[Autom. eng. transl.] INTRODUCTION The annual flu vaccination of Healthcare Workers (OS) is recommended to prevent flu and prevent its transmission to fragile patients. Furthermore, in the epidemic flu period, the absence from work due to illness of OSs can generate organizational inefficiencies on the quality and continuity of the care provided to patients. In our University Hospital, the flu vaccination coverage among the OS in the 2016-17 season was around 9%. For this reason, different strategies were adopted during the 2017-18 season to increase coverage. The aim of this study is to evaluate the effectiveness of these integrated strategies and also analyze the impact of vaccination on absenteeism due to OS disease in the epidemic period. MATERIALS AND METHODS During the 2017-18 flu season, in about half of the Operational Units of the University Hospital Foundation “A. Gemini "IRCCS (FPG)" peer "(academic detailing) and on-site vaccination sessions have been implemented to increase knowledge, attitudes and flu vaccination coverage rate among the OS. At the end of the 2017-18 season, it was carried out a cross-sectional study in order to analyze the flu vaccination coverage among the FPG OS. Socio-demographic and employment data (age, gender, flu vaccination in the previous 2016-17 season, profession and related Operational Unit) were provided by the Preventive Medicine Service and by the Human Resources Department; the latter also provided the number of sick days used by the OS during the epidemic period (42nd week 2017 - 17th week 2018). RESULTS The study included 4111 OS of the FPG. The flu vaccination rate increased from 8.7% in 2016-17 to 13% in 2017-18 (+ 48.5%, p <0.0001). The multivariate analysis showed that, at the end of the 2017-18 season, the coverage was higher among the OS involved in the on-site training and vaccination intervention (OR 2.7; 95% CI 2.2-3.4), doctors, older and previously vaccinated. Gender, on the other hand, does not seem to influence vaccination coverage. The average number of days of illness used by the vaccinated OS in the epidemic period was significantly lower than that of the unvaccinated OS in the 2017-18 campaign (respectively 1.3 ± 4.6 and 3.2 ± 10.3; p <0.001). These results are preliminary in nature. CONCLUSION The "peer" training intervention and on-site vaccination have proven effective in increasing the flu vaccination coverage among FPG OS. Socio-demographic and occupational variables can significantly influence OS's aptitude for vaccination. Finally, influenza vaccination seems to significantly reduce OS disease absenteeism in the epidemic period.
|Conference||51° Congresso Nazionale della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI) “I primi 40 anni del Servizio Sanitario Nazionale: il contributo dell’igiene alla salute e all’equità”|
|City||Riva del Garda Centro Congressi|
|Period||17/10/18 → 20/10/18|