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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Vaccination against influenza at a European pediatric cancer center: immunization rates and attitudes among staff, patients, and their families
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Vaccination against influenza at a European pediatric cancer center: immunization rates and attitudes among staff, patients, and their families

机译：在欧洲儿科癌症中心对甲型流感的疫苗接种：员工，患者及其家庭的免疫率和态度

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Abstract Background Influenza is an important cause of infectious morbidity in pediatric cancer patients. We conducted a single-center survey to explore adherence and attitudes towards the recommended annual influenza vaccination. Methods Self-administered, standardized questionnaires were distributed to 143 staff members and 264 families. Items analyzed included demographic data, knowledge about influenza, history of prior influenza infections and vaccinations, routes of information and education, and attitudes towards the recommended influenza. Variables associated with vaccination were explored by univariate and multivariate analyses. Results One hundred six staff members with patient contact and 139 primary caretakers completed the questionnaire. Fifty-nine percent of staff members and 60% of the caretakers provided correct answers to all four knowledge questions; 32 and 54% reported a history of prior influenza, and 61 and 47% had received at least one influenza vaccination in the past. Vaccination rates for the previous season were 47, 34, 30, 25, and 29% in staff members, primary caretakers, their partners, diseased children, and their siblings, respectively. Main motivations (>75% in ≥ 1 cohort) for vaccination were prevention of influenza disease and concerns to transmit it to others (77–100%) and reasons for not being immunized concerns of adverse effects and use of alternative protection (33–83%). Variables significantly associated with vaccination by multivariate analysis included receipt of influenza vaccinations in the past (OR 2.2–20.5), recommendations by health care providers (OR 4.8–45.5), a lower level of education (caretakers; OR 2.2), and younger age (children; OR 0.9). Conclusions The results of this survey indicate insufficient vaccination rates and provide potential approaches for improved vaccination strategies in the setting of pediatric cancer care.
机译：摘要背景流感是儿科癌症患者传染病发病率的重要原因。我们进行了一项中心调查，探索了对推荐的年度流感疫苗接种的遵守和态度。方法自我管理，标准化问卷分配到143名工作人员和264个家庭。分析的项目包括人口统计数据，关于流感的知识，先前流感感染和疫苗接种的历史，信息和教育途径，以及推荐的流感的态度。通过单变量和多变量分析探索与疫苗接种相关的变量。结果患者联系和139名主要看护人的一百六名工作人员完成了调查问卷。 59％的工作人员和60％的看护人提供了所有四个知识问题的正确答案; 32和54％报告了先前流感的历史，61和47％过去已经收到过至少一个流感疫苗接种。前赛季的疫苗接种率为47,34,30,25和29％，员工成员，主要看护人，合作伙伴，患病儿童及其兄弟姐妹。用于疫苗接种的主要动机（> 75％）用于预防流感疾病和担忧将其传递给其他人（77-100％）以及未免疫效应和使用替代保护的免疫担忧（33​​-83 ％）。多元分析疫苗接种明显相关的变量包括过去（或2.2-20.5）的流感疫苗接种，由医疗保健提供者（或4.8-45.5）的建议，教育水平较低（看护人;或2.2），更年轻（儿童;或0.9）。结论该调查结果表明疫苗接种率不足，并提供潜在的方法，以改善儿科癌症护理的疫苗接种策略。

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