RESUMEN
BACKGROUND: Healthcare worker (HCW) vaccination against seasonal influenza is considered a key preventative measure within hospitals and aged-care facilities (ACFs) to reduce the risk of transmission and related disease. Despite this, many facilities experience persistently low vaccination coverage rates and mandatory vaccination has been explored as a potential strategy to improve coverage. This study explored the current climate around staff vaccination in Australia from the perspective of opinion leaders and key stakeholders. METHODS: Qualitative semi-structured interviews were conducted between April and July 2018 with 22 individuals involved in vaccination policy and program development and implementation from a range of organisations including state health departments, hospitals and ACFs across Australia. In addition, interviews were undertaken with individuals from aged care and nursing peak bodies/colleges. Interviews were transcribed, and thematic analysis was undertaken using NVivo 12 software. RESULTS: Major themes emerging from the interviews included a sense that attitudes around staff vaccination are changing; the persistence of administrative and resource barriers; the importance of positive workplace culture towards influenza vaccination; and the need for individualised and personal communication strategies. Perspectives were diverse on the necessity of introducing stronger policies, with participants divided in their support mandatory influenza vaccinations. Some advocated that key performance indicators should be used as an alternative to vaccine mandates. CONCLUSIONS: This study provides policy makers with useful insights into the current Australian context around occupational vaccination policies, to inform acceptable and effective strategies to improve influenza vaccination uptake among Australian hospital and aged care staff.
Asunto(s)
Personal de Salud , Vacunas contra la Influenza/administración & dosificación , Gripe Humana/prevención & control , Programas Obligatorios , Participación de los Interesados/psicología , Vacunación/psicología , Personal Administrativo , Anciano , Actitud del Personal de Salud , Australia , Cuidadores , Hospitales , Humanos , Gripe Humana/transmisión , Investigación Cualitativa , Estaciones del Año , Vacunación/legislación & jurisprudencia , Cobertura de VacunaciónRESUMEN
Se utilizó una técnica cuantitativa hística para el diagnóstico bacteriológico en 30 pacientes ingresados en el Hospital Provincial Docente "Manuel Ascunce Domenech". La flora microbiana predominante fue gramnegativa. La mediana de las concentraciones bacterianas fue 10 colonias por gramo de tejido y el microorganismo más aislado Pseudomonas aeruginosa. La técnica empleada resultó aplicable al laboratorio de Microbilogía Clínica
Asunto(s)
Humanos , Técnicas Bacteriológicas , Quemaduras/microbiología , Sepsis/diagnósticoRESUMEN
Se utilizó una técnica cuantitativa hística para el diagnóstico bacteriológico en 30 pacientes ingresados en el Hospital Provincial Docente "Manuel Ascunce Domenech". La flora microbiana predominante fue gramnegativa. La mediana de las concentraciones bacterianas fue 10 colonias por gramo de tejido y el microorganismo más aislado Pseudomonas aeruginosa. La técnica empleada resultó aplicable al laboratorio de Microbilogía Clínica