Background: Vaccination adherence among healthcare workers (HCWs) is fundamental for the prevention of vaccine -preventable diseases (VPDs) in healthcare. This safeguards HCWs' well-being, prevents transmission of infections to vulnerable patients and contributes to public health. Aim: This systematic review and meta -analysis aimed to describe interventions meant to increase HCWs' adherence to vaccination and estimate the effectiveness of these interventions. Methods: We searched literature in eight databases and performed manual searches in relevant journals and the reference lists of retrieved articles. The study population included any HCW with potential occupational exposure to VPDs. We included experimental and quasi -experimental studies presenting interventions aimed at increasing HCWs' adherence to vaccination against VPDs. The post -intervention vaccination adherence rate was set as the main outcome. We included the effect of interventions in the randomeffects and subgroup meta -analyses. Results: The systematic review considered 48 studies on influenza and Tdap vaccination from database and manual searches, and 43 were meta -analysed. A statistically significant, positive effect was seen in multi -component interventions in randomised controlled trials (relative risk (RR) = 1.37; 95% CI: 1.13-1.66) and in observational studies (RR = 1.43; 95% CI: 1.29-1.58). Vaccination adherence rate was higher in community care facilities (RR = 1.58; 95% CI: 1.49-1.68) than in hospitals (RR = 1.24; 95% CI: 0.76-2.05). Conclusion: Interventions aimed at increasing HCWs' adherence to vaccination against VPDs are effective, especially multi -component ones. Future research should determine the most effective framework of interventions for each setting, using appropriate study design for their evaluation, and should compare intervention components to understand their contribution to the effectiveness.

Clari, M., Albanesi, B., Comoretto, R., Conti, A., Renzi, E., Luciani, M., et al. (2024). Effectiveness of interventions to increase healthcare workers’ adherence to vaccination against vaccine-preventable diseases: a systematic review and meta-analysis, 1993 to 2022. EUROSURVEILLANCE, 29(9) [10.2807/1560-7917.ES.2024.29.9.2300276].

Effectiveness of interventions to increase healthcare workers’ adherence to vaccination against vaccine-preventable diseases: a systematic review and meta-analysis, 1993 to 2022

Luciani M.;Ausili D.;
2024

Abstract

Background: Vaccination adherence among healthcare workers (HCWs) is fundamental for the prevention of vaccine -preventable diseases (VPDs) in healthcare. This safeguards HCWs' well-being, prevents transmission of infections to vulnerable patients and contributes to public health. Aim: This systematic review and meta -analysis aimed to describe interventions meant to increase HCWs' adherence to vaccination and estimate the effectiveness of these interventions. Methods: We searched literature in eight databases and performed manual searches in relevant journals and the reference lists of retrieved articles. The study population included any HCW with potential occupational exposure to VPDs. We included experimental and quasi -experimental studies presenting interventions aimed at increasing HCWs' adherence to vaccination against VPDs. The post -intervention vaccination adherence rate was set as the main outcome. We included the effect of interventions in the randomeffects and subgroup meta -analyses. Results: The systematic review considered 48 studies on influenza and Tdap vaccination from database and manual searches, and 43 were meta -analysed. A statistically significant, positive effect was seen in multi -component interventions in randomised controlled trials (relative risk (RR) = 1.37; 95% CI: 1.13-1.66) and in observational studies (RR = 1.43; 95% CI: 1.29-1.58). Vaccination adherence rate was higher in community care facilities (RR = 1.58; 95% CI: 1.49-1.68) than in hospitals (RR = 1.24; 95% CI: 0.76-2.05). Conclusion: Interventions aimed at increasing HCWs' adherence to vaccination against VPDs are effective, especially multi -component ones. Future research should determine the most effective framework of interventions for each setting, using appropriate study design for their evaluation, and should compare intervention components to understand their contribution to the effectiveness.
Articolo in rivista - Review Essay
Healthcare workers; meta-analysis; systematic review; vaccination adherence; vaccine preventable diseases
English
feb-2024
2024
29
9
2300276
none
Clari, M., Albanesi, B., Comoretto, R., Conti, A., Renzi, E., Luciani, M., et al. (2024). Effectiveness of interventions to increase healthcare workers’ adherence to vaccination against vaccine-preventable diseases: a systematic review and meta-analysis, 1993 to 2022. EUROSURVEILLANCE, 29(9) [10.2807/1560-7917.ES.2024.29.9.2300276].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/476599
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