Determination of measles, rubella, mumps and chickenpox seropositivity of district public hospital healthcare workers
Abstract
Aim: Measles, rubella, mumps and chickenpox are the childhood diseases retain their importance in our country as well as all over the world. Healthcare workers have high probability of transmission due to their occupational risk; however by taking necessary protective measures, the risk can be reduced. Determining the seropositivity rates of healthcare workers; it was aimed to compare vaccination rates before and after screening.
Methods: The personnel cards of 160 healthcare workers who worked in ….. State Hospital, from January 2018- December 2018 were retrospectively scanned. Information of 100 personnel has been reached. Demographic characteristics such as age and gender; infection or vaccination history; measles, rubella, mumps and chickenpox IgG results; old vaccination information and last vaccination status were recorded.
Results: Total of 100 staffs, 19 (19%) men and 81 (81%) women, were included in the study. 89 staffs (89%) were found to be immune to measles. After the scanning, 11 of the personnels who were not vaccinated or had incomplete vaccines saw that the measles IgG result was negative and eight of them agreed to be vaccinated. The seropositivity rate of rubella was 93%. Five of the seven personnels with rubella IgG negative, agreed to be vaccinated. The lowest seropositivity rate was in mumps (79%). 14 of the 21 people with mumps IgG negative were vaccinated. The highest seropositivity rate was in chickenpox (96%). Three of the four people with chickenpox IgG negative were vaccinated.
Conclusion: In a country with such a high rate of migration as Turkey, it should be noted that especially who work in high-risk places as a hospital must be vaccinated. While the rate of vaccination for measles, rubella, mumps and chickenpox before screening is low (12%); our post-screening rate has increased (34%). Mumps seropositivity rate was lower than expected (79%).
Supporting Institution
This study has received no financial support.
Thanks
I would like to thank Infection Committee Control of … State Hospital for their contribution.
References
- Kaçmaz B, Tuna A, Gül S, et al. Evaluation of side effects of measles-mumps-rubella vaccine administered to health care workers. Anatolian Curr Med J 2019; 1: 23-5.
- Şengöz M, Pişkin N, Aydemir H, et al. Seroprevalence of Measles, Rubella, Mumps and Varicella in Health Care Workers. Klimik Journal 2019; 32: 46-51.
- Centers for Disease Control and Prevention [Internet]. Recommended vaccines for healthcare workers. [cited 2020 Apr 20]. Available from: https://www.cdc.gov/vaccines/adults/rec-vac/hcw.html).
- Almuneef MA, Memish ZA, Balkhy HH, Otaibi B, Helmi M. Seroprevalence survey of varicella, measles, rubella, and hepatitis A and B viruses in a multinational healthcare workforce in Saudi Arabia. Infect Control Hosp Epidemiol 2006; 27: 1178-83.
- T.C. Ministry of Health Public Health Institution [Internet]. Necessary vaccines and application schemes for healthcare professionals. [cited 2020 Apr 20]. Available from: https://hsgm.saglik.gov.tr/tr/saglik-calisanlari-asilama.html).
- T.C. Ministry of Health Public Health Institution [Internet]. Vaccination due to occupational risks. [cited 2020 Apr 22]. Available from: https://asi.saglik.gov.tr/asi-kimlere-yapilir/liste/32-mesle%C4%9Fe-ba%C4%9Fl%C4%B1-riskler-nedeniyle-a%C5%9F%C4%B1lama.html )
- National Vaccine Workshop Report. T. C. Ministry of Health Infectious Diseases Association. 27-29 March 2014, Ankara.
- Köse H, Temoçin F. Measles seroprevalence in Yozgat city hospital employees. Klimik J 2018; 31: 144-7.
- T.C. Ministry of Health, General Directorate of Public Health, Microbiology Reference Laboratories and Biological Products Department. 2020. Measles and rubella surveillance. [cited 2020 Apr 29]. Available from: https://hsgm.saglik.gov.tr/tr/surveyanslar/liste/k%C4%B1zam%C4%B1k-ve-k%C4%B1zam%C4%B1k%C3%A7%C4%B1k-surveyans%C4%B1.html ).
- Wicker S, Maltezou HC. Vaccine-preventable diseases in Europe: where do westand? Expert Rev Vaccines 2014; 13: 979-87.
- Güler Ö. Healthcare worker immunization. In: Mutlu B, editor. Adult Immunization. 1st Edition. Ankara: Turkey Clinics; 2019:51-6.
- Kurugöl Z. Measles in Turkey: Ongoing problems. Turkey Clinics J Pediatr 2006; 15: 52-8.
