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3. Analisi della scarsa attitudine alla vaccinazione antinfluenzale dei medici italiani del futuro: risultati di uno studio multicentrico condotto in 18 Università Italiane

Author

COSTANTINO, Claudio, AMODIO, Emanuele, CALAMUSA, Giuseppe, VITALE, Francesco, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Wauree, C, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, ME, Franco, E, Furnari, R, Galis, V, Gallea, MR, Gallone, MF, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, AR, Grillo, OC, Lanati, N, Mascaretti, S, Mattei, A, MAZZUCCO, Walter, Micò, R, Morciano, L, Nante, N, NAPOLI, Giuseppe, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, FS, Signorelli, C, Siliquini, R, Trabacchi, V, Varetta, A, Ziglio, A, Zoccali, A, Costantino, C, Amodio, E, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Wauree, C, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, ME, Franco, E, Furnari, R, Galis, V, Gallea, MR, Gallone, MF, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, AR, Grillo, OC, Lanati, N, Mascaretti, S, Mattei, A, Mazzucco, W, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, FS, Signorelli, C, Siliquini, R, Trabacchi, V, Varetta, A, Ziglio, A, Zoccali, A, Calamusa, G, and Vitale, F

Subjects
studio multicentrico, specializzandi, Vaccinazione antinfluenzale, Settore MED/42 - Igiene Generale E Applicata
Abstract

Introduzione: Nel corso della stagione influenzale, gli Operatori Sanitari (OS) rappresentano una delle categorie lavorative maggiormente investite dalla responsabilità di limitare la diffusione della patologia influenzale tra i pazienti ospedalizzati e contemporaneamente di proteggere se stessi garantendo la continuità dell'assistenza sanitaria nei periodi di maggiore assenteismo lavorativo e sovraccarico delle attività assistenziali (picco influenzale stagionale). La vaccinazione antinfluenzale, ormai riconosciuta sicura ed efficace, rappresenta ancora oggi una argomento di dibattito tra gli OS, nonostante le raccomandazioni dei Center for Disease Control and Prevention Statunitense ed Europeo a mantenere le coperture tra gli OS sopra il 75%. Numerosi studi confermano come i tassi di vaccinazione antinfluenzale rimangano generalmente bassi sia tra gli OS che in particolare tra i medici in formazione specialistica (MFS). I risultati del presente studio multicentrico cercano di indagare le attitudini e i determinanti associati con la scelta vaccinale antinfluenzale tra i MFS italiani per comprendere le cause e proporre delle soluzioni. Materiali e Metodi: Nel 2012 è stata condotta una survey tra i MFS iscritti a 18 Università Italiane (Bari, Bologna, Brescia, Catania, Catanzaro, Chieti, L'Aquila, Messina, Modena, Napoli Federico II, Palermo, Pavia, Parma, Roma Cattolica, Roma Tor Vergata, Siena, Torino, Verona). Ciascun partecipante è stato contattato tramite una mail in cui erano illustrate le motivazioni dello studio e veniva chiesto di rispondere ad un breve questionario online, anonimo ed autosomministrato che includeva domande sulle attitudini riguardanti la vaccinazione antinfluenzale. Il questionario è stato precedentemente elaborato in collaborazione con il gruppo di lavoro nazionale e successivamente testato in uno studio pilota condotto nell'Università capofila dello studio (Palermo). Results: 2.506 MFS su un totale di 10.854 hanno aderito allo studio (23.1%). L'adesione alla vaccinazione antinfluenzale per la stagione 2011/2012 è stata pari al 11,9%, dato in chiara diminuzione rispetto al 2010/2011 (21.,7%) ed al 2009/2010 (15.5%). I MFS vaccinati nella stagione 2011/2012 sono significativamente più anziani (p=0.006), afferenti all'area clinica (p=0.048), e vaccinati nelle precedenti stagioni influenzali (p

Published
2014

4. INCIDENZA DELL'INFLUENZA LIKE-ILLNESS TRA I MEDICI IN FORMAZIONE SPECIALISTICA ITALIANI: RISULTATI DI UNO STUDIO MULTICENTRICO

