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• W2321857955 abstract "Objective: Vaccination of health care workers was declared as the first priority by WHO in encountering with H1N1 influenza virus, which caused a worldwide pandemic in 2009. However, lack of knowledge of long and short term side effects of the vaccine could effect the acceptibility of the vaccination among health care workers. In this study, it was aimed to determine the acceptibility of influenza A/H1N1 vaccination, and the incidence of vaccine-related side effects among health care workers. Method: A prospective observational study have been conducted to examine the acceptance and side effects of pandemic influenza vaccine among health care workers at GATA Haydarpasa Training Hospital, between November 20 and December 1, 2009. Voluntarily vaccinated personnel were assigned into three groups. and the clinical data of the vaccinated personnel, as well as side effects after vaccination were recorded. OZET Amac: Dunya Saglik Orgutu, 2009 yilinda ortaya cikan influenza A H1N1 pandemisi ile mucadelede, saglik calisanlarinin asilanmasinin birinci oncelikli hedef olmasi gerektigini bildirmistir. Kisa ve uzun vadede asi yan etkileri konusundaki belirsizlik tartisma konusu olmus ve asiyi kabul etmeyi etkileyecegi one surulmustur. Bu calismada saglik calisanlari arasinda pandemik influenza A/H1 N1 asilamasini kabul etme, asi ile iliskili yan etkiler ve bu etkilerin gorulme sikliginin belirlenmesi amaclanmistir. Yontem: 20 Kasim-01Aralik 2009 tarihleri arasinda GATA Haydarpasa Egitim Hastanesinde saglik calisanlari arasinda pandemik influenza asi uygulamasini kabul etme ve asi ile iliskili yan etkiler prospektif gozlemsel olarak arastirilmistir. Gonullu olarak asi uygulanan personel uc grupta siniflandirilmistir. Her grup icin asilanan personel ile ilgili klinik bilgiler ve asi uygulamasi sonrasi saptanan yan etkiler hazirlanan formlara kayit edilmistir. 1 GATA Haydarpasa Egitim Hastanesi, Enfeksiyon Hastaliklari ve Klinik Mikrobiyoloji Servisi, ISTANBUL Gelis Tarihi / Received : Kabul Tarihi / Accepted : Iletisim / Corresponding Author : Sinem BUDAK GATA Haydarpasa Egitim Hastanesi, Enfeksiyon Hastaliklari ve Klinik Mikrobiyoloji Servisi, ISTANBUL Tel : +90 216 542 20 20 E-posta / E-mail : budaksinem@yahoo.com 06.07.2011 08.09.2011 DOI ID : 10.5505/TurkHijyen.2011.78055 Turk Hijyen ve Deneysel Biyoloji Dergisi Budak S, Acar A, Karacaer Z, Diktas H, Turhan V, Oncul O, Gorenek L. GATA Haydarpasa Egitim Hastanesi’ndeki saglik calisanlarinin pandemik influenza A/H1N1 asilamasini kabul etme ve asiya bagli yan etki yuzdeleri. Turk Hij Den Biyol Derg, 2011; 68(4): 185-90. Cilt 68  Sayi 4  2011 Turk Hij Den Biyol Derg 186 2009 yilinda ilk olarak Meksika’da tanimlanan ve hizla kitalararasi yayilim gosteren Influenza A H1N1 tum dunyayi etkisi altina alarak kuresel pandemiye neden olmustur. Vakalarin cogu hafif veya orta derecede komplike olmayan vakalar olsa da ozellikle alta yatan hastaligi olanlarda ve gebelerde olumcul sonuclar dahil ciddi komplikasyonlar rapor edilmistir (1,2). Dunya Saglik Orgutu tum ulkelerde influenza A/H1N1 pandemisi ile mucadelede, saglik calisanlarini asilamanin birinci oncelikli hedef olmasi gerektigini bildirmistir (1). Nisan 2009‘da Meksika’da baslayan ve Agustos 2009’da ulkemize ulasan pandemiye hazirlik kapsaminda Kasim 2009 tarihinden itibaren ulkemizde saglik calisanlari asilanmaya baslanmistir. Asinin yeni bir melez susa karsi cok kisa surede hazirlanmasi ve yeterli klinik deneyimin olmamasi nedeniyle asi gerekliligi ve muhtemel yan etkileri konularinda cesitli alanlarda tartismalar olmustur. Bu kapsamda toplumun ve saglik personelinin asiyi kabul etme veya etmeme durumu ve asinin kisa ve uzun donemde muhtemel yan etkileri Saglik Bakanligi tarafindan dikkatle izlenmis ve asi uygulamasina yonelik aktif surveyans yapilmasi istenmistir. Calismamizda saglik calisanlari arasinda pandemik A/H1N1 asilamasini kabul etme, asi ile iliskili kisa ve uzun donemdeki yan etkiler ve bu etkilerin gorulme sikliginin belirlenmesi amaclanmistir. GIRIS SAĞLIK PERSONELINDE PANDEMIK A/H1N1 ASILAMASI Bulgular: Toplam 1.185 saglik personeli calisanimiz arasindan gonullu olan 669’una pandemik influenza A H1N1 asisi uygulanmistir. Asilanan personelin asilamayi kabul etme yuzdeleri incelendiginde doktor grubunda oranin %84,3 (291/345), hemsirelerde %52,9 (198/374), yardimci saglik personelinde ise %38,6 (180/466) oldugu saptanmistir. Asilama sonrasi 14 gun aktif, sonraki bir yil icerisinde bildirime dayali pasif surveyans ile personel takip edilmistir. Toplam 261 (%38,6) asi ile iliskili yan etki belirlenmistir. Asilanan personelin 62 (%9)’si sadece lokal, 89 (%13,3)’u ise lokal ve sistemik yan etkileri birlikte bildirmistir. En sik yan etkisi olarak asi uygulanan bolgede agri (%17,3), halsizlik (%7,6) ve bas agrisi (%6,7) saptanmistir. Asilanan personelin hicbirisinde hayati tehdit eden ciddi yan etki belirlenmemistir. Sonuc: Halk sagligini tehdit eden durumlarda, ozellikle saglik hizmetlerinde gorevli personelin daha iyi bilgilendirilmesi ve egitimi ile onyargi olusmasini onleyerek asiya uyumu saglanmasi salgin kontrolunde en onemli adimlardan birisidir. Anahtar Sozcukler: Pandemik influenza A/H1N1, saglik personeli, asilama Results: Out of 1,185 health care workers, 669 (56.5%) were vaccinated voluntarily with pandemic influenza A /H1N1 vaccine. The percentage of acceptance was 84.3% (291/345) for doctors, 52.9% (198/374) for nurses and 38.6% (180/466) for other health personnel. Health care workers were followed actively for 14 days after vaccination and a passive surveillance have been conducted based on the staff notices within one year. In total, 261 (38.6%) side effects were reported related to vaccination; 62 (9%) of those were only local, while 89 (13.3%) were both systemic and local. The most frequently seen side effects were pain on the injection site (17.3%), dizziness (7.6%) and headache (6.7%). Lifethreatening side effects were not observed in any of the vaccinated personnel. Conclusion: Training of health care workers is one of the most important step for an effective vaccination campaign of public health importance. This could prevent prejudices and ensure compliance with the vaccination while controlling the epidemic." @default.
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• W2321857955 title "Pandemic influenza A/H1N1 vaccination and vaccine-related side effects in health care workers of GATA Haydarpasa Training Hospital" @default.
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