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Healthcare worker immunizations

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https://www.readbyqxmd.com/read/28617216/the-effect-of-performance-based-financing-on-maternal-healthcare-use-in-burundi-a-two-wave-pooled-cross-sectional-analysis
#1
Martin Rudasingwa, Robert Soeters, Olivier Basenya
BACKGROUND: Several developing countries, especially in Africa, have implemented performance-based financing (PBF) schemes with the aim of improving healthcare provision. PBF was first implemented in Burundi in 2006 as a pilot programme in three provinces and was rolled out nationwide in 2010. OBJECTIVE: To enrich existing studies on Burundi in three ways. Firstly, by evaluating the effect of PBF on maternal care at primary and hospital levels; secondly, on the possession of maternity logbooks for maternal care records; and thirdly, how the amount of subsidies influences healthcare outputs...
2017: Global Health Action
https://www.readbyqxmd.com/read/28579471/first-case-of-vaccine-strain-varicella-infection-as-manifestation-of-hiv-in-healthcare-worker-a-case-report-and-review-of-the-literature
#2
REVIEW
Bhagyashri D Navalkele, Oryan Henig, Marilynn Fairfax, Elaine Flanagan, Mark Upfal, Jim Russell, Sorabh Dhar, Keith Kaye, Teena Chopra
Live-attenuated varicella vaccination is safe in non-immunocompromised population and associated with rare non-serious adverse events. A healthcare worker (HCW) developed varicella infection and exposure investigation led to immunization against varicella in an exposed non-immune HCW. Subsequently, vaccine-strain induced disseminated varicella and progressive outer retinal necrosis in the exposed HCW resulted in identification of undiagnosed HIV infection. Here, we review serious adverse events from varicella vaccination and advice extreme caution prior to live vaccination of healthcare workers...
June 1, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28569334/knowledge-attitudes-and-practices-of-agricultural-workers-towards-tetanus-vaccine-a-field-report
#3
M Riccò, B Razio, C Panato, L Poletti, C Signorelli
BACKGROUND: Agricultural Workers are both more exposed to tetanus and at higher risk to be inadequately immunized than other usual recipients of the same vaccine. STUDY DESIGN: Our cross-sectional questionnaire-based study aimed to evaluate tetanus vaccination status, knowledge, attitudes and practices in Agricultural Workers in North-Eastern Italy. METHODS: Bivariate and multivariate logistic regression analyses were used to identify, from individual and work-related characteristics, factors significantly associated with appropriate vaccination status...
July 2017: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/28566335/breadth-and-duration-of-meningococcal-serum-bactericidal-activity-in-healthcare-workers-and-microbiologists-immunized-with-the-menb-fhbp-vaccine
#4
Eduardo Lujan, Elizabeth Partridge, Serena Giuntini, Sanjay Ram, Dan M Granoff
Background. MenB-FHbp is a meningococcal serogroup B vaccine with two Factor H binding protein (FHbp) antigens from subfamilies A and B. For licensure, efficacy was inferred from serum bactericidal antibody (SBA) responses against four reference strains. Only limited information is available on breadth or duration of protective SBA responses against genetically diverse disease-causing strains.Methods. Seventeen healthcare or laboratory workers were immunized with two (N=2) or three (N=15) doses of MenB-FHbp at 0, 2 and 6 months...
May 31, 2017: Clinical and Vaccine Immunology: CVI
https://www.readbyqxmd.com/read/28530308/-influenza-vaccination-among-healthcare-workers-the-data-and-the-duty
#5
Sonia Habib, Shmuel Rishpon, Itamar Grotto, Arnon Afek
Seasonal influenza is a significant disease affecting public health due to substantial morbidity and mortality and a high economic burden. in view of its high propensity for genetic mutations, the virus can easily evade preexisting immunity acquired from prior exposure to it, thereby causing severe seasonal epidemics. Influenza vaccination has been shown to be safe and effective. In many countries, including Israel, it is recommended to all members of the population aged 6 months and older, especially those with a higher risk of developing severe complications...