- National Pediatrics Association. [cited 2020 May 13]. Available from: https://www.millipediatri.org.tr/Custom/Upload/files/asilama.pdf
- Aypak C, Bayram Y, Eren H, Altunsoy A, Berktas M. Susceptibility to measles, rubella, mumps, and varicella zoster viruses among healthcare workers. J Nippon Med Sch 2012; 79: 453-8.
- Özgüler M, Saltık-Güngör L, Kaygusuz T, Papila Ç. Seroprevalence of hepatitis A, hepatitis B, measles and rubella in health workers of Elazığ Training and Research Hospital. Klimik J 2016; 29: 10-4.
- Cılız N, Hörü G, Ecemiş T, Şenol Ş, Akçalı S, Kurutepe S. Seroprevalance of measles, rubella, mumps, varicella, diphtheria, tetanus and hepatitis b in healthcare workers. Klimik J 2013; 26: 26-30.
- Alp E, Cevahir F, Gökahmetoglu S, Demiraslan H, Doganay M. Prevaccination screening of health-care workers for immunity to measles, rubella, mumps, and varicella in a developing country: What do we save? J Infect Public Health 2012; 5: 127-32.
- Çelikbaş A, Ergönül Ö, Aksaray S, et al. Measles, rubella, mumps, and varicella seroprevalence among healthcare workers in Turkey: is prevaccination screening cost-effective? Am J Infect Control 2006; 34: 583-7.
- Rüzgar M, Mutlu B, Willke A. Measles and mumps seroprevalence study in healthcare workers. Klimik J 2006; 19: 69-70.
- Guner E. Determination of awareness and immunization status of diseases and vaccination that can be protected by the health care workers. Specialty thesis in medicine, University of Health Sciences, Bozyaka Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Izmir; 2017.
- Shady I. Seroprevalence of antibodies against varicella zoster virus and rubella virus among newly recruited expatriate healthcare workers: a crosssectional study. BMJ Open 2018; 8: e019339.
- Maltezou HC, Wicker S, Borg M, et al. Vaccination policies for health-care workers in acute health-care facilities in Europe. Vaccine 2011; 29: 9557-62.
- Fedeli U, Zanetti C, Saia B. Susceptibility of health care workers to measles, mumps, rubella and varicella. J Hosp Infect 2002; 51: 133-5.
- Taddei C, Ceccherini V, Niccolai G, et al. Attitude toward immunization and risk perception of measles, rubella, mumps, varicella and pertussis in health care workers in 6 hospitals of Florance, Italy 2011. Hum Vaccin Immunother 2014; 10: 2612-22.
- Yıldırım A, Özpulat F. Health profession high school students knowledge and awareness of occupational risks. TTB J Continuous Med Educ 2015; 24: 18-25.
- Mert D, Tosun S, Esen Yıldız İ, Alay H, Mistanoğlu Özatay D, Adult Vaccine Working Group. Healthcare Workers' Exposures for Mumps, Measles, Rubella and Varicella Zoster Virus Infections: A Multicenter Survey Study. J Microbiol Infect Dis 2019; 9: 144-9.
- Davidkin I, Jokinen S, Broman M, Leinikki P, Peltola H. Persistence of measles, mumps, and rubella antibodies in an MMR-vaccinated cohort: a 20-year follow-up. J Infect Dis 2008; 197: 950-6.
Abstract
References
- Kaçmaz B, Tuna A, Gül S, et al. Evaluation of side effects of measles-mumps-rubella vaccine administered to health care workers. Anatolian Curr Med J 2019; 1: 23-5.
- Şengöz M, Pişkin N, Aydemir H, et al. Seroprevalence of Measles, Rubella, Mumps and Varicella in Health Care Workers. Klimik Journal 2019; 32: 46-51.
- Centers for Disease Control and Prevention [Internet]. Recommended vaccines for healthcare workers. [cited 2020 Apr 20]. Available from: https://www.cdc.gov/vaccines/adults/rec-vac/hcw.html).
- Almuneef MA, Memish ZA, Balkhy HH, Otaibi B, Helmi M. Seroprevalence survey of varicella, measles, rubella, and hepatitis A and B viruses in a multinational healthcare workforce in Saudi Arabia. Infect Control Hosp Epidemiol 2006; 27: 1178-83.
- T.C. Ministry of Health Public Health Institution [Internet]. Necessary vaccines and application schemes for healthcare professionals. [cited 2020 Apr 20]. Available from: https://hsgm.saglik.gov.tr/tr/saglik-calisanlari-asilama.html).
- T.C. Ministry of Health Public Health Institution [Internet]. Vaccination due to occupational risks. [cited 2020 Apr 22]. Available from: https://asi.saglik.gov.tr/asi-kimlere-yapilir/liste/32-mesle%C4%9Fe-ba%C4%9Fl%C4%B1-riskler-nedeniyle-a%C5%9F%C4%B1lama.html )
- National Vaccine Workshop Report. T. C. Ministry of Health Infectious Diseases Association. 27-29 March 2014, Ankara.
