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EN
Influenza is an acute infectious disease of the airways that occurs in every age group. The course of the disease may have a different severity and clinical picture, from asymptomatic to severe with symptoms of respiratory failure. The possibilities of pandemic infections and serious complications throughout the course of influenza distinguish it from other viral respiratory diseases, prompting us to treat it in a special way. Diagnosis of the disease is usually clinical in nature, and additional studies may be helpful in clinically relevant cases. The drug recommended for treatment and chemoprophylaxis is oseltamivir. Clinical benefits are greatest if treatment starts as early as possible, within 48 hours of the first symptoms of influenza. Clinical studies indicate that early treatment with oseltamivir may shorten the duration of the disease and reduce the risk of its complications. Annual influenza vaccination is the most effective method of preventing this disease, and the only contraindication to vaccination is the occurrence of an anaphylactic or other severe allergic reaction after a previous vaccination
EN
Although relatively easy to overcome for young and healthy individuals, seasonal influenza is a disease with considerable health, social, and economic consequences for society, especially for higher-risk groups. Even though vaccination against influenza is the most effective tool to prevent it, vaccination rates remain rather low. Together with the promotion of neoliberal individual responsibility over one’s health, vaccine hesitancy – a complex phenomenon indicating the lower uptake of vaccines compared to the accessibility of information and services – has risen among societies. In previous research, several barriers – for example, psychological, physical, contextual, and sociodemographic – have been identified as preventing influenza vaccine uptake among risk groups. We approach the topic by using the social constructionist theory regarding the meaning construction of illnesses on cultural, individual, and third-party level. The findings outline the importance of meaning construction on all these levels. It appears that culturally influenza has been seen as an inevitable infectious disease related to the northern climate. Due to that, influenza is not considered as a life-threatening disease that would need preventive actions, except some basic hygiene or usage of folk medicine tools (e.g., ginger and garlic). On an individual level, the meaning construction is based on individual experiences, both with the illness and the vaccine – in the case of negative experiences with vaccine, the perception of something useless or even harmful develops. In addition, it appears that people create their own strategies to rationalize rejection of vaccination for themselves. These involve considerations about belonging to the risk group or the possibility to manage daily activities in non-risky manner even when belonging to the risk group. On the third-party level, participants saw the potential of pharmacies to alleviate practical constraints (e.g., tight schedule, daily occupation, etc.). Different media channels are also important in mediating vaccination-related information, but the rationalization and selection of the channels vary widely. The context of the coronavirus changed the vaccination-related perception temporarily for a short term, indicating that fear-based special occasions do not entail a long-term shift in health behaviour as the development of health-related decisions and behaviour is also long-term.
EN
Influenza is one of the most common respiratory diseases affecting people of all age groups all over the world. Seasonal influenza leads to substantial morbidity and mortality on a global scale. Vaccines are undeniably one of the most important health advances of the past century, however, managing influenza in working populations remains a difficult issue. Vaccination of health care workers (HCW) is an efficient way to reduce the risk of occupational infection and to prevent nosocomial transmission to vulnerable patients. Despite this, achieving high immunization rates among those professionals is a challenge. Knowledge and attitudes of healthcare providers have significant impact on the frequency with which vaccines are offered and accepted, but many HCWs are poorly equipped to make informed recommendations about vaccine merits and risks. Principal reasons for vaccination are the willing not to be infected and avoiding transmission to patients and the family. The main reasons for refusing is lack of time, a feeling of invulnerability to vaccination, conviction of not being at risk, of being too young or in good health. Misconceptions about influenza vaccine efficacy, like adverse effects, and fear of contracting illness from the vaccine are significantly associated with noncompliance with vaccination. Therefore, strategies to increase awareness of the importance of recommending influenza immunization among health professionals are required. Med Pr 2013;64(1):119–129