January 2017: Harefuah
https://www.readbyqxmd.com/read/28478776/an-isolated-outbreak-of-diphtheria-in-south-africa-2015
#6
S Mahomed, M Archary, P Mutevedzi, Y Mahabeer, P Govender, G Ntshoe, W Kuhn, J Thomas, A Olowolagba, L Blumberg, K McCarthy, K Mlisana, M DU Plessis, A VON Gottberg, P Moodley
An outbreak of respiratory diphtheria occurred in two health districts in the province of KwaZulu-Natal in South Africa in 2015. A multidisciplinary outbreak response team was involved in the investigation and management of the outbreak. Fifteen cases of diphtheria were identified, with ages ranging from 4 to 41 years. Of the 12 cases that were under the age of 18 years, 9 (75%) were not fully immunized for diphtheria. The case fatality was 27%. Ninety-three household contacts, 981 school or work contacts and 595 healthcare worker contacts were identified and given prophylaxis against Corynebacterium diphtheriae infection...
May 8, 2017: Epidemiology and Infection
https://www.readbyqxmd.com/read/28463582/medical-students-attitude-toward-influenza-vaccination-results-of-a-survey-in-the-university-of-bari-italy
#7
Maria Serena Gallone, Maria Filomena Gallone, Maria Giovanna Cappelli, Francesca Fortunato, Domenico Martinelli, Michele Quarto, Rosa Prato, Silvio Tafuri
Influenza vaccination is strongly recommended for Italian healthcare professionals, but vaccine coverage is low. Since 2012, vaccination is also offered to medical students as part of the National Immunization Plan; however, few Medical Schools has implemented the plan so far. To study determinants of vaccination compliance, we conducted a survey among medical students at the University of Bari, where influenza vaccination has been actively offered since 2013. Information was obtained by means of an online anonymous questionnaire administered in April 2014...
May 2, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28438994/latently-and-uninfected-healthcare-workers-exposed-to-tb-make-protective-antibodies-against-mycobacterium-tuberculosis
#8
Hao Li, Xing-Xing Wang, Bin Wang, Lei Fu, Guan Liu, Yu Lu, Min Cao, Hairong Huang, Babak Javid
The role of Igs in natural protection against infection by Mycobacterium tuberculosis (Mtb), the causative agent of TB, is controversial. Although passive immunization with mAbs generated against mycobacterial antigens has shown protective efficacy in murine models of infection, studies in B cell-depleted animals only showed modest phenotypes. We do not know if humans make protective antibody responses. Here, we investigated whether healthcare workers in a Beijing TB hospital-who, although exposed to suprainfectious doses of pathogenic Mtb, remain healthy-make antibody responses that are effective in protecting against infection by Mtb...
May 9, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28426114/infectious-diseases-and-migrant-worker-health-in-singapore-a-receiving-country-s-perspective
#9
Sapna P Sadarangani, Poh Lian Lim, Shawn Vasoo
Background.: Approximately 1.4 million migrant workers reside in Singapore, presenting unique infectious disease challenges to both migrants and Singapore. Methods.: A Pubmed, MEDLINE (Ovid), EBSCO Host (Global Health) and Google Scholar search was performed for both peer, non-peer reviewed articles and reports relevant to migrant health in Singapore, published between 1 January 1989 and 1 September 2016. Additional studies were identified from citations within searched articles...
July 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28298455/evaluation-of-quantiferon-tb-gold-plus-in-health-care-workers-in-a-low-incidence-setting
#10
Hee-Won Moon, Rajiv L Gaur, Sara Shu-Hwa Tien, Mary Spangler, Madhukar Pai, Niaz Banaei
Although launched in 2015, little is known about the accuracy of QuantiFERON-TB Gold-Plus (QFT-Plus) for diagnosis of latent M. tuberculosis infection (LTBI). Unlike its predecessor, QFT-Plus utilizes two antigen tubes to elicit an immune response from CD4(+) and CD8(+) T lymphocytes. We conducted a cross-sectional study in low-risk health care workers (HCWs) at a single U.S. center to compare QFT-Plus to QuantiFERON-TB Gold in-tube (QFT). A total of 989 HCWs were tested with both QFT and QFT-Plus. Risk factors for LTBI were obtained from a questionnaire...
