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DOI: 10.1055/s-0031-1280551
© Georg Thieme Verlag KG Stuttgart · New York
Rechtfertigt der Patientenschutz verpflichtende Impfungen?
Ergebnisse einer anonymen Befragung von MedizinstudierendenDoes patient safety justify mandatory vaccinations? Results of an anonymous survey among medical studentsPublication History
eingereicht: 15.9.2010
akzeptiert: 17.3.2011
Publication Date:
07 June 2011 (online)
Zusammenfassung
Hintergrund und Fragestellung: Studierende der Human- und Zahnmedizin gehören zu einer Gruppe von medizinischen Beschäftigen, die regelmäßig Kontakt mit möglicherweise infektiösen Patienten haben kann. Impfungen gehören zu den wichtigsten präventiven Maßnahmen, um medizinisches Personal und Patienten vor impfpräventablen Erkrankungen zu schützen. Trotz jahrzehntelanger Bemühungen, den Impfstatus des medizinischen Personals zu verbessern, bleiben die Impfraten (z. B. gegen Influenza) auf einem unzureichenden Niveau.
Methoden: Um die Einstellungen der Studierenden zu verpflichtenden Impfungen zu erheben, wurde eine anonyme Befragung am Universitätsklinikum Frankfurt am Main durchgeführt. An der Befragung nahmen insgesamt 56,9 % (1823 von 3200) der Human- und Zahnmedizinstudierenden der Goethe-Universität teil.
Ergebnisse: Diese bislang größte Erhebung zu diesem Thema zeigte, dass 88,5 % der befragten Studierenden verpflichtende Impfungen für medizinische Beschäftigte akzeptieren würden.
Folgerungen: Im Gegensatz zu der weitverbreiteten Annahme, dass ein verpflichtendes Impfprogramm Widerstand hervorrufen würde, weisen unsere Daten darauf hin, dass verpflichtende Impfungen (zumindest für Beschäftigte, die immunsupprimierte Patienten betreuen) akzeptiert werden würden.
Abstract
Background and objectives: Medical and dental students belong to a group of health care workers (HCWs) who are frequently exposed to patients with occupationally transmissible infectious diseases. Vaccinations are the most effective interventions to protect HCWs and patients from vaccine-preventable infectious diseases. Despite decades of effort to encourage HCWs to be immunized, vaccination levels (e. g. influenza) remain insufficient.
Methods: To assess the attitudes of German medical and dental students towards mandatory immunizations, an anonymous questionnaire was offered to medical and dental students of the University of Frankfurt/Main, Germany. Overall, 56.9 % (1823/3200) of all medical and dental students attended to the study.
Results: This study – so far the largest study done on this issue – showed that almost 88.5 % of the responding medical and dental students would accept mandatory vaccinations for HCWs.
Conclusion: Contrary to the widespread concern that a vaccination requirement would cause resistance, our data support that mandatory vaccinations (at least for HCWs who care for immunocompromised patients) might be widely accepted.
Schlüsselwörter
Impfungen - Influenza - Medizinstudierende - Mitarbeiter im Gesundheitswesen - verpflichtende Impfung
Keywords
vaccinations - influenza - medical students - healthcare workers - mandatory vaccination
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Priv.-Doz. Dr. Dr. Sabine Wicker
Betriebsärztlicher Dienst
Klinikum
der Johann Wolfgang Goethe-Universität Frankfurt
Theodor-Stern-Kai
7
60590 Frankfurt am Main
Phone: 069/63014511
Fax: 069/63016385
Email: Sabine.Wicker@kgu.de