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Published in: BMC Health Services Research 1/2019

Open Access 01-12-2019 | Influenza Vaccination | Research article

Healthcare professionals’ knowledge, attitude and acceptance of influenza vaccination in Saudi Arabia: a multicenter cross-sectional study

Authors: Thamir M. Alshammari, Kazeem B. Yusuff, Muhammad Majid Aziz, Gehad M. Subaie

Published in: BMC Health Services Research | Issue 1/2019

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Abstract

Background

All healthcare professionals (HCPs) are at high risk of influenza infection. Therefore, immunization is recommended for all HCPs. Due to safety and effectiveness concerns, HCPs have a low vaccination rate. This study was designed to explore the attitude, awareness and knowledge of HCPs toward vaccination for influenza.

Method

A cross-sectional study was performed during October–November 2016. A total of 405 questionnaires were distributed in 8 major hospitals in Saudi Arabia. A validated questionnaire consisting of 31 questions and 5 sections was administered. Statistical Analysis Software (SAS®) version 9.2 was used to analyze the data.

Results

A total of 364 HCPs responded to the study survey, which is a response rate of 90%. A large proportion (61.8%) of participants were female. The majority of the participants were nurses (60.4%). More than half of the respondents (57.7%) were working in government-run hospitals. Among all the participants, approximately 67.6% of HCPs were vaccinated. The majority (84.1%) of HCPs believed that influenza vaccine prevents the flu. Furthermore, approximately 75% of participants believed that HCPs can be more susceptible to influenza infections than other people. The majority of participants (89.6%) knew the proper signs and symptoms of influenza. HCPs’ belief that vaccination prevents influenza infection (OR = 3.93, 95% CI = 1.97–7.82), their awareness of the Scientific Committee for Influenza and Pneumococcal Vaccination (SCIPV)‘s guidelines (OR = 2. 13, 95% CI = 1.16–3.90) and the presence of the standing orders regarding influenza vaccine (OR = 1.57, 95% CI = 1.01–3.21), were the predictors for receipt of influenza vaccine by HCPs.
Many (58.0%) respondents believed that vaccine safety concerns is a major barrier to the vaccination of HCPs. Some misconceptions, such as influenza infection due to vaccination (42.3%) and incorrect perceptions about the symptoms of influenza in adults (50.5%), were found.

