Immunization of healthcare workers (HCWs) is a major issue for infection control in
healthcare facilities. The aim of this study was to evaluate knowledge regarding occupational
vaccinations, HBV, varicella and influenza vaccination rates and attitudes towards
influenza vaccine among HCWs.
A cross-sectional survey was conducted in two wards (Medicine and Paediatrics) of
a 1182-bed teaching hospital in Paris, France.
A standardized, anonymous, self-administered questionnaire was used.
Of 580 HCWs, 395 (68%) completed the questionnaire. Knowledge about the occupational
vaccinations of HCWs was low. HBV (69%), tuberculosis (54%) and influenza (52%) were
the most cited vaccinations. Paediatric staff was more aware of influenza and pertussis
immunizations (p<.05). HBV vaccination rate was 93%, among whom 65% were aware of
their immune status. Influenza vaccination rate for 2006-2007 was 30% overall, ranging
from 50% among physicians to 20% among paramedical staff (p<.05). Physicians based
their refusal on doubts about vaccine efficacy, although paramedics feared side effects.
Influenza vaccination was associated with knowledge of vaccine recommendations [OR=1.75,
95% CI: 1.13-2.57] and contact with patients [OR=3.05, 95% CI: 1.50-5.91].
Knowledge of recommended occupational vaccinations is insufficient in HCWs, except
for HBV and influenza. Although the HBV vaccine coverage of HCWs is satisfactory,
a large proportion of them is unaware of immune status. Influenza vaccine coverage
remains low, especially among paramedical staff because of fear of side effects. As
vaccine coverage is associated with knowledge, educational campaigns should be strengthened
to increase the adhesion of HCWs to vaccinations.