Abstract
In Poland, the seasonal influenza vaccination rate is just barely 3% which may be related to the unsatisfactory knowledge of influenza among healthcare professionals, poor recognition of the benefits of influenza immunization and the fear of side effects. To address these issues, we surveyed healthcare professionals through an online questionnaire consisting of 18 closed-ended items. The questionnaire was completed by 495 healthcare professionals, mostly physicians (83%). The results revealed gaps in the knowledge concerning influenza diagnosis, complications, risk groups, and prognostic factors. On average, respondents only answered 4.8 of the 18 questions correctly (27%). Only 10% of respondents passed the threshold of 50% correct answers. The knowledge of contraindications to vaccination far outweighed the knowledge of indications for vaccination. Poor knowledge with a focus on the adverse effects of immunization may be a significant factor responsible for the low vaccination rate in Poland. To increase vaccination rate, healthcare professionals need to be educated about influenza-related risks and benefits of vaccination.
References
Arriola CS, Mercado-Crespo MC, Rivera B, Serrano-Rodriguez R, Macklin N, Rivera A, Graitcer S, Lacen M, Bridges CB, Kennedy ED (2015) Reasons for low influenza vaccination coverage among adults in Puerto Rico, influenza season 2013-2014. Vaccine 33(32):3829–3835
BeWellBuzz (2015) 10 reasons why flu shots are more dangerous than a flu. http://www.bewellbuzz.com/general/10-reasons-flu-shots-dangerous-flu/. Accessed 12 Jan 2017
Castilla J, MartĂnez-Baz I, Godoy P, Toledo D, Astray J, GarcĂa S, Mayoral JM, MartĂn V, González-Candelas F, Guevara M, Diaz-Borrego J, Torner N, Baricot M, Tamames S, DomĂnguez A, The CIBERESP Working Group for the Survey on Influenza Vaccination in Primary Healthcare Professionals (2013) Trends in influenza vaccine coverage among primary healthcare workers in Spain, 2008–2011. Prev Med 57:206–211
CDC (2010) Centers for disease control centers for disease control and prevention estimates of deaths associated with seasonal influenza – United States, 1976–2007. MMWR Morb Mortal Wkly Rep 59(33):1057–1062
CDC (2015) Centers for disease control and prevention Influenza. In: Epidemiology and prevention of vaccine-preventable diseases. Public Health Foundation, Washington, DC
CDC (2016) Centers for disease control and prevention seasonal Influenza (Flu). http://www.cdc.gov/flu/about/qa/disease.htm. Accessed on 26 Feb 2017
Clark SJ, Cowan AE, Wortley PM (2009) Influenza vaccination attitudes and practices among US registered nurses. Am J Infect Control 37(7):551–556
Cooper LZ, Larson HJ, Katz SL (2008) Protecting public trust in immunization. Pediatrics 122(1):149–153
Council of the European Communities (2009) Proposal for a council recommendation on seasonal influenza vaccination 2009. http://ec.europa.eu/health/ph_threats/com/Influenza/docs/seasonflu_rec2009_en.pdf. Accessed 29 Dec 2016
Czarkowski MP, Kondej B, Staszewska-Jakubik E, Cieląbek E (2015) Vaccinations in Poland in 2014. National Institute of Public Health – National Institute of Hygiene – Department of Epidemiology, Warsaw
Czarkowski MP, Kondej B, Staszewska-Jakubik E, Cieląbek E (2016) Vaccinations in Poland in 2015. National Institute of Public Health – National Institute of Hygiene – Department of Epidemiology, Warsaw
European Commission (2014) Council of the European Union. State of play on implementation of the Council Recommendation of 22 December 2009 on seasonal influenza vaccination (2009/1019/EU). http://eceuropaeu/health/vaccination/docs/seasonflu_staffwd2014_enpdf. Accessed on 29 Dec 2016
Flicoteaux R, Pulcini C, Carrieri P, Schwarzinger M, Leport C, Verger P (2014) Correlates of general practitioners’ recommendations to patients regarding vaccination for the 2009-2010 pandemic influenza (A/H1N1) in France: implications for future vaccination campaigns. Vaccine 32(20):2281–2287
Grohskopf LA, Sokolow LZ, Broder KR, Olsen SJ, Karron RA, Jernigan DB, Bresee JS (2016) Prevention and control of seasonal influenza with vaccines. MMWR Recomm Rep 65(5):1–54
Healy CM, Montesinos DP, Middleman AB (2014) Parent and provider perspectives on immunization: are providers overestimating parental concerns? Vaccine 32(5):579–584
