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Analysis of the Feasibility of a Vaccination Campaign against Influenza Epidemic and COVID-19 Pandemic in French Emergency Departments: A National Survey

Background: Vaccination is one of the most effective ways to fight the influenza epidemic and the coronavirus disease 2019 (COVID-19) pandemic, which represent a major public issue. The objective was to investigate the adherence of heads of French emergency departments (ED) and nursing departments o...

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Autores principales: Ghazali, Daniel Aiham, Choquet, Christophe, Bouzid, Donia, Colosi, Luisa, Ben Hammouda, Arsalene, Wargon, Mathias, Gay, Matthieu, Vaittinada Ayar, Prabakar, Douay, Bendecite, Revue, Eric, Soulat, Louis, Hellmann, Romain, Casalino, Enrique
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8073376/
https://www.ncbi.nlm.nih.gov/pubmed/33921563
http://dx.doi.org/10.3390/vaccines9040400
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author Ghazali, Daniel Aiham
Choquet, Christophe
Bouzid, Donia
Colosi, Luisa
Ben Hammouda, Arsalene
Wargon, Mathias
Gay, Matthieu
Vaittinada Ayar, Prabakar
Douay, Bendecite
Revue, Eric
Soulat, Louis
Hellmann, Romain
Casalino, Enrique
author_facet Ghazali, Daniel Aiham
Choquet, Christophe
Bouzid, Donia
Colosi, Luisa
Ben Hammouda, Arsalene
Wargon, Mathias
Gay, Matthieu
Vaittinada Ayar, Prabakar
Douay, Bendecite
Revue, Eric
Soulat, Louis
Hellmann, Romain
Casalino, Enrique
author_sort Ghazali, Daniel Aiham
collection PubMed
description Background: Vaccination is one of the most effective ways to fight the influenza epidemic and the coronavirus disease 2019 (COVID-19) pandemic, which represent a major public issue. The objective was to investigate the adherence of heads of French emergency departments (ED) and nursing departments on a potential vaccination campaign of healthcare workers (HCW) and patients in ED. Method: In February 2021, ED and nursing department heads were asked to answer a national survey. It included 24 questions designed to cover some dimensions, including characteristics of the hospital and emergency departments (ED) and questions on vaccination. Results: 414 responses out of 800 questionnaires (51.8%) were collected. Scores out of 10 were, respectively, 7 (6–8) and 8 (6–9) for vaccination against influenza and COVID-19 for HCW and 2 (2–3) and 2 (2–4) for ED patients (H = 989.3; p < 0.0001). Multivariate logistic regression found that the existence of a vaccine program in the hospital and the use of point of care influenza PCR in ED were positively associated with the acceptance of influenza vaccination campaign for HCW (p = 0.003) and patients (p = 0.015). Factors limiting adherence to a vaccination program of HCW and patients were lack of medical staff (p = 0.041 for HCW and p < 0.0001 for patients), overcrowded ED (p < 0.001), and the inability to follow up with patients after the ED visit (p < 0.0001). Conclusions: There have been many missed opportunities for influenza vaccination, and there is pressure to vaccinate against COVID-19 as soon as possible. Vaccination campaigns in ED could help to improve vaccination coverage. ED staff are more likely to vaccinate HCW than patients. There are factors that support the implementation of such programs, which can be grouped into a culture of diagnosis, control, and prevention of viral infectious diseases within the hospital and ED. On the other hand, there are limiting factors, such as overcrowding and lack of personnel.
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spelling pubmed-80733762021-04-27 Analysis of the Feasibility of a Vaccination Campaign against Influenza Epidemic and COVID-19 Pandemic in French Emergency Departments: A National Survey Ghazali, Daniel Aiham Choquet, Christophe Bouzid, Donia Colosi, Luisa Ben Hammouda, Arsalene Wargon, Mathias Gay, Matthieu Vaittinada Ayar, Prabakar Douay, Bendecite Revue, Eric Soulat, Louis Hellmann, Romain Casalino, Enrique Vaccines (Basel) Article Background: Vaccination is one of the most effective ways to fight the influenza epidemic and the coronavirus disease 2019 (COVID-19) pandemic, which represent a major public issue. The objective was to investigate the adherence of heads of French emergency departments (ED) and nursing departments on a potential vaccination campaign of healthcare workers (HCW) and patients in ED. Method: In February 2021, ED and nursing department heads were asked to answer a national survey. It included 24 questions designed to cover some dimensions, including characteristics of the hospital and emergency departments (ED) and questions on vaccination. Results: 414 responses out of 800 questionnaires (51.8%) were collected. Scores out of 10 were, respectively, 7 (6–8) and 8 (6–9) for vaccination against influenza and COVID-19 for HCW and 2 (2–3) and 2 (2–4) for ED patients (H = 989.3; p < 0.0001). Multivariate logistic regression found that the existence of a vaccine program in the hospital and the use of point of care influenza PCR in ED were positively associated with the acceptance of influenza vaccination campaign for HCW (p = 0.003) and patients (p = 0.015). Factors limiting adherence to a vaccination program of HCW and patients were lack of medical staff (p = 0.041 for HCW and p < 0.0001 for patients), overcrowded ED (p < 0.001), and the inability to follow up with patients after the ED visit (p < 0.0001). Conclusions: There have been many missed opportunities for influenza vaccination, and there is pressure to vaccinate against COVID-19 as soon as possible. Vaccination campaigns in ED could help to improve vaccination coverage. ED staff are more likely to vaccinate HCW than patients. There are factors that support the implementation of such programs, which can be grouped into a culture of diagnosis, control, and prevention of viral infectious diseases within the hospital and ED. On the other hand, there are limiting factors, such as overcrowding and lack of personnel. MDPI 2021-04-19 /pmc/articles/PMC8073376/ /pubmed/33921563 http://dx.doi.org/10.3390/vaccines9040400 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ghazali, Daniel Aiham
Choquet, Christophe
Bouzid, Donia
Colosi, Luisa
Ben Hammouda, Arsalene
Wargon, Mathias
Gay, Matthieu
Vaittinada Ayar, Prabakar
Douay, Bendecite
Revue, Eric
Soulat, Louis
Hellmann, Romain
Casalino, Enrique
Analysis of the Feasibility of a Vaccination Campaign against Influenza Epidemic and COVID-19 Pandemic in French Emergency Departments: A National Survey
title Analysis of the Feasibility of a Vaccination Campaign against Influenza Epidemic and COVID-19 Pandemic in French Emergency Departments: A National Survey
title_full Analysis of the Feasibility of a Vaccination Campaign against Influenza Epidemic and COVID-19 Pandemic in French Emergency Departments: A National Survey
title_fullStr Analysis of the Feasibility of a Vaccination Campaign against Influenza Epidemic and COVID-19 Pandemic in French Emergency Departments: A National Survey
title_full_unstemmed Analysis of the Feasibility of a Vaccination Campaign against Influenza Epidemic and COVID-19 Pandemic in French Emergency Departments: A National Survey
title_short Analysis of the Feasibility of a Vaccination Campaign against Influenza Epidemic and COVID-19 Pandemic in French Emergency Departments: A National Survey
title_sort analysis of the feasibility of a vaccination campaign against influenza epidemic and covid-19 pandemic in french emergency departments: a national survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8073376/
https://www.ncbi.nlm.nih.gov/pubmed/33921563
http://dx.doi.org/10.3390/vaccines9040400
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