Conclusion

The acceptance of and participation in influenza vaccination by HCPs in Saudi Arabia appears to have markedly increased in the 2016 season. Continuing evaluation of vaccination practices is necessary, and more training programs are needed in the future.
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Literature
2.
go back to reference McLennan S, Wicker S. Reflections on the influenza vaccination of healthcare workers. Vaccine. 2010;28(51):8061–4.CrossRef McLennan S, Wicker S. Reflections on the influenza vaccination of healthcare workers. Vaccine. 2010;28(51):8061–4.CrossRef
3.
go back to reference Iuliano AD, Roguski KM, Chang HH, Muscatello DJ, Palekar R, Tempia S, et al. Estimates of global seasonal influenza-associated respiratory mortality: a modelling study. Lancet. 2018;391(10127):1285–300.CrossRef Iuliano AD, Roguski KM, Chang HH, Muscatello DJ, Palekar R, Tempia S, et al. Estimates of global seasonal influenza-associated respiratory mortality: a modelling study. Lancet. 2018;391(10127):1285–300.CrossRef
5.
go back to reference Blank PR, Szucs TD. Increasing influenza vaccination coverage in recommended population groups in Europe. Expert Rev Vaccines. 2009;8(4):425–33.CrossRef Blank PR, Szucs TD. Increasing influenza vaccination coverage in recommended population groups in Europe. Expert Rev Vaccines. 2009;8(4):425–33.CrossRef
6.
go back to reference Fiore AE, et al. Prevention and control of seasonal influenza with vaccines: recommendations of the advisory committee on immunization practice (ACIP). MMWR Recomm Rep. 2009;58(RR-8):1–52.PubMed Fiore AE, et al. Prevention and control of seasonal influenza with vaccines: recommendations of the advisory committee on immunization practice (ACIP). MMWR Recomm Rep. 2009;58(RR-8):1–52.PubMed
7.
go back to reference Pearson ML, Bridges CB, Harper SA. Influenza vaccination of healthcare personnel: recommendation of the healthcare infection control practices advisory committee (HIPAC) and the advisory committee on immunization practices (ACIP). MMWR Recomm Rep. 2006;55:1–16.PubMed Pearson ML, Bridges CB, Harper SA. Influenza vaccination of healthcare personnel: recommendation of the healthcare infection control practices advisory committee (HIPAC) and the advisory committee on immunization practices (ACIP). MMWR Recomm Rep. 2006;55:1–16.PubMed
9.
go back to reference Zeitouni MO, Al Barrak AM, Al-Moamary MS, Alharbi NS, Idrees MM, Al Shimemeri AA, et al. The Saudi thoracic society guidelines for influenza vaccinations. Ann Thorac Med. 2015;10(4):223–30.PubMedPubMedCentral Zeitouni MO, Al Barrak AM, Al-Moamary MS, Alharbi NS, Idrees MM, Al Shimemeri AA, et al. The Saudi thoracic society guidelines for influenza vaccinations. Ann Thorac Med. 2015;10(4):223–30.PubMedPubMedCentral
10.
go back to reference Pless A, McLennan SR, Nicca D, Shaw DM, Elger BS. Reasons why nurses decline influenza vaccination: a qualitative study. BMC Nurs 2017;16:20. Pless A, McLennan SR, Nicca D, Shaw DM, Elger BS. Reasons why nurses decline influenza vaccination: a qualitative study. BMC Nurs 2017;16:20.
11.
go back to reference Opel DJ, Heritage J, Taylor JA, Mangione-Smith R, Salas HS, Devere V, et al. The architecture of provider-parent vaccine discussions at health supervision visits. Pediatrics. 2013;132(6):1037–46.CrossRef Opel DJ, Heritage J, Taylor JA, Mangione-Smith R, Salas HS, Devere V, et al. The architecture of provider-parent vaccine discussions at health supervision visits. Pediatrics. 2013;132(6):1037–46.CrossRef
12.
go back to reference Jiménez-García R, Hernández-Barrera V, Carrasco-Garrido P, Sierra-Moros MJ, Martinez-Hernandez D, et al. Influenza vaccination coverages among Spanish children, adults and health care workers. Infection. 2006;34:135–41.CrossRef Jiménez-García R, Hernández-Barrera V, Carrasco-Garrido P, Sierra-Moros MJ, Martinez-Hernandez D, et al. Influenza vaccination coverages among Spanish children, adults and health care workers. Infection. 2006;34:135–41.CrossRef
13.
