Abstract

Aim. To establish the efficacy of 13-valent pneumococcal conjugate vaccine (PCV13) for healthcare workers protection from occupational acquired infection and impact of healthcare staff vaccination on the risk of transmission to patients. Materials and methods. Healthcare personnel (n=157 of whom 105 critical care department staff) and 1770 patients of that critical care department observed. Healthcare workers received PCV13. Infections caused by Str. pneumoniae, respiratory infections regardless of etiology, work absenteeism in healthcare workers during 12 month before and after vaccination assessed. In the same time monitoring of hospital-acquired infections in patients of critical care department performed. Statistical analysis was done using SPSS 24, relationships were assessed by rate ratio, Cox regression, logistic regression and Kaplan-Meier estimator. Results. Healthcare workers' vaccine coverage in critical care department was 97.2%. In healthcare personnel the rate of all pneumococcal infections, asymptomatic carriage of Str. pneumoniae and respiratory pneumococcal infections were decreased after vaccination by 2.1, 2.2 and 2.1 times accordingly. The rate of respiratory infections regardless of etiology was decreased by 30%, р

Highlights

  • У больных в блоках интенсивной терапии (БИТ) наблюдали снижение частоты всех респираторных инфекций на 58%, с 97 (11%) до 65 (7,3%), отношение шансов (ОШ) 0,63, 95% ДИ 0,32–0,78, р=0,012 и респираторных инфекций, вызванных пневмококком, на 66%, с 35 (4,0%) до 22 (2,5%), ОШ 0,60, 95% ДИ 0,41–0,72, р=0,004 до и после вакцинации медицинского персонала соответственно

  • Do influenza and pneumococcal vaccines prevent community-acquired respiratory infections among older people with diabetes and does this vary by chronic kidney disease?

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Summary

Ìàòåðèàëû è ìåòîäû

В которое включено 157 медицинских работников – сотрудников многопрофильной ЛПО, 105 из которых работали в блоках интенсивной терапии (БИТ) стационара, 52 – в поликлинических терапевтических отделениях. Критерии включения: информированное согласие пациента, мужчины и женщины в возрасте старше 18 лет, работа в БИТ стационара или терапевтическом отделении поликлиники, стаж более 12 мес, отсутствие предшествующей вакцинации против пневмококка, ежегодная противогриппозная

Ýôôåêòèâíîñòü àíòèïíåâìîêîêêîâîé âàêöèíàöèè ó ìåäèöèíñêèõ ðàáîòíèêîâ
Заболевания сердечнососудистой системы
Findings
Накопленный процент пациентов без респираторных инфекций а
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