Abstract：
BACKGROUND: Outbreaks of vaccine preventable diseases (VPDs) in health care workers (HCWs) can result in morbidity and mortality and cause significant disruptions to health care services, patients and visitors as well as an added burden on the health system. This scoping review is aimed to describe the epidemiology of VPD outbreaks in HCW, caused by diseases which are prevented by the ten vaccines recommended by World Health Organization (WHO) for HCWs.
METHODS: In April 2022 CINAHL, MEDLINE, Global Health and EMBASE were searched for all articles reporting on VPD outbreaks in HCWs since the year 2000. Articles were included regardless of language and study type. Clinical and epidemiological characteristics of VPD outbreaks were described.
RESULTS: Our search found 9363 articles, of which 216 met inclusion criteria. Studies describing six of the ten VPDs were found: influenza, measles, varicella, tuberculosis, pertussis and rubella. Most articles (93%) were from high- and upper middle-income countries. While most outbreaks occurred in hospitals, several influenza outbreaks were reported in long term care facilities. Based on available data, vaccination rates amongst HCWs were rarely reported.
CONCLUSIONS: We describe several VPD outbreaks in HCWs from 2000 to April 2022. The review emphasises the need to understand the factors influencing outbreaks in HCWs and highlight importance of vaccination amongst HCWs.
METHODS: In April 2022 CINAHL, MEDLINE, Global Health and EMBASE were searched for all articles reporting on VPD outbreaks in HCWs since the year 2000. Articles were included regardless of language and study type. Clinical and epidemiological characteristics of VPD outbreaks were described.
RESULTS: Our search found 9363 articles, of which 216 met inclusion criteria. Studies describing six of the ten VPDs were found: influenza, measles, varicella, tuberculosis, pertussis and rubella. Most articles (93%) were from high- and upper middle-income countries. While most outbreaks occurred in hospitals, several influenza outbreaks were reported in long term care facilities. Based on available data, vaccination rates amongst HCWs were rarely reported.
CONCLUSIONS: We describe several VPD outbreaks in HCWs from 2000 to April 2022. The review emphasises the need to understand the factors influencing outbreaks in HCWs and highlight importance of vaccination amongst HCWs.
摘要：
背景：卫生保健工作者（HCWs）中疫苗可预防疾病（VPDs）的爆发可导致发病率和死亡率，并对卫生保健服务造成重大干扰，患者和访客以及卫生系统的额外负担。这项范围审查旨在描述HCW中VPD暴发的流行病学，由世界卫生组织（WHO）为HCWs推荐的十种疫苗预防的疾病引起的。
方法：2022CINAHL，MEDLINE,搜索了全球卫生和EMBASE，以查找自2000年以来有关HCW中VPD暴发的所有文章。无论语言和研究类型如何，都包括文章。描述了VPD暴发的临床和流行病学特征。
结果：我们的搜索找到了9363篇文章，其中216项符合纳入标准。发现了描述十个VPD中六个的研究：流感，麻疹,水痘,结核病,百日咳和风疹.大多数文章(93%)来自中高收入国家。虽然大多数疫情发生在医院，在长期护理机构中报告了几起流感暴发。根据现有数据，很少报道HCWs的疫苗接种率。
结论：我们描述了2000年至2022年4月在HCWs中的几起VPD爆发。该审查强调有必要了解影响HCWs爆发的因素，并强调在HCWs中接种疫苗的重要性。
方法：2022CINAHL，MEDLINE,搜索了全球卫生和EMBASE，以查找自2000年以来有关HCW中VPD暴发的所有文章。无论语言和研究类型如何，都包括文章。描述了VPD暴发的临床和流行病学特征。
结果：我们的搜索找到了9363篇文章，其中216项符合纳入标准。发现了描述十个VPD中六个的研究：流感，麻疹,水痘,结核病,百日咳和风疹.大多数文章(93%)来自中高收入国家。虽然大多数疫情发生在医院，在长期护理机构中报告了几起流感暴发。根据现有数据，很少报道HCWs的疫苗接种率。
结论：我们描述了2000年至2022年4月在HCWs中的几起VPD爆发。该审查强调有必要了解影响HCWs爆发的因素，并强调在HCWs中接种疫苗的重要性。
