2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure

Manuel Maffeo, Ester Luconi, Ambra Castrofino, Emanuela Maria Campagnoli, Andrea Cinnirella, Federica Fornaro, Claudia Gallana, Pier Mario Perrone, Viktoriia Shishmintseva, Elena Pariani and Silvana Castaldi
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Manuel Maffeo: Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy
Ester Luconi: Quality Unit Fondazione IRCCS Ca’ Granda OMP, 20122 Milan, Italy
Ambra Castrofino: Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy
Emanuela Maria Campagnoli: Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy
Andrea Cinnirella: Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy
Federica Fornaro: Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy
Claudia Gallana: Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy
Pier Mario Perrone: Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy
Viktoriia Shishmintseva: Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy
Elena Pariani: Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy
Silvana Castaldi: Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy

IJERPH, 2020, vol. 17, issue 11, 1-10

Abstract: Background: Despite recommendations, the influenza vaccination coverage rate in healthcare workers (HCWs) in Italy is far from the recommended target. The aim of the study is to analyze the influenza vaccination campaign performed in 2019 in a research and teaching hospital in Milan. Methods: The vaccination strategy included an ad hoc ambulatory, as in the previous years, and an onsite ambulatory, introduced for the first time. Personal data and professional categories were collected and analyzed using univariate logistic regression. HCWs who refused the vaccination were asked to fill in a questionnaire to explain their reasons for dissent. Results: The achieved vaccination coverage rate (VCR) for HCWs was 21.5 %, compared to 17.1% in 2018. The lowest VCR was registered among nurses (11.9%), while physicians had the highest VCR (40.7%). Prevalence ratios show that some professional categories were more frequently vaccinated for the first time than attending physicians (reference category); those with statistically significant confidence intervals were nurses (PR: 2.42; 95% CI: 1.78–3.28), residents (PR: 1.85; 95% CI: 1.36–2.53), and auxiliary staff (PR: 2.33; 95% CI: 1.45–3.74). Conclusions: An onsite vaccination strategy failed in providing a remarkable increase in VCR in 2019, but it is important to point out that the campaign was influenced by several logistic problems.

Keywords: influenza; health personnel; vaccination; vaccination coverage; vaccination refusal (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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