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Médecine du travail du personnel hospitalier

Hepatitis B vaccination coverage among health-care personnel in the United States

Auteur     Kathy K Byrd
Auteur     Peng-jun Lu
Auteur     Trudy V Murphy
Volume     128
Numéro     6
Pages     498-509
Publication     Public health reports (Washington, D.C.: 1974)
ISSN     1468-2877
Date     2013 Nov-Dec
Résumé     OBJECTIVES: We compared self-reported hepatitis B (HepB) vaccine coverage among health-care personnel (HCP) with HepB vaccine coverage among the general population and determined trends in vaccination coverage among HCP. METHODS: We used the 2010 National Health Interview Survey (NHIS) to determine the weighted proportion of self-reported ≥ 1- and ≥ 3-dose HepB vaccine coverage among HCP aged ≥ 18 years. We used logistic regression to determine independent predictors of vaccination and performed a trend analysis to determine changes in coverage from 2004 to 2010 using data from the 2004-2010 NHIS. RESULTS: Overall, 69.5% (95% confidence interval [CI] 67.2, 71.8) and 63.4% (95% CI 60.8, 65.9) of HCP reported receiving ≥ 1 and ≥ 3 doses of HepB vaccine, respectively, compared with 27.1% (95% CI 26.1, 28.1%) and 23.0% (95% CI 22.1, 24.0) among non-HCP. Among HCP with direct patient contact, 80.7% (95% CI 78.2, 83.1) and 74.0% (95% CI 71.2, 76.8) received ≥ 1 and ≥ 3 HepB vaccine doses, respectively. Independent predictors of vaccination included direct patient contact, having more than a high school education, influenza vaccination in the past year, and ever having been tested for HIV. There was no significant change in reported coverage from 2004 through 2010. CONCLUSION: The 2010 HepB vaccine coverage estimate among HCP remained well below the Healthy People 2010 goal of 90%. Efforts to target unvaccinated HCP for preexposure HepB protection should be encouraged.

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