Analysis of the Feasibility of a Vaccination Campaign against Influenza Epidemic and COVID-19 Pandemic in French Emergency Departments: A National Survey
Daniel Aiham Ghazali,
Christophe Choquet,
Donia Bouzid,
Luisa Colosi,
Arsalene Ben Hammouda,
Mathias Wargon,
Matthieu Gay,
Prabakar Vaittinada Ayar,
Bendecite Douay,
Eric Revue,
Louis Soulat,
Romain Hellmann,
Enrique Casalino
Affiliations
Daniel Aiham Ghazali
Emergency Department and EMS, Assistance Publique-Hôpitaux de Paris (AP-HP), University Hospital of Bichat, 75018 Paris, France
Christophe Choquet
Emergency Department and EMS, Assistance Publique-Hôpitaux de Paris (AP-HP), University Hospital of Bichat, 75018 Paris, France
Donia Bouzid
Emergency Department and EMS, Assistance Publique-Hôpitaux de Paris (AP-HP), University Hospital of Bichat, 75018 Paris, France
Luisa Colosi
Emergency Department and EMS, Assistance Publique-Hôpitaux de Paris (AP-HP), University Hospital of Bichat, 75018 Paris, France
Arsalene Ben Hammouda
The French National Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities, Université de Paris, 75018 Paris, France
Mathias Wargon
The French National Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities, Université de Paris, 75018 Paris, France
Matthieu Gay
Emergency Department, Hôpital Beaujon, 92110 Clichy, France
Prabakar Vaittinada Ayar
Emergency Department, Hôpital Beaujon, 92110 Clichy, France
Bendecite Douay
Emergency Medical Services, Hôpital of Beaujon, 92110 Clichy, France
Eric Revue
The French National Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities, Université de Paris, 75018 Paris, France
Background: Vaccination is one of the most effective ways to fight the influenza epidemic and the coronavirus disease 2019 (COVID-19) pandemic, which represent a major public issue. The objective was to investigate the adherence of heads of French emergency departments (ED) and nursing departments on a potential vaccination campaign of healthcare workers (HCW) and patients in ED. Method: In February 2021, ED and nursing department heads were asked to answer a national survey. It included 24 questions designed to cover some dimensions, including characteristics of the hospital and emergency departments (ED) and questions on vaccination. Results: 414 responses out of 800 questionnaires (51.8%) were collected. Scores out of 10 were, respectively, 7 (6–8) and 8 (6–9) for vaccination against influenza and COVID-19 for HCW and 2 (2–3) and 2 (2–4) for ED patients (H = 989.3; p p = 0.003) and patients (p = 0.015). Factors limiting adherence to a vaccination program of HCW and patients were lack of medical staff (p = 0.041 for HCW and p p p < 0.0001). Conclusions: There have been many missed opportunities for influenza vaccination, and there is pressure to vaccinate against COVID-19 as soon as possible. Vaccination campaigns in ED could help to improve vaccination coverage. ED staff are more likely to vaccinate HCW than patients. There are factors that support the implementation of such programs, which can be grouped into a culture of diagnosis, control, and prevention of viral infectious diseases within the hospital and ED. On the other hand, there are limiting factors, such as overcrowding and lack of personnel.
