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Healthcare Workers’ Preparedness: An Exploratory Study for Measles Control in a Middle-Income Country

Authors El-Sokkary RH, Tash RME, Zalat MM, Arafa M, Malek MM

Received 11 October 2019

Accepted for publication 6 January 2020

Published 10 February 2020 Volume 2020:13 Pages 395—402

DOI https://doi.org/10.2147/IDR.S234378

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Suresh Antony


Rehab H El-Sokkary, 1 Rehab M ElSaid Tash, 1 Marwa M Zalat, 2 Mohamed Arafa, 3 Mai M Malek 1

1Medical Microbiology & Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt; 2Department of Community, Occupational and Environmental Medicine, Zagazig University, Zagazig, Egypt; 3Pediatrics Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Correspondence: Rehab H El-Sokkary Email rehab_elsokkary@yahoo.com

Background: Healthcare workers (HCWs) should have an active role in measles control.
Objective: This study aimed to assess the HCWs’ measles immune status and its influencing factors; to measure their knowledge, attitude, and practice toward measles infection/vaccination; and to identify factors predicting their vaccination status.
Methods: Data were collected using a semi-tailored questionnaire. Immunoglobulin G against measles was measured. Regression analysis for measles vaccination was performed.
Results: Approximately 97 HCWs (93.3%) were seropositive, 79 (76.0%) were vaccinated, 18 (17.3%) were previously infected, and 9 (8.7%) were both vaccinated and previously infected. One previously vaccinated participant was seronegative. The immune status was associated with marital status, residence, work duration, infection control training, and wearing personal protective equipment. Positive attitudes and practices were reported. Marital status and infection control training were predictors for measles vaccination.
Conclusion: HCWs showed readiness to control the spread of measles. National policies for compulsory HCWs’ vaccination and immune status check before training and employment are required.

Keywords: measles, healthcare workers, vaccination, middle-income countries, infection control

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