pertussis vaccination in child care workers room for improvement in coverage, policy and practice百日咳疫苗接种儿童保健工作者改进的空间覆盖,政策和实践.pdfVIP
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pertussis vaccination in child care workers room for improvement in coverage, policy and practice百日咳疫苗接种儿童保健工作者改进的空间覆盖,政策和实践
Hope et al. BMC Pediatrics 2012, 12:98
/1471-2431/12/98
RESEARCH ARTICLE Open Access
Pertussis vaccination in Child Care Workers: room
for improvement in coverage, policy and practice
1* 1 2 3 1 1
Kirsty Hope , Michelle Butler , Peter D Massey , Patrick Cashman , David N Durrheim , Jody Stephenson
and April Worley2
Abstract
Background: The “Staying Healthy in Child Care” Australian guidelines provide for illness and disease exclusions
and encourage vaccination of staff in child care settings, however these requirements are not subject to
accreditation and licensing, and their level of implementation is unknown. This study aimed to describe pertussis
vaccination coverage in child care workers in a regional area of northern NSW during 2010; review current staff
pertussis vaccination practices; and explore barriers to vaccination.
Methods: A cross sectional survey of all child care centre directors in the Hunter New England (HNE) area of
northern NSW was conducted in 2010 using a computer assisted telephone interviewing service.
Results: Ninety-eight percent (319/325) of child care centres identified within the HNE area participated in the
survey. Thirty-five percent (113/319) of centres indicated that they had policies concerning respiratory illness in staff
members. Sixty-three percent (202/319) of centres indicated that they kept a record of staff vaccination, however, of
the 170 centre’s who indicated they updated their records, 74% (125/170) only updated records if a staff member
notified them. Of centres with records, 58% indicated that fewer than half of their staff were vaccinated.
Conclusion: Many childcare workers have not had a recent pertussis immunisation. This potentially place
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