go back to reference Vaux S, Van Cauteren D, Guthmann JP, Le Strat Y, Vaillant V, de Valk H, et al. Influenza vaccination coverage against seasonal and pandemic influenza and their determinants in France: a cross-sectional survey. BMC Public Health. 2011;11:30.CrossRef Vaux S, Van Cauteren D, Guthmann JP, Le Strat Y, Vaillant V, de Valk H, et al. Influenza vaccination coverage against seasonal and pandemic influenza and their determinants in France: a cross-sectional survey. BMC Public Health. 2011;11:30.CrossRef
14.
go back to reference Kraut A, Graff L, McLean D. Behavioral change with influenza vaccination: factors influencing increased uptake of the pandemic H1N1 versus seasonal influenza vaccine in health care personnel. Vaccine. 2011;29(46):8357–63.CrossRef Kraut A, Graff L, McLean D. Behavioral change with influenza vaccination: factors influencing increased uptake of the pandemic H1N1 versus seasonal influenza vaccine in health care personnel. Vaccine. 2011;29(46):8357–63.CrossRef
16.
go back to reference Wheeler M, Buttenheim AM. Parental vaccine concerns, information source, and choice of alternative immunization schedules. Hum Vaccin Immunother. 2013;9(8):1782–9.CrossRef Wheeler M, Buttenheim AM. Parental vaccine concerns, information source, and choice of alternative immunization schedules. Hum Vaccin Immunother. 2013;9(8):1782–9.CrossRef
17.
go back to reference Verger P, Fressard L, Collange F, Gautier A, Jestin C, Launay O, et al. Vaccine hesitancy among general practitioners and its determinants during controversies: a National Cross-sectional Survey in France. EBioMedicine. 2015;2(8):891–7.CrossRef Verger P, Fressard L, Collange F, Gautier A, Jestin C, Launay O, et al. Vaccine hesitancy among general practitioners and its determinants during controversies: a National Cross-sectional Survey in France. EBioMedicine. 2015;2(8):891–7.CrossRef
18.
go back to reference Schwarzinger M, Verger P, Guerville MA, Aubry C, Rolland S, Obadia Y, et al. Positive attitudes of French general practitioners towards a/H1N1 influenza-pandemic vaccination: a missed opportunity to increase vaccination uptakes in the general public? Vaccine. 2010;28(15):2743–8.CrossRef Schwarzinger M, Verger P, Guerville MA, Aubry C, Rolland S, Obadia Y, et al. Positive attitudes of French general practitioners towards a/H1N1 influenza-pandemic vaccination: a missed opportunity to increase vaccination uptakes in the general public? Vaccine. 2010;28(15):2743–8.CrossRef
19.
go back to reference Asma S, Akan H, Uysal Y, Pocan AG, Sucakli MH, Yengil E, et al. Factors effecting influenza vaccination uptake among health care workers: a multi-center cross-sectional study. BMC Infect Dis. 2016;16:192.CrossRef Asma S, Akan H, Uysal Y, Pocan AG, Sucakli MH, Yengil E, et al. Factors effecting influenza vaccination uptake among health care workers: a multi-center cross-sectional study. BMC Infect Dis. 2016;16:192.CrossRef
20.
go back to reference Dube E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. 2013;9(8):1763–73.CrossRef Dube E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. 2013;9(8):1763–73.CrossRef
21.
go back to reference Bean SJ, Catania JA. Vaccine perceptions among Oregon health care providers. Qual Health Res. 2013;23(9):1251–66.CrossRef Bean SJ, Catania JA. Vaccine perceptions among Oregon health care providers. Qual Health Res. 2013;23(9):1251–66.CrossRef
22.
go back to reference MacDonald NE, Dube E. Unpacking vaccine hesitancy among healthcare providers. EBioMedicine. 2015;2(8):792–3.CrossRef MacDonald NE, Dube E. Unpacking vaccine hesitancy among healthcare providers. EBioMedicine. 2015;2(8):792–3.CrossRef
23.
go back to reference Favin M, Steinglass R, Fields R, Banerjee K, Sawhney M. Why children are not vaccinated: a review of the grey literature. Int Health. 2012;4(4):229–38.CrossRef Favin M, Steinglass R, Fields R, Banerjee K, Sawhney M. Why children are not vaccinated: a review of the grey literature. Int Health. 2012;4(4):229–38.CrossRef
24.
go back to reference Pless A, Shaw D, McLennan S, Elger BS. Nurses' attitudes towards enforced measures to increase influenza vaccination: a qualitative study. Influenza Other Respir Viruses. 2017;11(3):247–53.CrossRef Pless A, Shaw D, McLennan S, Elger BS. Nurses' attitudes towards enforced measures to increase influenza vaccination: a qualitative study. Influenza Other Respir Viruses. 2017;11(3):247–53.CrossRef