PL
Grypa jest jedną z częstszych infekcji dróg oddechowych, zachorowania na nią występują we wszystkich grupach wiekowych pacjentów na całym świecie. Liczba zachorowań na grypę sezonową i zgonów z powodu jej powikłań jest znaczna w skali globalnej. Szczepienia, również przeciwko grypie, są istotnym osiągnięciem medycyny ostatniego stulecia, jednak problemem pozostaje zwalczanie grypy za pomocą szczepień ochronnych wśród personelu medycznego. Szczepienie personelu medycznego jest procedurą o udowodnionym bezpieczeństwie i skuteczności, zapewnia zapobieganie zachorowaniom wśród pacjentów. Mimo licznych rekomendacji eksperckich stan zaszczepienia pracowników medycznych pozostaje niski. W celu zwiększenia liczby zaszczepionych pracowników medycznych konieczne jest prowadzenie kampanii edukacyjnych, które mają na celu polepszenie stanu wiedzy personelu na temat grypy, jej powikłań, szczepień przeciwko grypie, ze szczególnym uwzględnieniem ich bezpieczeństwa i skuteczności. Szczepieni pracownicy najczęściej decyzję o wykonaniu szczepienia motywują chęcią ochrony siebie oraz chęcią ochrony przed zakażeniem swoich pacjentów i ich rodzin. Z kolei wśród przyczyn nieszczepienia wymieniane są: brak czasu, błędne przekonania o nieskuteczności szczepienia, brak potrzeby szczepienia z powodu bagatelizowania choroby i jej powikłań, obawa przez niepożądanymi odczynami poszczepiennymi. Konieczne jest wdrożenie strategii mających na celu edukację personelu medycznego w zakresie stosowania szczepień przeciwko grypie w celu zwiększenia wyszczepialności przeciwko grypie w populacji pracowników medycznych. Med. Pr. 2013;64(1):119–129
Lek w Polsce
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2022
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vol. 375
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issue 07-08
13-20
EN
Every year, during the cold and flu season, an increase in the incidence of viral respiratory infections and other viral diseases is observed. Vaccination is the primary method of preventing viral diseases. However, it is not always possible to be vaccinated, or the immunity expires after some time. Numerous plant materials can support both prevention and treatment. This article provides an overview of a few selected plant materials, mainly focusing on their impact on influenza and COVID-19 infection.
PL
Każdego roku w sezonie przeziębień i grypy obserwuje się wzrost zachorowań na wirusowe infekcje dróg oddechowych oraz inne choroby wirusowe. Podstawowym sposobem zapobiegania chorobom wirusowym są szczepienia. Nie zawsze jednak możliwe jest przyjęcie szczepienia bądź odporność po pewnym czasie wygasa. Wsparciem zarówno w zapobieganiu, jak i leczeniu mogą być liczne surowce roślinne. W tym artykule przedstawiono przegląd kilku wybranych surowców roślinnych, głównie skupiając się na ich wpływie na grypę i infekcję koronawirusem COVID-19.
EN
Background Healthcare workers (HCWs) are at high risk for exposure to upper respiratory tract infections (URTIs) and influenza-like illnesses (ILIs). The present study aimed to surveil URTIs and ILIs and their impact among the Department of Pediatric Infectious Diseases in Wroclaw employees and evaluate their humoral response to influenza. Material and Methods Thirty-six HCWs participated in the first season and 32 HCWs in the second season during years of the study. The authors carried out a URTI/ILI surveillance, and all HCWs were asked to complete a weekly report during 2 influenza seasons: 2016/2017 (S1) and 2017/2018 (S2). In S1 both IgG and IgM antibodies against influenza A and B were assessed. The HCWs with symptoms of ILI were encouraged to undergo PCR tests for influenza. Results No significant differences in reporting URTI were found among vaccinated and non-vaccinated HCWs and HCWs and the control group. Depending on the year 5.5–17.2% of HCWs were treated with antibiotics because of URTI. In the study 58.7% of participants in S1 and 66.7% in S2 decide to work despite the URTI symptoms. There was no statistical relationship between the concentration of anti-influenza IgG and the number of URTIs and ILIs reported. Only vaccinated were willing to undergo voluntary influenza testing. Conclusions The URTI and ILI occur commonly in HCWs, and HCWs contract URTIs as often as the control group. Despite their medical education, HCWs work with the symptoms of infection and overuse antibiotics to treat the URTI. Serology testing is not able to follow the infection’s dynamics or identify the people immune to the influenza-like illness. The diagnostic value of IgM antibodies in acute influenza infection is negligible. Vaccinated HCWs are more focused on their health and are more willing to undergo influenza tests.
