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The Attitude of Pregnant Women and Health Workers for Influenza Vaccination

https://doi.org/10.31631/2073-3046-2017-16-1-55-61

Abstract

Influenza and ARVI - the main nosological form in structure of all infectious diseases. Influenza is especially dangerous to pregnant women. Purpose: to estimate commitment of pregnant women and health workers to vaccination against influenza. Materials and methods: form No. 5, form of the statistical account No. 1 - influenza the section 1, information from the official site of Federal State Budgetary Institution Scientific Research Institute of influenza of the Ministry of Health of the Russian Federation; materials of various conferences and the congresses on a influenza problem, information and analytical reference of the Ministry of Health of the Russian Federation. There were asked 1126 pregnant women on various durations of gestation and 447 health workers in various territories of the Russian Federation. Statistical processing was carried out with use of the Microsoft Excel 2010 and IBM SPSS Statistics 20.0 programs. Results and discussion: Among the interviewed pregnant women planned or were already vaccinated against influenza only 8% of women. The most frequent causes of failure from vaccination against influenza during pregnancy: doubt in safety (41.8%), ignorance about possibilities of vaccination (21,1%), lack of need for vaccination (18,7%). Only 25% of respondents knew about entering vaccination against influenza during pregnancy into a national calendar. At the same time only in 15% of health workers suggested pregnant women to be vaccinated from influenza. 73% of the interviewed health workers didn't recommend vaccination against influenza to pregnant women because they consider undesirable an intervention in immunity of the pregnant woman, 33% doubt in safety of vaccination, 13% don't know about a possibility of vaccination of pregnant women at all, 6% have personal negative experience of vaccination, and 4% don't see need for vaccination from influenza. Conclusion: the received materials showed need of development of knowledge at health workers of a vaccinal prevention of infectious diseases, including also vaccination against influenza during pregnancy, and also to carry out broad and active information work with the population, attracting mass media.

About the Authors

N. I. Briko
Federal State Budgetary Institution of Education of Higher Training «I.M. Sechenov First Moscow State Medical University»of the Ministry of Healthcare of the Russian Federation
Russian Federation


T. S. Saltykova
Federal State Budgetary Institution of Education of Higher Training «I.M. Sechenov First Moscow State Medical University»of the Ministry of Healthcare of the Russian Federation
Russian Federation


A. N. Gerasimov
Federal State Budgetary Institution of Education of Higher Training «I.M. Sechenov First Moscow State Medical University»of the Ministry of Healthcare of the Russian Federation
Russian Federation


A. A. Pozdnyakov
Federal State Budgetary Institution of Education of Higher Training «I.M. Sechenov First Moscow State Medical University»of the Ministry of Healthcare of the Russian Federation
Russian Federation


E. B. Brusina
Federal State Budgetary Institution of Education of Higher Training «Kemerovo State Medical University»of the Ministry of Healthcare of the Russian Federation
Russian Federation


L. P. Zueva
Federal State Budgetary Institution of Education of Higher Training «Mechnikov Northwestern State Medical University» of the Ministry of Healthcare of the Russian Federation
Russian Federation


A. V. Lyubimova
Federal State Budgetary Institution of Education of Higher Training «Mechnikov Northwestern State Medical University» of the Ministry of Healthcare of the Russian Federation
Russian Federation


A. A. Golubkova
State Budgetary Institution of Education of Higher Training «Ural State Medical University» of the Ministry of Healthcare of the Russian Federation
Russian Federation


T. G. Suranova
Federal State Budgetary Institution of Education of Additional Professional «Institute of Improvement of Qualification» Federal Biomedical Agency of the Russian Federation
Russian Federation


T. V. Tolokonnikova
Medical Budget Institution of Healthcare «Cyti Clinical Hospital № 2»
Russian Federation


V. B. Turkutyukov
Federal State Budgetary Institution of Education of Higher Training «Pacific State Medical University»
Russian Federation


V. I. Shumilov
State Budgetary Institution of Healthcare «Cyti Clinical Hospital № 67» Department of Healthcare
Russian Federation


V. A. Kalinkina
State Budgetary Institution «Regional Psychiatric Hospital named of K.R. Evgrafov»
Russian Federation


O. V. Kovalishena
Federal State Budgetary Institution of Education of Higher Training «Nizhny Novgorod State Medical Academy» of the Ministry of Healthcare of the Russian Federation
Russian Federation


L. D. Belotserkovtsova
State Budgetary Institution of Education of Higher Training «Surgut State University» of the Ministry of Healthcare of the Russian Federation
Russian Federation


References

1. L’vov D.K., Shhelkanov M.Ju. Genotipic structure of a class Influenza A virus. Vestnik Rossijskoj akademii medicinskih nauk. [Herald of the Russian Academy of Medical Sciences]. 2011; 5: 19 – 23. (in Russian)

2. Kaverin N.V., L’vov D.K., Shhelkanov M.Yu. Management on virology. Viruses and viral infections of the person and animals. Moscow; 2013 (in Russian).

3. Skehel J.J. Receptor binding and membrane fusion in virus entry: the influenza hemagglutinin. Annual Review of Biochemistry. 2000; 69: 531 – 569.

4. Flu in adults: guidelines for diagnosis, treatment, specific and nonspecific prevention. Ed.: A.G. Chuchalin, T.V. Sologub. St. Petersburg. 2014 (in Russian).

