Veille documentaire MTPH

Auteur     E Galanakis
Auteur     A Jansen
Auteur     P L Lopalco
Auteur     J Giesecke
Volume     18
Numéro     45
Pages     20627
Publication     Euro surveillance: bulletin Européen sur les maladies transmissibles = European communicable disease bulletin
ISSN     1560-7917
Date     2013
Extra     PMID: 24229791
Abrév. de revue     Euro Surveill.
Catalogue de bibl.     NCBI PubMed
Langue     eng
Résumé     Healthcare workers (HCWs) are at increased risk of contracting infections at work and further transmitting them to colleagues and patients. Immune HCWs would be protected themselves and act as a barrier against the spread of infections and maintain healthcare delivery during outbreaks, but vaccine uptake rates in HCWs have often been low. In order to achieve adequate immunisation rates in HCWs, mandatory vaccination policies are occasionally implemented by healthcare authorities, but such policies have raised considerable controversy. Here we review the background of this debate, analyse arguments for and against mandatory vaccination policies, and consider the principles and virtues of clinical, professional, institutional and public health ethics. We conclude that there is a moral imperative for HCWs to be immune and for healthcare institutions to ensure HCW vaccination, in particular for those working in settings with high-risk groups of patients. If voluntary uptake of vaccination by HCWs is not optimal, patients’ welfare, public health and also the HCW’s own health interests should outweigh concerns about individual autonomy: fair mandatory vaccination policies for HCWs might be acceptable. Differences in diseases, patient and HCW groups at risk and available vaccines should be taken into consideration when adopting the optimal policy.