June 2017: Journal of Clinical Microbiology
https://www.readbyqxmd.com/read/28284681/systematic-review-of-the-cost-effectiveness-of-influenza-immunization-programs
#11
REVIEW
Eon E K Ting, Beate Sander, Wendy J Ungar
BACKGROUND: Seasonal influenza immunization programs vary widely across jurisdictions. In Canada, some provinces offer universal programs while others target specific population groups. However, whether targeted or universal programs provide more benefit and value-for-money is unclear. The cost-effectiveness of influenza immunization programs was systematically reviewed to inform policy. METHODS: Citation databases and the grey literature were searched for economic evaluations of influenza immunization programs...
March 8, 2017: Vaccine
https://www.readbyqxmd.com/read/28214912/-the-active-offering-of-measles-rubella-and-mumps-vaccine-in-new-mothers-the-experience-of-health-facilities-in-one-of-the-local-health-unit-of-rome-lazio-italy
#12
Viviana Santoro, Valentina Pettinicchio, Andreina Lancia, Cristiana Vazzoler, Francesca De Luca, Elisabetta Franco
Rubella is a contagious disease that can be very serious, especially in unvaccinated pregnant women. The best way to be protected is getting vaccinated: MMR vaccine is very effective at protecting people against measles, mumps, and rubella, and preventing the complications caused by these diseases. According to PASSI 2012-2015 (the Italian behavioral risk factor surveillance system) in the territory of ex ASL Roma C only 56% of women between 18 and 49 years were immunized against rubella, thanks to vaccination (34%) or past infection detected by rubeotest (22%); 2% was susceptible and 42% of respondents did not know their immune status against rubella...
November 2016: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/28209185/health-literacy-in-a-community-with-low-levels-of-education-findings-from-chakaria-a-rural-area-of-bangladesh
#13
Susmita Das, Mohammad Nahid Mia, Syed Manzoor Ahmed Hanifi, Shahidul Hoque, Abbas Bhuiya
BACKGROUND: Health literacy (HL) helps individuals to make effective use of available health services. In low-income countries such as Bangladesh, the less than optimum use of services could be due to low levels of HL. Bangladesh's health service delivery is pluralistic with a mix of public, private and informally trained healthcare providers. Emphasis on HL has been inadequate. Thus, it is important to assess the levels of HL and service utilization patterns. The findings from this study aim to bridge the knowledge gap...
February 16, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28027005/serological-survey-of-hepatitis-b-immunity-in-healthcare-workers-in-catalonia-spain
#14
A Domínguez, L Urbiztondo, J M Bayas, E Borrás, S Broner, M Campins, J Costa, M Esteve
Healthcare workers (HCW) are exposed to preventable infectious diseases, notably hepatitis B (HB). The aim of this study was to determine the immunity of HCW against hepatitis B. We made a seroprevalence study using a self-administered survey and obtained blood samples. Antibodies against the HB surface antigen (anti-HBs) and against the HB core antigen (anti-HBc) were studied. The odds ratio (OR) and 95% confidence intervals (CI) were calculated. The adjusted OR were calculated using logistic regression. Of the 644 HCW who participated (29...
February 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/27968896/parental-decision-making-with-regards-to-vaccination-against-human-papilloma-virus-in-adolescent-girls-in-hong-kong-china-a-prospective-cohort-study
#15
Linda D L Wang, Wendy W T Lam, Richard Fielding
BACKGROUND: Uptake of vaccination against human papilloma virus (HPV) remains low among adolescent girls in Hong Kong, China, despite long-standing vaccine availability. We examined predictors of Chinese parents' decision-making regarding their adolescent daughters' vaccination using an extensively modified Theory of Planned Behaviour. METHODS: During 2014 we did a population-based random sample of Chinese parents in Hong Kong who were aware of HPV vaccine and had at least one unvaccinated daughter aged 12-17 years...
October 2016: Lancet
https://www.readbyqxmd.com/read/27929751/recommended-vaccinations-for-asplenic-and-hyposplenic-adult-patients
#16
Paolo Bonanni, Maddalena Grazzini, Giuditta Niccolai, Diana Paolini, Ornella Varone, Alessandro Bartoloni, Filippo Bartalesi, Maria Grazia Santini, Simonetta Baretti, Carlo Bonito, Paola Zini, Maria Teresa Mechi, Fabrizio Niccolini, Lea Magistri, Maria Beatrice Pulci, Sara Boccalini, Angela Bechini
Asplenic or hyposplenic (AH) individuals are particularly vulnerable to invasive infections caused by encapsulated bacteria. Such infections have often a sudden onset and a fulminant course. Infectious diseases (IDs) incidence in AH subjects can be reduced by preventive measures such as vaccination. The aim of our work is to provide updated recommendations on prevention of infectious diseases in AH adult patients, and to supply a useful and practical tool to healthcare workers for the management of these subjects, in hospital setting and in outpatients consultation...
