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Assessment of individual vaccine status in a vaccinology experts' group
Authors:Antoine Duclos,Damien Bouhour,Charles Baptiste,Odile Launay,Nicole Guiso,the Avancé  es Vaccinales Experts' Group
Affiliation:Methodologist, Département d'Information Médicale des Hospices Civils de Lyon, Pôle IMER, Lyon, France;
Clinician, Service Maladies Infectieuses Centre Hospitalier Fleyriat, Bourg en Bresse, France;
Drug Industry Worker, Laboratoires Sanofi Pasteur-MSD, Lyon, France;
Clinician, UniversitéParis Descartes, Facultéde Médecine;INSERM;AP–HP, Hôpital Cochin, CIC de Vaccinologie Cochin-Pasteur, Pôle de Médecine, Paris, France;
Biologist, Unitéde Prévention et Thérapies Moléculaires des Maladies Humaines, Centre National de Référence de la Coqueluche et autres Bordetelloses, URA-CNRS 3012, Institut Pasteur, Paris, France
Abstract:Rationale  Worldwide, experts in vaccinology have promoted the broad annual coverage of health care workers with the influenza vaccine. Furthermore, pertussis vaccination is now recommended for young adults and health care workers working with newborns.
Aim  To analyse the compliance with these guidelines among experts responsible for the development or dissemination of national immunization schedules.
Method  A cross-sectional survey was conducted in a vaccinology workshop group of French experts, using a self-administered questionnaire.
Results  Among 44 experts, the average rate of influenza vaccination was 69.5% (95% confidence interval, 61.6% to 77.3%) between the 2003/04 and 2005/06 flu seasons, whereas the rate of pertussis vaccination during this period was only 30%. The main reasons that the experts gave for not being vaccinated were a lack of time or simply not remembering to do so.
Conclusion  Experts had low coverage rates for influenza and pertussis vaccination. To improve these rates, a multifaceted intervention combining audit and feedback strategy with a vaccine day is planned.
Keywords:guideline adherence    health personnel    influenza vaccines    medical audit    professional practice    vaccination
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