Healthcare personnel in 2016–2019 prospective cohort infrequently got vaccinated, worked while ill, and frequently used antibiotics rather than antivirals against viral influenza illnesses

Author:

Azziz‐Baumgartner Eduardo1ORCID,Neyra Joan2,Yau Tat S.1,Soto Giselle2,Owusu Daniel1ORCID,Zhang Chao1,Romero Candice3,Yoo Young M.1,Gonzales Miriam3,Tinoco Yeny2,Silva María2,Bravo Eduar4,Serrano Nancy Rojas5,Matos Eduardo6,Chavez‐Perez Victor7,Castro Juan Carlos8,Esther Castillo Maria910,Porter Rachael1,Munayco Cesar11,Rodriguez Angel12ORCID,Levine Min Z.1,Prouty Michael2,Thompson Mark G.1,Arriola Carmen Sofia1

Affiliation:

1. Influenza Division Centers for Disease Control and Prevention Atlanta Georgia USA

2. US Naval Medical Research Unit No. 6 Bellavista Peru

3. Vysnova Partners Inc Lima Peru

4. Hospital Cayetano Heredia Lima Peru

5. Instituto Nacional de Salud Lima Peru

6. Hospital Nacional Arzobispo Loayza Lima Peru

7. Hospital Nacional Dos de Mayo Lima Peru

8. Hospital Nacional Daniel Alcides Carrión Lima Peru

9. Instituto Nacional de Salud del Niño Lima Peru

10. Medicine School from Universidad Peruana Cayetano Heredia Lima Peru

11. Peruvian Centers for Disease and Control Lima Peru

12. Health Emergencies Department, Pan American Health Organization (PAHO/WHO) Washington District of Columbia USA

Abstract

AbstractBackgroundUncertainty about risk of illness and the value of influenza vaccines negatively affects vaccine uptake among persons targeted for influenza vaccination.MethodsDuring 2016–2019, we followed a cohort of healthcare personnel (HCP) targeted for free‐of‐charge influenza vaccination in five Lima hospitals to quantify risk of influenza, workplace presenteeism (coming to work despite illness), and absenteeism (taking time off from work because of illness). The HCP who developed acute respiratory illnesses (ARI) (≥1 of acute cough, runny nose, body aches, or feverishness) were tested for influenza using reverse‐transcription polymerase chain reaction (rt‐PCR).FindingsThe cohort (2968 HCP) contributed 950,888 person‐days. Only 36 (6%) of 605 HCP who participated every year were vaccinated. The HCP had 5750 ARI and 147 rt‐PCR‐confirmed influenza illnesses. The weighted incidence of laboratory‐confirmed influenza was 10.0/100 person‐years; 37% used antibiotics, and 0.7% used antivirals to treat these illnesses. The HCP with laboratory‐confirmed influenza were present at work while ill for a cumulative 1187 hours.InterpretationHCP were frequently ill and often worked rather than stayed at home while ill. Our findings suggest the need for continuing medical education about the risk of influenza and benefits of vaccination and stay‐at‐home‐while‐ill policies.

Funder

Centers for Disease Control and Prevention

Publisher

Wiley

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health,Pulmonary and Respiratory Medicine,Epidemiology

Reference29 articles.

1. Factors and considerations for establishing and improving seasonal influenza vaccination of health workers: Report from a WHO meeting, January 16–17, Berlin, Germany

2. Influenza vaccination in the Americas: Progress and challenges after the 2009 A(H1N1) influenza pandemic

3. Effectiveness of Whole-Virus COVID-19 Vaccine among Healthcare Personnel, Lima, Peru

4. NIOSH.Absenteeism in the workplace. Accessed May 25 2023.https://www.cdc.gov/niosh/topics/absences/default.html

5. Peru Go.Vacúnate gratis y evita la Influenza. Accessed February 14 2021.https://www.gob.pe/institucion/minsa/campa%C3%B1as/393-vacunate-gratis-y-evita-la-influenza

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