5. Pregnancy and pandemic influenza A (H1N1) 2009: Information for programme managers and clinicians. WHO. Aviable at: http://www.who.int/csr/resources/publications/swineflu/h1n1_guidance_pregnancy/en/.

6. Pengjun Zhang, Xiaoli Li, n Cao, Shigui Yang, Lirong Liang, Li Gu et al. Clinical features and risk factors for severe and critical pregnant women with 2009 pandemic H1N1 influenza infection in China. BMC Infectious Diseases 2012. DOI: 10.1186/1471-2334-12-29.

7. Mosby L.G., Rasmussen S.A., Jamieson D.J.. 2009 pandemic influenza A (H1N1) in pregnancy: a systematic review of the literature. American Journal of Obstetrics and Gynecology. 2011; 205 (1):10 – 18.

8. DomínguezCherit G., Lapinsky S.E., Macias A.E., Pinto R., EspinosaPerez L., de la Torre A. et al. Critically Ill patients with 2009 influenza A(H1N1) in Mexico. JAMA. 2009, 302: 1880 – 1887.

9. The ANZIC Influenza Investigators: Critical care services and 2009 H1N1 influenza in Australia and New Zealand. N. Engl. J. Med. 2009, 361: 1925 – 1934.

10. Archer B., Cohen C., Naidoo D., Thomas J., Makunga C., Blumberget L. al. Interim report on pandemic H1N1 influenza virus infections in South Africa. April to October 2009: epidemiology and factors associated with fatal cases. Euro Surveillance. 2009; 14

11. ANZIC Influenza Investigators and Australasian Maternity Outcomes Surveillance System.Critical illness due to 2009 A/H1N1 influenza in pregnant and postpartum women: population based cohort study. British Medical Journal. 2010; 340: 1279.

12. Jamieson D.J. H1N1 2009 influenza virus infection during pregnancy in the USA. Lancet. 2009; 374: 451 – 458.

13. Hewagama S. et al. 2009 H1N1 influenza A and pregnancy outcomes in Victoria, Australia. Clinical Infectious Diseases. 2010; 50 (5): 686 – 690.

14. Kalashnikova E.P. Clinico-morfologichesky aspects of placentary insufficiency. Arhiv Patologii. [Archives of Pathology]. 1988; 50 (5): 99 – 105 (in Russian).

15. Lucenko M.T., Pirogov A.B., Gorikov I.N. Dovzhikova I.V., Solovieva A.S. Fetoplacental system at ARVI. Blagoveshchensk; 2000 (in Russian).

16. Fell D.B., Savitz D.A., Kramer M.S. et al. Maternal influenza and birth outcomes: systematic review of comparative studies. BJOG 2017;.124:.48.–.59. Published Online 6 June 2016.

17. World Health Organization. Vaccines against influenza WHO position paper – November 2012.Weekly Epidemiol. Rec. 2012; 87: 461 – 76.

18. Pregnant women vaccination against influenza. Federal clinical guidelines of Ministry of Healthcare of the Russian Federation & National Association of Specialists in control infections associated with medical care. Moscow; 2015 (in Russian).

19. Influenza vaccination of pregnant women. Federal clinical guidelines. Moscow; 2015 (in Russian).

20. How to implement influenza vaccination of pregnant women. WHO. 2016: 65.

21. CDC. Update: Influenza Activity – United States, October 2, 2016 –February 4, 2017. MMWR. 2017; 66 (6); 159 – 166.

22. . Flu Vaccination Coverage Among Pregnant Women – United States, 2015 – 16 Flu Season. Aviable at: http://www.cdc.gov/flu/fluvaxview/pregnantcoverage_1516estimates.htm,

23. Madhi S.A., Cutland CL, Kuwanda L, Weinberg A, Hugo A, Jones S, et al. Influenza vaccination of pregnant women and protection of their infants. The New England Journal of Medicine. 2014; 371: 918 – 931.

24. Steinhoff M.C., Omer S.B., Roy E,. El Arifeen S., Raqib R., Dodd C., et al. Neonatal outcomes after influenza immunization during pregnancy: a randomized controlled trial. Canadian Medical Association Journal. 2012; 184:645–53.

25. Zaman K., Roy E., Arifeen S.E., Rahman M., Raqib R., Wilson E. et al. Effectiveness of maternal influenza immunization in mothers and infants. N. Engl. J. Med. 2008; 359:1555 – 1564.

26. Form of the statistical observation No. 5.Information about vaccinal prevantion. 2015 (in Russian).

27. statistical Form No. 1-flu – Information on acute respiratory viral infections, including influenza, – Section 1 – Flu vaccination coverage among citizens of influenza vaccination. 2015 (in Russian).


Review

For citations:


Briko N.I., Saltykova T.S., Gerasimov A.N., Pozdnyakov A.A., Brusina E.B., Zueva L.P., Lyubimova A.V., Golubkova A.A., Suranova T.G., Tolokonnikova T.V., Turkutyukov V.B., Shumilov V.I., Kalinkina V.A., Kovalishena O.V., Belotserkovtsova L.D. The Attitude of Pregnant Women and Health Workers for Influenza Vaccination. Epidemiology and Vaccinal Prevention. 2017;16(1):55-61. (In Russ.) https://doi.org/10.31631/2073-3046-2017-16-1-55-61

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ISSN 2073-3046 (Print)
ISSN 2619-0494 (Online)