Vaccination status and serologic condition in health personnel in Córdoba, Argentina

Abstract

Introduction: Health personnel (HP) have higher risk of exposure/transmission of diseases, vaccination remains an effective means to reduce it.
Objectives: Evaluate recommended vaccination in HP. Detect conditions of incomplete vaccination. Assess knowledge of their serological status: HBV, HCV, HIV.
Material and Methods: Multicenter, observational, analitic, crosssectional,conducted in 3 public hospitals and 2 private institutions Cba, Arg. We surveyed 10-30% of staff in each institution during March-April 2013. Recommendations Arg: Hepatitis B, Measles/Rubella (MR) Tetanus, diphtheria, pertussis (Td/Tdap) and Influenza. Bivariate analysis, using X2 test. Results: 676 surveys were completed. Complete vaccination: 20% (students 38%, physicians 18%, nurses 18%, lab 13%, radiology 7%, cleaners 5%). Current scheme for Td / Tdap: 78%. Hepatitis B:64%.
Influenza vaccine: 55%, MR: 46%. Analysis by public (n=546) vs. private (n=130): Full scheme 21,24%vs14,61% (p=0.08). Hepatitis B 66%vs54%(p=0.0099). Td/Tdap 81%vs65% (p=0.0001). MR 46%vs45% (p=0.87). Influenza 56%vs49% (p=0.12). Causes of incomplete vaccination: 28% unknow this indication, 23% lack of interest. Know their serologic status: HIV 63%, HBV 52%, HCV 44%.
Conclusion: High percentage of workers has incomplete vaccination. Lack of indication and lack of interest are the reasons most frequently detected. Better coverage for Td/Tdap and HB. Public or private sector does not predict better coverage but HB and Td/Tdapin public sector has a statistically significantly better coverag. Low percentage of respondents known their serological status. The HIV test is the most frequently performed. Designed campaigns are needed to increase vaccination coverageand to stimulating the knowledge of serological status of HP.