EN
BackgroundInfluenza vaccinations are recommended for medical staff as an effective and safe form of preventing influenza and its complications. The aim of the study was to assess the impact of selected educational and information interventions on the influenza vaccination coverage (IVC) in nursing personnel and their attitude towards this procedure.Material and MethodsThe study participants (N = 320) were randomly divided into 4 groups. Group 1 participated in stationary training, whereas group 2 participated in distance learning. Additionally, 2 subgroups were established in each of the groups above: 1 subgroup received a reminder about the vaccination in the form of a short text message, and the other group did not receive any such reminder. The IVC rate in each group was determined; the attitude towards influenza vaccination was measured using the health belief model.ResultsThe highest IVC was obtained after stationary training followed by a reminder in the form of a short test message (36%). The reminder significantly affected IVC in the group attending stationary training (p < 0.05, OR = 2.5, 95% CI: 1.16–5.58); however, it had no impact on the IVC in the group participating in distance learning (p > 0.05, OR = 1.2, 95% CI: 0.51–2.83). Both stationary training and distance learning positively influenced the attitude towards influenza vaccinations. A major change in attitudes towards influenza vaccinations was observed only in the case of stationary training followed by a reminder in the form of a short text message (positive changes in perceived susceptibility and severity took place, perceived vaccination benefits increased, and perceived barriers were reduced).ConclusionsStationary training followed by a reminder in the form of a short text message is more effective in increasing the IVC rate compared to distance learning. It also promotes positive changes in attitudes to this prophylactic procedure, which is why it should be recommended for wider implementation.
EN
Influenza is an acute respiratory disease caused by the influenza virus which often occurs in outbreaks and epidemics worldwide. The World Health Organization recommends annual vaccination of healthcare workers (HCWs) against influenza, because most of them are involved in the direct care of patients with a high risk of influenza-related complications. Given the significance of the disease burden, a targeted literature review was conducted to assess issues related to influenza vaccination among HCWs. The primary aim of this review was to assess the incidence of influenza among medical personnel and healthcare-associated influenza, and to outline the benefits of influenza vaccination for patients and HCWs themselves. Vaccination of HCWs seems to be an important strategy for reducing the transmission of influenza from healthcare personnel to their patients and, therefore, for reducing patient morbidity and mortality, increasing patient safety, and reducing work absenteeism among HCWs. The benefits of influenza vaccination for their patients and for HCWs themselves are addressed in literature, but the evidence is mixed and often of low-quality.
PL
Wstęp. Każdego roku miliony Polaków zmagają się z grypą, zachorowaniami grypopodobnymi oraz ich powikłaniami. Powszechnie zalecane szczepionki o udowodnionej skuteczności nie cieszą się jednak dużą popularnością wśród społeczeństwa. W niniejszym badaniu podjęto próbę zebrania informacji od studentów kierunku lekarskiego z polskich uczelni na temat ich stosunku do szczepień przeciwko grypie oraz chęci zastosowania na sobie tego typu profilaktyki. Materiał i metody. Badanie przeprowadzono z udziałem 434 studentów kierunku lekarskiego z całej Polski. Głównym celem ankiety było zebranie informacji na temat opinii studentów wobec szczepień przeciwko grypie. Sondaż składał się z pytań zamkniętych, został przeprowadzony w marcu 2018 roku. Wyniki. Średni poziom wyszczepienia wśród studentów wynosi 18,9%. Objawy grypy lub choroby grypopodobnej częściej stwierdzono u osób, które nie poddały się szczepieniu. Choroba wystąpiła u 37% respondentów, którzy się zaszczepili. 43% ankietowanych, którzy nie poddali się szczepieniu, zachorowało. Wnioski. W świetle powyższych wyników można stwierdzić, że szczepionki przeciwko grypie są skuteczne. Studenci kierunku lekarskiego szczepią się rzadziej niż lekarze i inni przedstawiciele zawodów medycznych
EN
Introduction. Every year, millions of Poles struggle with influenza, its complications and diseases accompanied by the flu-like symptoms. However, commonly recommended and easily accessible vaccines with proven efficacy are not very popular among the society. This study attempts to gather information from medical students from Polish universities about their attitude to vaccination against influenza and their willingness to use this type of prophylaxis in the future. Material and methods. The study involved 434 medical students from across The Republic of Poland. The main purpose of the survey was to collect information about their opinions on vaccination against influenza. The survey consisted of single choice questions and was conducted in March 2018. Results. The average level of immunization among the students amounts to 18.9%. The symptoms of influenza or a flu-like illness were more often found in people who did not get vaccinated. The disease occurred in 37% of the respondents who were vaccinated. 43% of the respondents who did not submit to the vaccination fell ill. Conclusions. From the above results it can be concluded that influenza vaccines are effective. Medical students are vaccinated less frequently than doctors and other medical professionals
EN
Under the reign of King Louis-Philippe, 1830-1848, France was severely visited by a number of epidemics, namely, influenza, which were regularly reported in the press. Although the effects of such epidemics were methodically undervalued, the flu was frequently caricatured as offering analogies with the political, social and cultural life of the time. It was often endowed with the characteristics of a rational being, she-devil, woman of distinction or termagant of a wife! In 1858, Cham will even call it “the lioness of the day”. The flu will be found congenial with such social assemblies as carnivals or balls, which it either disrupted or embellished. The present paper deals with the satirical purport of the flu, whether underrated or exaggerated, showing at the same time how it became typified as a “mal à la mode” akin to Physiologies, a widely-discussed topic at that time.