Author

Restivo, Vincenzo, COSTANTINO, Claudio, AMODIO, E, AZZOLINI, E, BALDINI, C, BERGOMI, M, BIAFIORE, A. D., BIANCO, M, BORSARI, L, CACCIARI, P, CADEDDU, C, CAMIA, P, CARLUCCIO, E, CONTI, A, DE WAURE, C, DI GREGORI, V, FABIANI, L, FALLICO, R, FILISETTI, B, FLACCO, M. E, FRANCO, E, FURNARI, R, GALIS, V, GALLEA, M. R, GALLONE, M. F, GALLONE, S, GELATTI, U, GILARDI, F, GIULIANI, A. R, GRILLO, O. C, LANATI, N, MASCARETTI, S, MATTEI, A, MICO' R, MORCIANO, L, NANTE, N, NAPOLI, Giuseppe, NOBILE, C, PALLADINO, R, PARISI, S, PASARO, M, PELISSERO, G, QUARTO, M, RICCIARDI, W, ROMANO, G, RUSTICO, E, SAPONARI, A, SCHIOPPA, F. S, SIGNORELLI, C, SILIQUINI, R, TRABACCHI, V, TRIASSI, M, VARETTA, A, ZIGLIO, A, ZOCCALI, A, CALAMUSA, Giuseppe, FIRENZE, Alberto, VITALE, Francesco, RESTIVO, V, COSTANTINO, C, AMODIO, E, AZZOLINI, E, BALDINI, C, BERGOMI, M, BIAFIORE, A D, BIANCO, M, BORSARI, L, CACCIARI, P, CADEDDU, C, CAMIA, P, CARLUCCIO, E, CONTI, A, DE WAURE, C, DI GREGORI, V, FABIANI, L, FALLICO, R, FILISETTI, B, FLACCO, M E, FRANCO, E, FURNARI, R, GALIS, V, GALLEA, M R, GALLONE, M F, GALLONE, S, GELATTI, U, GILARDI, F, GIULIANI, A R, GRILLO, O C, LANATI, N, MASCARETTI, S, MATTEI, A, MICO' R, MORCIANO, L, NANTE, N, NAPOLI, G, NOBILE, C, PALLADINO, R, PARISI, S, PASARO, M, PELISSERO, G, QUARTO, M, RICCIARDI, W, ROMANO, G, RUSTICO, E, SAPONARI, A, SCHIOPPA, F S, SIGNORELLI, C, SILIQUINI, R, TRABACCHI, V, TRIASSI, M, VARETTA, A, ZIGLIO, A, ZOCCALI, A, CALAMUSA, G, FIRENZE, A, and VITALE,F

Subjects
INFLUENZA, MEDICI IN FORMAZIONE, Settore MED/42 - Igiene Generale E Applicata
Published
2014

5. Bodies folded in migrant crypts: Dis/ability and the material culture of border-crossing

Author

Galis, V. Tzokas, S. Tympas, A.

Abstract

This article considers media narratives that suggest that hiding in trucks, buses, and other vehicles to cross borders has, in fact, been a common practice in the context of migration to, and within, Europe. We aim to problematize how the tension between the materiality of bordering practices and human migrants generates a dis/abled subject. In this context, dis/ability may be a cause or consequence of migration, both in physical/material (the folding of bodies in the crypt) and cultural/semiotic terms, and may become a barrier to accessing protection, to entering and/or crossing a country, and to performing mobility in general. Dis/ability and migration have not been associated in the literature. We adopt an analytical symmetry between humans and non-humans, in this case between bodies and crypts. By suggesting an infected, ambivalent, and hybrid approach to the human subject, the body-crypt traveling border challenges the essentialist dichotomies between technology and biology, disability and impairment. The articles and reports upon which we rely were collected through extensive searches of databases/archives of online newspapers and news websites. © 2016 by the author; licensee MDPI, Basel, Switzerland.

