Evaluation of the Anti-influenza Vaccination Coverage of the Staff of the Emergency Medicine Center of Toulouse University Hospital Center during the Winter Season 2017-2018

Introduction: More than 677,000 patients consulted from December 2016 to April 2017 in emergency department (ED) in Occitanie. The proportion of patients at risk for severe influenza is higher in ED than in the general population. The healthcare workers must be vaccinated to fight the spread of the virus as well as to protect patients. The objective of our study was to know the influenza vaccination rate among the healthcare workers working at the Emergency Medicine Center (EMC) of the University Hospital Center (CHU) during the winter of 2017-2018. Methods: We realized a retrospective monocentric epidemiological study on the EMC. The inclusion criteria were the healthcare workers in position (physicians, nurse, intern, or caregiver) in the ED of Purpan, Rangueil, and/or emergency medical help service (Samu) of the Haute-Garonne (Samu 31) from November 30, 2017 to April 30, 2018. The primary endpoint was defined by the proportion of immunized healthcare workers. The secondary endpoint was to research the motivation for the vaccination or the non-vaccination. The results were expressed as percentages with calculation of the 95% confidence interval. Results: Two hundred and thirty-six (59%) health professionals responded, and 103 (44%) were vaccinated against influenza. The factors mentioned for the vaccination were the protection of the patients, to protect oneself and one's entourage. The absence of envy, the impression of non-effectiveness of the vaccine, the fear of side effects, and the ignorance of the principles of vaccination were the factors found for the non-vaccination. Conclusion: The vaccination rate of the staff of the EMC of the University Hospital Center remains low compared to the objectives set by Sante Publique France which are 75%. The establishment of a referral professional in the service who would carry out a vaccination after information and awareness is a track to evaluate.