 N95/P2 FFR 适合性测试程序的员工亲自参加研究。对数据进行描述性分析，然后进行卡方分析，以确定呼吸器类型、性别和年龄组之间的差异：在接受调查的 258 名工作人员中，有 28% 的人从未佩戴过或有时仅佩戴过已成功通过密合度测试的 FFR，有 11% 的人因面部变化而导致最近一次密合度测试无效。半数以上（53%）的受访者经历过副作用，最常见的是皮肤刺激和压疮。大多数员工（87%）认为佩戴 FFR 对他们履行职责的能力有一定影响。结论：在接受调查的医护人员中，有 28% 的人表示没有佩戴他们已成功通过密合度测试的 N-95/P2 FFR。不佩戴的原因尚不清楚，但副作用和干扰工作的比例很高。需要进一步开展研究，以确定和解决潜在的致病因素，并确定当前组织层面的最佳适合性测试策略。

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引用次数: 0

Key lessons from the establishment of a nurse-led infection prevention and control program for COVID-19 in an Australian hotel quarantine and isolation service 在澳大利亚一家酒店检疫和隔离服务机构建立以护士为主导的 COVID-19 感染预防和控制计划的主要经验。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Infection Disease & Health

Pub Date : 2024-04-30 DOI: 10.1016/j.idh.2024.03.003

J. Petty , A. Peacock-Smith , E. Dawson , E. McSweeney , A. Ganesh , B. McEntee , R. Einboden

Background

A key aspect of Australia's response to the COVID-19 pandemic was to control transmission through legislated quarantine and isolation of overseas returning travellers and potentially infectious community members. In New South Wales, Special Health Accommodation (SHA) was rapidly established as a comprehensive health service for individuals that were at risk of having COVID-19, were confirmed to have COVID-19 or for those with complex health needs that were deemed inappropriate for management in Police managed Quarantine Hotels. SHA services were later expanded to care for community members who were COVID-19 positive and unable to effectively isolate, or contacts of individuals who were unable to quarantine effectively in their homes. SHA's unique nurse-led Infection Prevention and Control (IPC) program offers key lessons that may impact future programs.

Methods

A reflection on the experience of leading an Infection Prevention and Control program in SHA was undertaken. This was supported by a review of SHA admission, workforce and transmission data and data obtained from a cross-sectional questionnaire aimed to better understand the experiences of a novel population of health workers (HW) in a comprehensive health-led quarantine and isolation service.

Results

SHA program data demonstrates how its IPC program implementation prevented transmission of COVID-19 to SHA staff and patients. Responses from the questionnaire suggested staff felt safe and well-prepared through the IPC education they received. They also gained transferrable knowledge and skills, which they intend to use in future healthcare roles.

Conclusion

The SHA nurse-led IPC program offered successful quarantine and isolation for COVID-19 in non-purpose-built facilities. A review of IPC strategies and key lessons from the establishment of the SHA IPC program are of critical importance to planning and management of current and future pandemics.

背景：澳大利亚应对 COVID-19 大流行的一个重要方面是通过对海外归国旅行者和可能感染该病毒的社区成员进行法定检疫和隔离来控制传播。新南威尔士州迅速建立了特殊健康收容所（SHA），作为一项全面的健康服务，为可能感染 COVID-19、确诊感染 COVID-19 或有复杂健康需求且不适合在警方管理的隔离酒店居住的人员提供服务。后来，SHA 的服务范围扩大到护理 COVID-19 阳性且无法有效隔离的社区成员，或无法在家中进行有效隔离的个人的接触者。SHA 独特的由护士领导的感染预防与控制 (IPC) 计划提供了重要经验，可能会对未来的计划产生影响：方法：对 SHA 领导感染预防与控制项目的经验进行了反思。方法：对上海和睦家医院领导感染预防与控制项目的经验进行了反思，并回顾了上海和睦家医院的入院、劳动力和传播数据，以及通过横向问卷调查获得的数据，旨在更好地了解由卫生部门主导的综合检疫和隔离服务中卫生工作者（HW）这一新群体的经验：结果：上海和睦家医院的计划数据显示了其IPC计划的实施是如何防止COVID-19传播给上海和睦家医院的员工和患者的。问卷调查结果表明，通过IPC教育，员工感到安全并做好了充分准备。他们还获得了可迁移的知识和技能，并打算将其用于未来的医疗保健工作中：结论：由民政局护士主导的IPC项目成功地在非专用设施中对COVID-19进行了检疫和隔离。对IPC战略的回顾以及从建立SHA IPC计划中汲取的关键经验对当前和未来流行病的规划和管理至关重要。