25.
go back to reference Gatrad AR, Sheikh A. Hajj: journey of a lifetime. BMJ. 2005;330(7483):133–7.CrossRef Gatrad AR, Sheikh A. Hajj: journey of a lifetime. BMJ. 2005;330(7483):133–7.CrossRef
26.
go back to reference Khan K, Memish ZA, Chabbra A, Liauw J, Hu W, Janes DA, et al. Global public health implications of a mass gathering in Mecca, Saudi Arabia during the midst of an influenza pandemic. J Travel Med. 2010;17(2):75–81.CrossRef Khan K, Memish ZA, Chabbra A, Liauw J, Hu W, Janes DA, et al. Global public health implications of a mass gathering in Mecca, Saudi Arabia during the midst of an influenza pandemic. J Travel Med. 2010;17(2):75–81.CrossRef
27.
go back to reference Al-Nozha MM, Abdullah M, Arafah MR, Khalil MZ, Khan NB, Al-Mazrou YY, et al. Hypertension in Saudi Arabia. Saudi Med J. 2007;28(1):77–84.PubMed Al-Nozha MM, Abdullah M, Arafah MR, Khalil MZ, Khan NB, Al-Mazrou YY, et al. Hypertension in Saudi Arabia. Saudi Med J. 2007;28(1):77–84.PubMed
29.
go back to reference Hollmeyer HG, Hayden F, Poland G, Buchholz U. Influenza vaccination of health care workers in hospitals--a review of studies on attitudes and predictors. Vaccine. 2009;27(30):3935–44.CrossRef Hollmeyer HG, Hayden F, Poland G, Buchholz U. Influenza vaccination of health care workers in hospitals--a review of studies on attitudes and predictors. Vaccine. 2009;27(30):3935–44.CrossRef
30.
go back to reference Rehmani R, Memon JI. Knowledge, attitudes and beliefs regarding influenza vaccination among healthcare workers in a Saudi hospital. Vaccine. 2010;28(26):4283–7.CrossRef Rehmani R, Memon JI. Knowledge, attitudes and beliefs regarding influenza vaccination among healthcare workers in a Saudi hospital. Vaccine. 2010;28(26):4283–7.CrossRef
31.
go back to reference Alshammari TM, AlFehaid LS, AlFraih JK, Aljadhey HS. Health care professionals' awareness of, knowledge about and attitude to influenza vaccination. Vaccine. 2014;32(45):5957–61.CrossRef Alshammari TM, AlFehaid LS, AlFraih JK, Aljadhey HS. Health care professionals' awareness of, knowledge about and attitude to influenza vaccination. Vaccine. 2014;32(45):5957–61.CrossRef
32.
go back to reference Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013;35(2):121–6.CrossRef Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013;35(2):121–6.CrossRef
33.
go back to reference Pourhoseingholi MA, Vahedi M, Rahimzadeh M. Sample size calculation in medical studies. Gastroenterol Hepatol Bed Bench. 2013;6(1):14–7.PubMedPubMedCentral Pourhoseingholi MA, Vahedi M, Rahimzadeh M. Sample size calculation in medical studies. Gastroenterol Hepatol Bed Bench. 2013;6(1):14–7.PubMedPubMedCentral
34.
go back to reference Haridi HK, Salman KA, Basaif EA, Al-Skaibi DK. Influenza vaccine uptake, determinants, motivators, and barriers of the vaccine receipt among healthcare workers in a tertiary care hospital in Saudi Arabia. J Hosp Infect. 2017;96(3):268–75.CrossRef Haridi HK, Salman KA, Basaif EA, Al-Skaibi DK. Influenza vaccine uptake, determinants, motivators, and barriers of the vaccine receipt among healthcare workers in a tertiary care hospital in Saudi Arabia. J Hosp Infect. 2017;96(3):268–75.CrossRef
35.
go back to reference Abu-Gharbieh E, Fahmy S, Rasool BA, Khan S. Influenza vaccination: healthcare workers attitude in three Middle East countries. Int J Med Sci. 2010;7(5):319–25.CrossRef Abu-Gharbieh E, Fahmy S, Rasool BA, Khan S. Influenza vaccination: healthcare workers attitude in three Middle East countries. Int J Med Sci. 2010;7(5):319–25.CrossRef
36.
go back to reference Miller BL, Ahmed F, Lindley MC, Wortley PM. Increases in vaccination coverage of healthcare personnel following institutional requirements for influenza vaccination: a national survey of U.S. hospitals. Vaccine. 2011;29(50):9398–403.CrossRef Miller BL, Ahmed F, Lindley MC, Wortley PM. Increases in vaccination coverage of healthcare personnel following institutional requirements for influenza vaccination: a national survey of U.S. hospitals. Vaccine. 2011;29(50):9398–403.CrossRef
37.