FR
La période de la Monarchie de Juillet est jalonnée d'épidémies de grippes, dont il est régulièrement rendu compte dans la presse. Étonnamment, tandis que les effets de ces épisodes contagieux sont systématiquement minorés, la grippe elle-même fait l'objet de nombreuses charges textuelles et visuelles et d'analogies avec la vie politique, sociale, économique et culturelle. La Grippe aux mille visages, mégère, diable ou femme du monde, est déjà celle que Cham nommera « la lionne de la saison » en 1858. Épidémie obligeante, elle s'associe au carnaval et aux bals qu ’elle perturbe ou agrémente. L'article s'interroge sur le choix d'un tel motif comme moyen satirique et évoque les modalités de cette charge qui passe simultanément par l'atténuation et l'outrance. C'est du côté de la littérature des Physiologies qu'il convient de chercher l'explication de cette typification de la grippe et celle de son statut de « mal à la mode ».
EN
Influenza vaccination, as a key element of control activities intended, inter alia, to prevent nosocomial influenza transmission, is recommended each year for all healthcare workers (HCWs). Due to these recommendations and the importance of influenza vaccination among HCWs, a targeted literature review was conducted to assess issues related to vaccination coverage, declared motivators and barriers, as well as interventions to increase vaccination coverage in this professional group. Data obtained from the available publications implies that influenza vaccination rates among WHCs are universally low and vary over time as well as between regions and different types of healthcare professionals (physicians/nurses). One of the main determinants of influenza vaccine uptake is the desire to protect oneself and one’s family. On the other hand, practical considerations and misconceptions about the safety and effectiveness of vaccines are the most frequently mentioned preventative causes. There is an urgent need to implement well-organized educational campaigns as this is key to increasing vaccination rates as part of a non-mandatory vaccination strategy. Med Pr. 2021;72(3):305–19
PL
Szczepienia przeciw grypie są zalecane każdego roku wszystkim pracownikom medycznym jako kluczowy element działań mających na celu m.in. zapobieganie transmisji grypy w placówkach opieki zdrowotnej. Biorąc pod uwagę to zalecenie oraz znaczenie takich szczepień, dokonano przeglądu niesystematycznego literatury, by ocenić kwestie związane z poziomem zaszczepienia, deklarowanymi motywami oraz barierami dotyczącymi szczepień, a także interwencjami, których celem jest zwiększenie wskaźnika szczepień w tej grupie zawodowej. Dane z dostępnych publikacji wskazują, że wskaźnik realizacji szczepień przeciw grypie wśród pracowników medycznych jest ogólnie niski i zróżnicowany w czasie, lokalnie, a także wśród poszczególnych zawodów medycznych. Głównym motywem szczepienia przeciw grypie jest chęć ochrony siebie i rodziny. Wśród licznych barier wymienia się najczęściej błędne przekonania dotyczące bezpieczeństwa i skuteczności szczepień oraz bariery organizacyjne. Wskazuje się, że jest duża potrzeba prowadzenia działań edukacyjnych oraz promocyjnych będących kluczowymi elementami zwiększania poziomu zaszczepienia w strategii dobrowolnych szczepień.
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