医院中麻疹和小疫苗接种计划:实施和对接触者追踪的影响
Alicia Siew Ting Loi1, Revathi Sridhar2, See Ming Lim3
1Well Programme, Alexandra Hospital, Singapore 159964, Singapore.
Vaccines
|July 29, 2023
概括
医疗保健工作者对麻疹和水的疫苗接种显著减少了易受感染的员工. 这项计划改善了对麻疹,水和传播疹的保护.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 医疗保健工作者 (HCWs) 需要接种疫苗预防麻疹和水等疫苗可预防的疾病.
- 易受感染的HCW在医疗保健机构内存在传播的风险.
- 实施强有力的疫苗接种计划对于医疗机构的安全至关重要.
研究的目的:
- 详细说明HCW的麻疹和水疫苗接种计划的实施情况.
- 评估该计划对减少暴露在麻疹,水和传播性疹中易受感染的HCW的影响.
- 在第三级医院环境中评估疫苗接种策略的有效性.
主要方法:
- 利用实施研究综合框架 (CFIR) 模型指导计划实施 (2015年10月 - 2018年9月).
- 追踪暴露,审查和敏感的HCW在接触追踪中追踪了2016-2018年期间的麻疹和水/疹杆暴露.
- 分析了免疫审查完成率和计划前后干预前后易感性数据.
主要成果:
- 在2018年之前实现95%的免疫审查完成率 (6770/7083个HCW).
- 暴露HCW中的麻疹敏感性降低,从2016年的10% (20/198) 到2018年的0% (0/51) (p < 0.01).
- 在暴露的HCW中,疹/散播性疹的敏感性降低,从2016年的5% (7/154) 降至2018年的1% (2/377) (p < 0.01).
结论:
- 实施的疫苗接种计划有效地显著减少了易受感染的HCW的数量.
- 该计划成功地增强了对麻疹,水和传播疹的保护.
- 持续的疫苗接种工作对于维持受保护的医疗保健工作人员至关重要.
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