Hollmeyer HG, Hayden F, Poland G, Buchholz U (2009) Influenza vaccination of health care workers in hospitals-a review of studies on attitudes and predictors. Vaccine 27(30):3935–3944
Hulo S, Nuvoli A, Sobaszek A, Salembier-Trichard A (2017) Knowledge and attitudes towards influenza vaccination of health care workers in emergency services. Vaccine 35(2):205–207
Kassianos G (2015) Willingness of European healthcare workers to undergo vaccination against seasonal influenza: current situation and suggestions for improvement. Drugs Context 4:212268. doi:10.7573/dic.212268
Kassianos G, Blank P, Falup-Pecurariu O, Kuchar E, Kyncl J, De Lejarazu RO, Nitsch-Osuch A, van Essen GA (2016) Influenza vaccination: key facts for general practitioners in Europe-a synthesis by European experts based on national guidelines and best practices in the United Kingdom and the Netherlands. Drugs Context 5:212293. doi:10.7573/dic.212293
Leask J, Kinnersley P, Jackson C, Cheater F, Bedford H, Rowles G (2012) Communicating with parents about vaccination: a framework for health professionals. BMC Pediatr 21:12–154
National Influenza Center (2017) http://www.pzh.gov.pl/en/training-and-courses/structure/division-of-epidemiology/national-influenza-center/. Accessed on 29 May 2017
Nessler K, Krztoń-Królewiecka A, Chmielowiec T, Jarczewska D, Windak A (2014) Determinants of influenza vaccination coverage rates among primary care patients in Krakow, Poland and the surrounding region. Vaccine 32(52):7122–7127
Newcombe JP, Kaur R, Wood N, Seale H, Palasanthiran P, Snelling TL (2016) Paediatrician beliefs and practices around influenza vaccination. J Paediatr Child Health. doi:10.1111/jpc.13406
Nutman A, Yoeli N (2016) Influenza vaccination motivators among healthcare personnel in a large acute care hospital in Israel. Isr J Health Policy Res 26:5–52
NWO Report (2017) German Supreme Court rules Measles does not exist. https://nworeport.me/2017/01/23/german-supreme-court-rules-measles-does-not-exist/. Accessed on 23 Feb 2017
Opstelten W, van Essen GA, Ballieux MJ, Goudswaard AN (2008) Influenza immunization of Dutch general practitioners: vaccination rate and attitudes towards vaccination. Vaccine 26(47):5918–5921
Posfay-Barbe KM, Heininger U, Aebi C, Desgrandchamps D, Vaudaux B, Siegrist CA (2005) How do physicians immunize their own children? Differences among pediatricians and nonpediatricians. Pediatrics 116(5):e623–e633
RCPCH (Royal College of Paediatrics and Child Health) (2016) Manual of childhood infections. The blue book. Oxford University Press, New York
Schmitt HJ, Booy R, Aston R, Van Damme P, Schumacher RF, Campins M, Rodrigo C, Heikkinen T, Weil-Olivier C, Finn A, Olcén P, Fedson D, Peltola H (2007) How to optimise the coverage rate of infant and adult immunisations in Europe. BMC Med 5:11
Verger P, Collange F, Fressard L, Bocquier A, Gautier A, Pulcini C, Raude J, Peretti-Watel P (2016) Prevalence and correlates of vaccine hesitancy among general practitioners: a cross-sectional telephone survey in France, April to July 2014. Euro Surveill 21(47). doi:10.2807/1560-7917.ES.2016.21.47.30406
WHO (2014) Report of the SAGE Working Group on vaccine hesitancy. http://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf. Accessed 13 Jan 2017
WHO (2016a) Addressing vaccine hesitancy. http://www.who.int/immunization/programmes_systems/vaccine_hesitancy/en/. Accessed on 15 Jan 2017
WHO (2016b) Influenza recommended composition of influenza virus vaccines for use in the 2017 southern hemisphere influenza season. http://www.who.int/influenza/vaccines/virus/recommendations/2017_south/en/. Accessed 29 Dec 2016
Conflicts of interest
The authors declare no conflicts of interest in relation to this article.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Kuchar, E., Ludwikowska, K., Antczak, A., Nitsch-Osuch, A. (2017). Healthcare Professionals’ Knowledge of Influenza and Influenza Vaccination: Results of a National Survey in Poland. In: Pokorski, M. (eds) Current Concepts in Medical Research and Practice. Advances in Experimental Medicine and Biology(), vol 1039. Springer, Cham. https://doi.org/10.1007/5584_2017_78
Download citation
DOI: https://doi.org/10.1007/5584_2017_78
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-74149-9
Online ISBN: 978-3-319-74150-5
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)