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引用次数: 0

Daily COVID-19 employee attestations at a large quaternary hospital in Melbourne, Australia – Limitations and lessons learnt 澳大利亚墨尔本一家大型四级医院的每日 COVID-19 员工证明--局限性和经验教训。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Infection Disease & Health

Pub Date : 2024-04-27 DOI: 10.1016/j.idh.2024.04.003

Vivian K.Y. Leung, Elizabeth Orr, Caroline Marshall

Background

As one of the many measures to limit the potentially infectious persons entering healthcare settings, the Victorian Department of Health (DH) introduced a daily attestation between 2020 and 2022. Upon entry to a health service, employees were required to confirm they were free from symptoms related to COVID-19 and did not have contact with a confirmed COVID-19 case in the previous 7–14 days.

Methods

We performed a retrospective analysis of employee attestations and SARS-CoV-2 tests performed between 1/6/2021 and 14/2/2022 at the main campus of the Royal Melbourne Hospital.

Results

We found the proportion of SARS-CoV-2 positive employees identified through workplace attestation was low (1.3%). Most SARS-CoV-2 positive employees analysed in this study (94%) were asymptomatic.

Discussion

Although the proportion of SARS-CoV-2 positive employees identified was low, attestations may have deterred unwell employees from presenting to work. Proactively monitoring employee attestations, such as measuring and reporting the number of symptomatic attestations, may make this a more useful tool.

背景：作为限制潜在感染者进入医疗机构的众多措施之一，维多利亚州卫生部（DH）在 2020 年至 2022 年期间引入了每日证明。在进入医疗服务机构时，员工必须确认自己没有出现与 COVID-19 相关的症状，并且在之前的 7-14 天内没有接触过 COVID-19 确诊病例：我们对 2021 年 6 月 1 日至 2022 年 2 月 14 日期间在墨尔本皇家医院主院进行的员工证明和 SARS-CoV-2 检测进行了回顾性分析：我们发现，通过工作场所证明发现的 SARS-CoV-2 阳性员工比例很低（1.3%）。本研究分析的大多数 SARS-CoV-2 阳性员工（94%）均无症状：讨论：虽然发现 SARS-CoV-2 阳性员工的比例较低，但证明可能会阻止身体不适的员工上班。主动监测员工的证明，如测量和报告无症状证明的数量，可能会使这一工具更加有用。

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引用次数: 0

Knowledge and attitudes of healthcare workers about influenza vaccination 医护人员对流感疫苗接种的认识和态度。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Infection Disease & Health

Pub Date : 2024-04-27 DOI: 10.1016/j.idh.2024.04.005

Background

Influenza infection is a highly contagious viral disease. It may cause several nosocomial outbreaks. This study aimed to evaluate the knowledge and attitudes of healthcare workers (HCWs) about influenza vaccination and to identify factors associated with the uptake of influenza vaccination.

Methods

We conducted a cross-sectional study over 5 months between November 2021 and March 2022. Data was collected using an anonymous self-administered questionnaire. We included all HCWs at Taher Sfar University Hospital who were willing to participate in the study.