- Köse H, Temoçin F. Measles seroprevalence in Yozgat city hospital employees. Klimik J 2018; 31: 144-7.
- T.C. Ministry of Health, General Directorate of Public Health, Microbiology Reference Laboratories and Biological Products Department. 2020. Measles and rubella surveillance. [cited 2020 Apr 29]. Available from: https://hsgm.saglik.gov.tr/tr/surveyanslar/liste/k%C4%B1zam%C4%B1k-ve-k%C4%B1zam%C4%B1k%C3%A7%C4%B1k-surveyans%C4%B1.html ).
- Wicker S, Maltezou HC. Vaccine-preventable diseases in Europe: where do westand? Expert Rev Vaccines 2014; 13: 979-87.
- Güler Ö. Healthcare worker immunization. In: Mutlu B, editor. Adult Immunization. 1st Edition. Ankara: Turkey Clinics; 2019:51-6.
- Kurugöl Z. Measles in Turkey: Ongoing problems. Turkey Clinics J Pediatr 2006; 15: 52-8.
- National Pediatrics Association. [cited 2020 May 13]. Available from: https://www.millipediatri.org.tr/Custom/Upload/files/asilama.pdf
- Aypak C, Bayram Y, Eren H, Altunsoy A, Berktas M. Susceptibility to measles, rubella, mumps, and varicella zoster viruses among healthcare workers. J Nippon Med Sch 2012; 79: 453-8.
- Özgüler M, Saltık-Güngör L, Kaygusuz T, Papila Ç. Seroprevalence of hepatitis A, hepatitis B, measles and rubella in health workers of Elazığ Training and Research Hospital. Klimik J 2016; 29: 10-4.
- Cılız N, Hörü G, Ecemiş T, Şenol Ş, Akçalı S, Kurutepe S. Seroprevalance of measles, rubella, mumps, varicella, diphtheria, tetanus and hepatitis b in healthcare workers. Klimik J 2013; 26: 26-30.
- Alp E, Cevahir F, Gökahmetoglu S, Demiraslan H, Doganay M. Prevaccination screening of health-care workers for immunity to measles, rubella, mumps, and varicella in a developing country: What do we save? J Infect Public Health 2012; 5: 127-32.
- Çelikbaş A, Ergönül Ö, Aksaray S, et al. Measles, rubella, mumps, and varicella seroprevalence among healthcare workers in Turkey: is prevaccination screening cost-effective? Am J Infect Control 2006; 34: 583-7.
- Rüzgar M, Mutlu B, Willke A. Measles and mumps seroprevalence study in healthcare workers. Klimik J 2006; 19: 69-70.
- Guner E. Determination of awareness and immunization status of diseases and vaccination that can be protected by the health care workers. Specialty thesis in medicine, University of Health Sciences, Bozyaka Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Izmir; 2017.
- Shady I. Seroprevalence of antibodies against varicella zoster virus and rubella virus among newly recruited expatriate healthcare workers: a crosssectional study. BMJ Open 2018; 8: e019339.
- Maltezou HC, Wicker S, Borg M, et al. Vaccination policies for health-care workers in acute health-care facilities in Europe. Vaccine 2011; 29: 9557-62.
- Fedeli U, Zanetti C, Saia B. Susceptibility of health care workers to measles, mumps, rubella and varicella. J Hosp Infect 2002; 51: 133-5.
- Taddei C, Ceccherini V, Niccolai G, et al. Attitude toward immunization and risk perception of measles, rubella, mumps, varicella and pertussis in health care workers in 6 hospitals of Florance, Italy 2011. Hum Vaccin Immunother 2014; 10: 2612-22.
- Yıldırım A, Özpulat F. Health profession high school students knowledge and awareness of occupational risks. TTB J Continuous Med Educ 2015; 24: 18-25.
- Mert D, Tosun S, Esen Yıldız İ, Alay H, Mistanoğlu Özatay D, Adult Vaccine Working Group. Healthcare Workers' Exposures for Mumps, Measles, Rubella and Varicella Zoster Virus Infections: A Multicenter Survey Study. J Microbiol Infect Dis 2019; 9: 144-9.
- Davidkin I, Jokinen S, Broman M, Leinikki P, Peltola H. Persistence of measles, mumps, and rubella antibodies in an MMR-vaccinated cohort: a 20-year follow-up. J Infect Dis 2008; 197: 950-6.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | April 24, 2021 |
| Published in Issue | Year 2021 Volume: 3 Issue: 2 |
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