go back to reference Picazo JJ. González F, Salleras L, Bayas JM, Alvarez MJ (2012). Survey of adult influenza and pneumococcal vaccination in Spain. Vacunas. 2012;13:100–11.CrossRef Picazo JJ. González F, Salleras L, Bayas JM, Alvarez MJ (2012). Survey of adult influenza and pneumococcal vaccination in Spain. Vacunas. 2012;13:100–11.CrossRef
38.
go back to reference Kent JN, Lea CS, Fang X, Novick LF, Morgan J. Seasonal influenza vaccination coverage among local health department personnel in North Carolina, 2007-2008. Am J Prev Med. 2010;39(1):74–7.CrossRef Kent JN, Lea CS, Fang X, Novick LF, Morgan J. Seasonal influenza vaccination coverage among local health department personnel in North Carolina, 2007-2008. Am J Prev Med. 2010;39(1):74–7.CrossRef
39.
go back to reference James PB, Rehman IU, Bah AJ, Lahai M, Cole CP, Khan TM. An assessment of healthcare professionals' knowledge about and attitude towards influenza vaccination in Freetown Sierra Leone: a cross-sectional study. BMC Public Health. 2017;17(1):692.CrossRef James PB, Rehman IU, Bah AJ, Lahai M, Cole CP, Khan TM. An assessment of healthcare professionals' knowledge about and attitude towards influenza vaccination in Freetown Sierra Leone: a cross-sectional study. BMC Public Health. 2017;17(1):692.CrossRef
40.
go back to reference Khan TM, Khan AU, Ali I, Wu DB. Knowledge, attitude and awareness among healthcare professionals about influenza vaccination in Peshawar, Pakistan. Vaccine. 2016;34(11):1393–8.CrossRef Khan TM, Khan AU, Ali I, Wu DB. Knowledge, attitude and awareness among healthcare professionals about influenza vaccination in Peshawar, Pakistan. Vaccine. 2016;34(11):1393–8.CrossRef
41.
go back to reference Leask J, Willaby HW, Kaufman J. The big picture in addressing vaccine hesitancy. Hum Vaccin Immunother. 2014;10(9):2600–2.CrossRef Leask J, Willaby HW, Kaufman J. The big picture in addressing vaccine hesitancy. Hum Vaccin Immunother. 2014;10(9):2600–2.CrossRef
42.
go back to reference Charrel RN, Nougairede A, Brouqui P, Raoult D, Gautret P. Influenza vaccine for hajj and Umrah pilgrims. Lancet Infect Dis. 2015;15(3):267.CrossRef Charrel RN, Nougairede A, Brouqui P, Raoult D, Gautret P. Influenza vaccine for hajj and Umrah pilgrims. Lancet Infect Dis. 2015;15(3):267.CrossRef
43.
go back to reference Bali NK, Ashraf M, Ahmad F, Khan UH, Widdowson MA, Lal RB, et al. Knowledge, attitude, and practices about the seasonal influenza vaccination among healthcare workers in Srinagar, India. Influenza Other Respir Viruses. 2013;7(4):540–5.CrossRef Bali NK, Ashraf M, Ahmad F, Khan UH, Widdowson MA, Lal RB, et al. Knowledge, attitude, and practices about the seasonal influenza vaccination among healthcare workers in Srinagar, India. Influenza Other Respir Viruses. 2013;7(4):540–5.CrossRef
44.
go back to reference Ozisik L, Tanriover MD, Altinel S, Unal S. Vaccinating healthcare workers: level of implementation, barriers and proposal for evidence-based policies in Turkey. Hum Vaccin Immunother. 2017;13(5):1198–206.CrossRef Ozisik L, Tanriover MD, Altinel S, Unal S. Vaccinating healthcare workers: level of implementation, barriers and proposal for evidence-based policies in Turkey. Hum Vaccin Immunother. 2017;13(5):1198–206.CrossRef
45.
go back to reference Al-Otaibi BM, El-Saed A, Balkhy HH. Influenza vaccination among healthcare workers at a tertiary care hospital in Saudi Arabia: facing challenges. Ann Thorac Med. 2010;5(2):120–1.CrossRef Al-Otaibi BM, El-Saed A, Balkhy HH. Influenza vaccination among healthcare workers at a tertiary care hospital in Saudi Arabia: facing challenges. Ann Thorac Med. 2010;5(2):120–1.CrossRef
46.
go back to reference Alabbad AA, Alsaad AK, Al Shaalan MA, Alola S, Albanyan EA. Prevalence of influenza vaccine hesitancy at a tertiary care hospital in Riyadh, Saudi Arabia. J Infect Public Health. 2018;11(4):491–9.CrossRef Alabbad AA, Alsaad AK, Al Shaalan MA, Alola S, Albanyan EA. Prevalence of influenza vaccine hesitancy at a tertiary care hospital in Riyadh, Saudi Arabia. J Infect Public Health. 2018;11(4):491–9.CrossRef
47.
go back to reference La Torre G, Mannocci A, Ursillo P, Bontempi C, Firenze A, Panico MG, et al. Prevalence of influenza vaccination among nurses and ancillary workers in Italy: systematic review and meta analysis. Hum Vaccin. 2011;7(7):728–33.CrossRef La Torre G, Mannocci A, Ursillo P, Bontempi C, Firenze A, Panico MG, et al. Prevalence of influenza vaccination among nurses and ancillary workers in Italy: systematic review and meta analysis. Hum Vaccin. 2011;7(7):728–33.CrossRef