Results

A total of 395 HCWs were included. They were mainly women (78.7%) with an average age of 27 years. The medical personnel was the largest group (67.8%). Most respondents considered the vaccination to be optional and knew that it should be renewed every year, but 97.5% of them judged the efficacy of the vaccine to be low. The influenza vaccination uptake was only 20.2%. The main reasons for accepting vaccination were to protect patients and families. However, misconceptions about the severity and the risk of influenza and the belief that barrier measures were sufficient to prevent infection were the main causes of avoiding vaccination. The factors associated with adherence to vaccination were being a medical professional, old age, longer professional experience, and considering vaccination to be mandatory for HCWs.

Conclusion

Our study showed a low adherence to influenza vaccination with misconceptions about vaccine efficacy and safety. More efforts are needed to improve the knowledge of HCW about the vaccine and boost the adherence rates.

背景：流感是一种传染性极强的病毒性疾病。它可能会引起多起院内爆发。本研究旨在评估医护人员（HCWs）对流感疫苗接种的认识和态度，并确定与流感疫苗接种率相关的因素：我们在2021年11月至2022年3月期间进行了为期5个月的横断面研究。研究采用匿名自填问卷的方式收集数据。我们将塔赫尔斯法尔大学医院所有愿意参与研究的医护人员都纳入了研究范围：共有 395 名医护人员参与了研究。她们主要是女性（78.7%），平均年龄为 27 岁。医务人员是最大的群体（67.8%）。大多数受访者认为接种疫苗是可选的，并知道每年都应重新接种，但 97.5%的受访者认为疫苗的效力较低。流感疫苗接种率仅为 20.2%。接受疫苗接种的主要原因是为了保护病人和家属。然而，对流感严重性和风险的误解，以及认为屏障措施足以预防感染是避免接种疫苗的主要原因。与坚持接种疫苗有关的因素包括：作为医务人员、年龄较大、专业经验较长，以及认为接种疫苗是医务工作者的义务：我们的研究表明，流感疫苗接种的依从性较低，且对疫苗的有效性和安全性存在误解。需要进一步努力提高医务工作者对疫苗的认识，提高接种率。

{"title":"Knowledge and attitudes of healthcare workers about influenza vaccination","authors":"","doi":"10.1016/j.idh.2024.04.005","DOIUrl":"10.1016/j.idh.2024.04.005","url":null,"abstract":"<div><h3>Background</h3><p>Influenza infection is a highly contagious viral disease. It may cause several nosocomial outbreaks. This study aimed to evaluate the knowledge and attitudes of healthcare workers (HCWs) about influenza vaccination<span> and to identify factors associated with the uptake of influenza vaccination.</span></p></div><div><h3>Methods</h3><p>We conducted a cross-sectional study over 5 months between November 2021 and March 2022. Data was collected using an anonymous self-administered questionnaire. We included all HCWs at Taher Sfar University Hospital who were willing to participate in the study.</p></div><div><h3>Results</h3><p>A total of 395 HCWs were included. They were mainly women (78.7%) with an average age of 27 years. The medical personnel was the largest group (67.8%). Most respondents considered the vaccination to be optional and knew that it should be renewed every year, but 97.5% of them judged the efficacy of the vaccine to be low. The influenza vaccination uptake was only 20.2%. The main reasons for accepting vaccination were to protect patients and families. However, misconceptions about the severity and the risk of influenza and the belief that barrier measures were sufficient to prevent infection were the main causes of avoiding vaccination. The factors associated with adherence to vaccination were being a medical professional, old age, longer professional experience, and considering vaccination to be mandatory for HCWs.</p></div><div><h3>Conclusion</h3><p>Our study showed a low adherence to influenza vaccination with misconceptions about vaccine efficacy and safety. More efforts are needed to improve the knowledge of HCW about the vaccine and boost the adherence rates.</p></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"29 4","pages":"Pages 203-211"},"PeriodicalIF":2.7,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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