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Effectiveness of interventions to increase healthcare workers' adherence to vaccination against vaccine-preventable diseases: a systematic review and meta-analysis, 1993 to 2022.
Clari, Marco; Albanesi, Beatrice; Comoretto, Rosanna Irene; Conti, Alessio; Renzi, Erika; Luciani, Michela; Ausili, Davide; Massimi, Azzurra; Dimonte, Valerio.
Afiliación
  • Clari M; Department of Sciences of Public Health and Paediatrics, University of Turin, Turin, Italy.
  • Albanesi B; These authors contributed equally to this work and shared first authorship.
  • Comoretto RI; Department of Sciences of Public Health and Paediatrics, University of Turin, Turin, Italy.
  • Conti A; These authors contributed equally to this work and shared first authorship.
  • Renzi E; Department of Sciences of Public Health and Paediatrics, University of Turin, Turin, Italy.
  • Luciani M; Department of Sciences of Public Health and Paediatrics, University of Turin, Turin, Italy.
  • Ausili D; Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
  • Massimi A; Department of Medicine and Surgery, University of Milano - Bicocca, Milan Italy.
  • Dimonte V; Department of Medicine and Surgery, University of Milano - Bicocca, Milan Italy.
Euro Surveill ; 29(9)2024 Feb.
Article en En | MEDLINE | ID: mdl-38426238
ABSTRACT
BackgroundVaccination adherence among healthcare workers (HCWs) is fundamental for the prevention of vaccine-preventable diseases (VPDs) in healthcare. This safeguards HCWs' well-being, prevents transmission of infections to vulnerable patients and contributes to public health.AimThis systematic review and meta-analysis aimed to describe interventions meant to increase HCWs' adherence to vaccination and estimate the effectiveness of these interventions.MethodsWe searched literature in eight databases and performed manual searches in relevant journals and the reference lists of retrieved articles. The study population included any HCW with potential occupational exposure to VPDs. We included experimental and quasi-experimental studies presenting interventions aimed at increasing HCWs' adherence to vaccination against VPDs. The post-intervention vaccination adherence rate was set as the main outcome. We included the effect of interventions in the random-effects and subgroup meta-analyses.ResultsThe systematic review considered 48 studies on influenza and Tdap vaccination from database and manual searches, and 43 were meta-analysed. A statistically significant, positive effect was seen in multi-component interventions in randomised controlled trials (relative risk (RR) = 1.37; 95% CI 1.13-1.66) and in observational studies (RR = 1.43; 95% CI 1.29-1.58). Vaccination adherence rate was higher in community care facilities (RR = 1.58; 95% CI 1.49-1.68) than in hospitals (RR = 1.24; 95% CI 0.76-2.05).ConclusionInterventions aimed at increasing HCWs' adherence to vaccination against VPDs are effective, especially multi-component ones. Future research should determine the most effective framework of interventions for each setting, using appropriate study design for their evaluation, and should compare intervention components to understand their contribution to the effectiveness.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vacunas contra la Influenza / Gripe Humana / Enfermedades Prevenibles por Vacunación Límite: Humans Idioma: En Revista: Euro Surveill Asunto de la revista: DOENCAS TRANSMISSIVEIS Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suecia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vacunas contra la Influenza / Gripe Humana / Enfermedades Prevenibles por Vacunación Límite: Humans Idioma: En Revista: Euro Surveill Asunto de la revista: DOENCAS TRANSMISSIVEIS Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suecia