48.
go back to reference Dominguez A, Godoy P, Castilla J, Soldevila N, Toledo D, Astray J, et al. Knowledge of and attitudes to influenza vaccination in healthy primary healthcare workers in Spain, 2011-2012. PLoS One. 2013;8(11):e81200.CrossRef Dominguez A, Godoy P, Castilla J, Soldevila N, Toledo D, Astray J, et al. Knowledge of and attitudes to influenza vaccination in healthy primary healthcare workers in Spain, 2011-2012. PLoS One. 2013;8(11):e81200.CrossRef
49.
go back to reference Christini AB, Shutt KA, Byers KE. Influenza vaccination rates and motivators among healthcare worker groups. Infect Control Hosp Epidemiol. 2007;28(2):171–7.CrossRef Christini AB, Shutt KA, Byers KE. Influenza vaccination rates and motivators among healthcare worker groups. Infect Control Hosp Epidemiol. 2007;28(2):171–7.CrossRef
50.
go back to reference Steckel CM. Mandatory influenza immunization for health care workers--an ethical discussion. AAOHN J. 2007;55(1):34–9.CrossRef Steckel CM. Mandatory influenza immunization for health care workers--an ethical discussion. AAOHN J. 2007;55(1):34–9.CrossRef
51.
go back to reference Hulo S, Nuvoli A, Sobaszek A, Salembier-Trichard A. Knowledge and attitudes towards influenza vaccination of health care workers in emergency services. Vaccine. 2017;35(2):205–7.CrossRef Hulo S, Nuvoli A, Sobaszek A, Salembier-Trichard A. Knowledge and attitudes towards influenza vaccination of health care workers in emergency services. Vaccine. 2017;35(2):205–7.CrossRef
52.
go back to reference Sundaram N, Duckett K, Yung CF, Thoon KC, Sidharta S, Venkatachalam I, et al. "I wouldn't really believe statistics" - challenges with influenza vaccine acceptance among healthcare workers in Singapore. Vaccine. 2018;36(15):1996–2004.CrossRef Sundaram N, Duckett K, Yung CF, Thoon KC, Sidharta S, Venkatachalam I, et al. "I wouldn't really believe statistics" - challenges with influenza vaccine acceptance among healthcare workers in Singapore. Vaccine. 2018;36(15):1996–2004.CrossRef
53.
go back to reference Bouadma L, Barbier F, Biard L, Esposito-Farese M, Le Corre B, Macrez A, et al. Personal decision-making criteria related to seasonal and pandemic a(H1N1) influenza-vaccination acceptance among French healthcare workers. PLoS One. 2012;7(7):e38646.CrossRef Bouadma L, Barbier F, Biard L, Esposito-Farese M, Le Corre B, Macrez A, et al. Personal decision-making criteria related to seasonal and pandemic a(H1N1) influenza-vaccination acceptance among French healthcare workers. PLoS One. 2012;7(7):e38646.CrossRef
54.
go back to reference Zimmerman RK, Raymund M, Janosky JE, Nowalk MP, Fine MJ. Sensitivity and specificity of patient self-report of influenza and pneumococcal polysaccharide vaccinations among elderly outpatients in diverse patient care strata. Vaccine. 2003;21(13–14):1486–91.CrossRef Zimmerman RK, Raymund M, Janosky JE, Nowalk MP, Fine MJ. Sensitivity and specificity of patient self-report of influenza and pneumococcal polysaccharide vaccinations among elderly outpatients in diverse patient care strata. Vaccine. 2003;21(13–14):1486–91.CrossRef
55.
go back to reference Loulergue P, Moulin F, Vidal-Trecan G, Absi Z, Demontpion C, Menager C, et al. Knowledge, attitudes and vaccination coverage of healthcare workers regarding occupational vaccinations. Vaccine. 2009;27(31):4240–3.CrossRef Loulergue P, Moulin F, Vidal-Trecan G, Absi Z, Demontpion C, Menager C, et al. Knowledge, attitudes and vaccination coverage of healthcare workers regarding occupational vaccinations. Vaccine. 2009;27(31):4240–3.CrossRef
Metadata
Title
Healthcare professionals’ knowledge, attitude and acceptance of influenza vaccination in Saudi Arabia: a multicenter cross-sectional study
Authors
Thamir M. Alshammari
Kazeem B. Yusuff
Muhammad Majid Aziz
Gehad M. Subaie
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2019
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-019-4054-9

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