February 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/27925503/persistence-of-protective-anti-hbs-antibody-levels-and-anamnestic-response-to-hbv-booster-vaccination-a-cross-sectional-study-among-healthcare-students-20%C3%A2-years-following-the-universal-immunization-campaign-in-italy
#17
Guglielmo Dini, Alessandra Toletone, Ilaria Barberis, Nicoletta Debarbieri, Emanuela Massa, Chiara Paganino, Francesca Bersi, Alfredo Montecucco, Cristiano Alicino, Paolo Durando
Vaccination against Hepatitis B Virus (HBV) became mandatory in Italy for all newborns and 12 years-old individuals in the 1991. The immunogenicity of HBV vaccine and the effectiveness of the universal immunization strategy have been widely demonstrated. However the need to assess the antibody concentrations above the well known serological correlate of protection for HBV infection (≥10 mIU/mL), established in individuals immunized with a 3 doses vaccination course, is still recommended in subjects exposed to occupational risks in different settings, particularly the healthcare services...
February 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/27924688/susceptibility-to-vaccine-preventable-diseases-and-vaccination-adherence-among-healthcare-workers-in-italy-a-cross-sectional-survey-at-a-regional-acute-care-university-hospital-and-a-systematic-review
#18
Umberto Leone Roberti Maggiore, Carolina Scala, Alessandra Toletone, Nicoletta Debarbieri, Mauro Perria, Beatrice D'Amico, Alfredo Montecucco, Mariano Martini, Guglielmo Dini, Paolo Durando
Healthcare Workers (HCWs) have an increased risk both to acquire and to spread vaccine preventable diseases (VPDs) both to their colleagues and, especially, to vulnerable patients. The prevention of occupational hazards among HCWs is based on proper adoption of the standard and additional precautions, immunizations, and secondary preventive measures, such as post-exposure prophylaxis. Moreover, HCWs are often referred to as the most trusted source of vaccine-related information for their patients. In the present article, we report the findings of a cross-sectional study investigating the compliance to vaccinations among HCWs employed at the Obstetric Unit of a regional acute-care University Hospital in Northern Italy...
February 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/27923955/measles-outbreak-among-previously-immunized-healthcare-workers-the-netherlands-2014
#19
Susan J M Hahné, Laura M Nic Lochlainn, Nathalie D van Burgel, Jeroen Kerkhof, Jussi Sane, Kioe Bing Yap, Rob S van Binnendijk
BACKGROUND:  We investigated a measles outbreak among healthcare workers (HCWs) by assessing laboratory characteristics, measles vaccine effectiveness, and serological correlates for protection. METHODS:  Cases were laboratory-confirmed measles in HCWs from hospital X during weeks 12-20 of 2014. We assessed cases' severity and infectiousness by using a questionnaire. We tested cases' sera for measles immunoglobulin M, immunoglobulin G, avidity, and plaque reduction neutralization (PRN)...
December 15, 2016: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/27819003/missed-opportunities-for-vaccination-in-the-dominican-republic-results-of-an-operational-investigation
#20
MULTICENTER STUDY
Zacarías Garib, Aida Lucía Vargas, Silas P Trumbo, Kathleen Anthony, Jose Luis Diaz-Ortega, Pamela Bravo-Alcántara, Irene Leal, M Carolina Danovaro-Holliday, Martha Velandia-González
Background. Despite the success of the Dominican Republic's National Immunization Program, homogenous vaccine coverage has not been achieved. In October 2012, the country implemented a study on missed opportunities for vaccination (MOVs) in children aged <5 years. Methods. A cross-sectional study of 102 healthcare facilities was implemented in 30 high-risk municipalities. Overall, 1500 parents and guardians of children aged <5 years were interviewed. A MOV is defined as when a person who is eligible for vaccination and with no contraindications visits a health facility and does not receive a required vaccine...
2016: BioMed Research International
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