Knowledge, Attitude, and Practice of Egyptian Medical Students Towards Healthcare Workers’ Recommended Vaccines: A Nationwide Cross-Sectional Survey

Author:

Shawqi Mohamed Mohamed1,El-Said Yara Mohamed2,Behery Mostafa Behery2,Abdelaziz Ali3,Ibrahem Esraa Shawky3,ElBoraie Aly4,Khattab Mohamed Ayman4,Ghattas Ahmed S.5,Naeem Ahmed6,Madany Maysa7,Elboraay Toka8,Naguib Mostafa Mahmoud6,Allam Abdallah R.2,Allam Ahmed Hafez2,Bahbah Ammar Ayman2,Ewis Marwa Ibrahim2,Elsayed Mostafa Ahmed2,Sherief Leenah2,KhallafAllah Mahmoud Tawfik2,Aboshady Omar Ali2

Affiliation:

1. Benha University

2. Menoufia University

3. Alexandria University

4. Cairo University

5. Helwan University

6. Al-Azhar University

7. South Valley University

8. Zagazig University

Abstract

Abstract Background Vaccination of healthcare workers (HCWs) is pivotal to decrease the incidence of contagious infections in hospital settings. Herein, we assessed the knowledge, attitude, and practice regarding HCWs’ recommended vaccines among medical students and interns in Egypt. Methods A multicenter, cross-sectional study was conducted using a structured, pilot-tested, self-administered questionnaire among Egyptian medical students and interns. We invited 1332 participants to our survey using a systematic random sampling that included participants across nine medical schools in Egypt during the 2021–2022 academic year. Result Out of 1332 participants, 1141 completed our questionnaire with a response rate of 85.7%. Overall, 43% of our participants knew 2–3 HCWs recommended vaccines. Furthermore, 36.7% had received a booster dose of at least one of the HCWs’ recommended vaccines in the last 10 years with only 6.1% having received all recommended vaccines. Hepatitis B vaccine was the most widely known (71%) and received (66.7%). Interns were more likely to know, receive, and recommend HCWs’ recommended vaccines. The majority (> 90%) agreed that vaccination is beneficial and safe, with a median score of eight (interquartile range [IQR]: 2) out of ten concerning vaccine efficacy and eight (IQR: 1) for safety. However, the median score for hesitancy was five (IQR: 5). The most common influential and limiting factors for taking vaccines were scientific facts (60.1%) and fear of vaccine side effects (44.9%), respectively. Conclusion Although medical students in Egypt have good knowledge and attitudes toward vaccinations, there is a gap in their practices. Interventions are needed to improve the uptake of vaccinations among medical students in Egypt.

Publisher

Research Square Platform LLC

Reference27 articles.

1. CDC. Recommended Vaccines for Healthcare Workers | CDC. https://www.cdc.gov/vaccines/adults/rec-vac/index.html. Accessed 5 Sep 2023.

2. CDC. Immunization of Health-Care Workers: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC). https://www.cdc.gov/mmwr/preview/mmwrhtml/00050577. Accessed 4 Sep 2023.

3. Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review;Alhumaid S;Antimicrob Resist Infect Control,2021

4. Effectiveness of COVID-19 Vaccine Booster Shot Compared with Non-Booster: A Meta-Analysis;Zhu Y;Vaccines (Basel),2022

5. Effectiveness of COVID-19 booster vaccines against COVID-19-related symptoms, hospitalization and death in England;Andrews N;Nat Med,2022

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