Post-graduate theses
Current Record: 4968 of 6549
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| Identifier |
000414869 |
| Title |
Εμβολιαστική κάλυψη των επαγγελματιών υγείας στα τμήματα επειγόντων περιστατικών των νοσοκομείων της Κρήτης |
| Alternative Title |
Vaccination |
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Author
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Καστρινάκης Στυλιανός
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Thesis advisor
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Περδικογιάννη, Χρυσούλα
Αγγουριδάκης, Παναγιώτης
Κοφτερίδης, Διαμαντής
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| Abstract |
Ιntroduction: Once a complete immunization program for the health professionals of
the emergency department is put in effect we will see a significant decrease in the
amount of incidences of infectious diseases among themselves and patients.
The recommendations of the Advisory Committee (ACIP) and HCDCP on the
vaccination of health professionals should be taken into account when developing and
implementing a vaccination protocol in Emergency Departments.
Purpose: of the study was to record immunization rates and to inform heath
professional about vaccines while getting their feedback at the same time.
Results: The study population consisted of 469 health professionals working in the
Emergency Departments from eight hospitals of the island of Crete. From the 469 of
health professionals:251 doctors were doctors ,140 were nurses and 70 were
paramedic staff.
Data collection was performed by completing a specially built anonymous
questionnaire. The statistical analysis of the data was done using Microsoft's EXCEL
program.
Concerning the knowledge about vaccines, health professionals working in
Emergency Departments responded to the right options for influenza vaccination (1
dose) at 77.9%, for hepatitis A (2 doses) at 76.3% , for hepatitis B (3 doses) of 63.7%
and for pertussis (3 doses) at 33.0%. In the answer "do not know" there were high
rates for pertussis at 39.9% and for hepatitis A 21.9%.
To the question of whether they were informed of the existence of the Infectious
Disease Control Unit per hospital, the staff of the Emergency Departments of the
University Hospital of Heraklion responded positively to 94.1% and the staff of
Venizelion Hospital of Heraklion to 90.5% respectively. On the contrary, the staff of
the General Hospital of Chania, as well as the General Hospital - Ierapetra Health
Center responded with a smaller percentage of 59.8% and 47.8%, respectively.
Vaccination coverage of health professionals in the Emergency Departments for the
influenza vaccine increased to 38.5% for 2016-2017 compared to 30% in 2015-2016.
(8.5% increase).The most common reasons why doctors were not vaccinated are that
they forgot at 53.0% . For nurses 17.9% stated that it is "ineffective and unsafe" and
the paramedical staff also claimed it is "unsafe" at 20.0%.
A low rate of awareness was noted concerning how well health professionals are
informed and have performed the right amount of vaccine doses for hepatitis B and hepatitis A. Out of 348 people who gave the right answer for the amount of doses of
hepatitis B, only 220( 63.2%) were vaccinated properly and only 7 people of the
correctly vaccinated were not properly informed of the right amount of doses of the
vaccine which is only 3,1%.
The corresponding rates for hepatitis A showed that out of the 294 people who knew
the right amount of doses for the hepatitis A vaccine , only 102 were vaccinated
correctly (34.7%), whereas only 9 people of the correctly vaccinated did not have
proper knowledge of the number of the doses at 8.1%.
The most common reason given by health professionals to why they are not
vaccinated with the hepatitis B and the hepatitis A vaccine was 74,2% for hepatitis B
and 74,6% for hepatitis A that they did not have the time or they forgot.
There was a significant distribution gap in antibody control for hepatitis B and
hepatitis A between hospitals. Statistically, this was important because hepatitis B
ranged from 40.2% in Chania to 79.1% in Sitia. In contradiction to hepatitis A, that
ranged from 22.6% to PaGNH to 61.3 in the GH - KY of Ierapetra.
For the immunization of pertussis, health professionals have a very low vaccination
rate (10.3%).
An impressive 84.2% of health professionals claimed that they "did not have the time
or they forgot" to carry out vaccination against pertussis.
Concerning the perception of health professionals working in Emergency
Departments about the vaccine situation, a significant percentage (44.2%) considers
the immunization status satisfactory, with 4.3% believing it to be excellent.
Conclusion drawn from the study's results is that health professionals working in
Emergency Departments have a low immunization rate for influenza, hepatitis A and
pertussis but a satisfactory rate for hepatitis B.
If health professionals remain alert and stay informed and updated their situation is
expected to improve significantly.
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| Language |
Greek |
| Subject |
Control center and disease prevention |
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Departments of emergency medicine |
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Healt care professional vaccines |
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Health professionals |
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Integration of health professionals |
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World Health Organization |
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Κέντρο ελέγχου και πρόληψη νοσημάτων |
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Λοιμώξεις επαγγελματιών υγείας |
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Παγκόσμιος οργανισμός υγείας |
| Issue date |
2018-03-28 |
| Collection
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School/Department--School of Medicine--Department of Medicine--Post-graduate theses
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Type of Work--Post-graduate theses
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| Permanent Link |
https://elocus.lib.uoc.gr//dlib/f/0/7/metadata-dlib-1523618874-899423-18378.tkl
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| Views |
254 |
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