Published
2016

6. UTILIZZO DI INTERNET IN GRAVIDANZA: RISULTATI PRELIMINARI DI UN’INDAGINE MULTICENTRICA SU UN CAMPIONE DI GESTANTI

Author

Bert, F, Gualano, MR, La Torre, G, Todros, T, De Waure, C, De Vito, E, Nante, N, Brusaferro, S, Manzoli, L, Viglianchino, C, Galis, V, Siliquini, R., TORREGROSSA, Maria Valeria, Bert, F, Gualano, MR, La Torre, G, Todros, T, Torregrossa, MV, De Waure, C, De Vito, E, Nante, N, Brusaferro, S, Manzoli, L, Viglianchino, C, Galis, V, and Siliquini, R

Subjects
internet, gravidanza, Settore MED/42 - Igiene Generale E Applicata
Published
2012

7. Influenza vaccination coverage among medical residents

Author

Costantino, C., Mazzucco, W., Azzolini, E., Baldini, C., Bergomi, M., Biafior, A., Bianco, M., Borsari, L., Cacciari, P., Cadeddu, C., Camia, P., Carluccio, E., Conti, A., De Waure, C., Di Gregori, V., Fabiani, L., Fallico, R., Filisetti, B., Flacco, M., Franco, E., Furnari, R., Galis, V., Gallea, M., Gallone, M., Gallone, S., Gelatti, U., Gilardui, F., Giuliani, A., Grillo, Orazio Claudio, Lanati, N., Mascaretti, S., Mattei, A., Micò, R., Morciano, L., Nante, N., Napoli, G., Nobile, C., Palladino, R., Parisi, S., Passaro, M., Pelissero, G., Quarto, M., Ricciardi, W., Romano, G., Rustico, E., Saponari, A., Schioppa, F., Signorelli, C., Siliquini, R., Trabacchi, V., Triassi, M., Varetta, A., Ziglio, A., Zoccali, A., Vitale, F., and Amodio, E.

Published
2014

8. Influenza vaccination coverage among medical residents: an Italian multi center survey

Author

Costantino, C, Mazzucco, W, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Waure, C, Di Gregori, V, Fabiani, Leila, Fallico, R, Filisetti, B, Fiacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Anna Rita, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, Antonella, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, Fs, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, and Amodio, E.

Subjects
medical residents, Italy, vaccination, multicentre survey, coverage rate
Published
2014

9. INCIDENZA DELLE INFLUENZA LIKE-ILLNESSES TRA I MEDICI IN FORMAZIONE SPECIALISTICA ITALIANI: RISULTATI DI UNO STUDIO MULTICENTRICO

Author

Restivo, V, Costantino, C, Amodio, E, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Waure, C, Di Gregori, V, Fabiani, Leila, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Anna Rita, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, Antonella, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, Fs, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Calamusa, G, Firenze, A, and Vitale, F.

Published
2014

11. Analisi della scarsa attitudine alla vaccinazione antinfluenzale dei medici italiani del futuro: risultati di uno studio multicentrico condotta in 18 Università Italiane

Author

Costantino, C, Amodio, E, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A. D., Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Wauree, C, Di Gregori, V, Fabiani, Leila, Fallico, R, Filisetti, B, Flacco, M. E., Franco, E, Furnari, R, Galis, V, Gallea, M. R., Gallone, M. F., Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Anna Rita, Grillo, O. C., Lanati, N, Mascaretti, S, Mattei, Antonella, Mazzucco, W, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, F. S., Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Calamusa, G, and Vitale, F.

Subjects
Flu vaccine
Published
2013

13. Influenza vaccination coverage among medical residents: an Italian multicenter survey

Author

Costantino, C, Mazzucco, Walter, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, Chiara, Camia, P, Carluccio, E, Conti, A, De Waure, Chiara, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Ar, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, Walter, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, Amodio, E., Cadeddu, Chiara (ORCID:0000-0003-0149-1078), De Waure, Chiara (ORCID:0000-0002-4346-1494), Ricciardi, Gualtiero (ORCID:0000-0002-5655-688X), Costantino, C, Mazzucco, Walter, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, Chiara, Camia, P, Carluccio, E, Conti, A, De Waure, Chiara, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Ar, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, Walter, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, Amodio, E., Cadeddu, Chiara (ORCID:0000-0003-0149-1078), De Waure, Chiara (ORCID:0000-0002-4346-1494), and Ricciardi, Gualtiero (ORCID:0000-0002-5655-688X)

Abstract

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P<0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P<0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.

Published
2014

16. Influenza vaccination coverage among medical residents: An Italian multicenter survey

Author

Chiara Cadeddu, Francesco Vitale, Valentina Di Gregori, Lucia Borsari, Maria Elena Flacco, Paola Camia, Maria R Gallea, Anita Saponari, Silvia Mascaretti, Paolo Cacciari, Andrea Ziglio, Niccolò Lanati, Anna Rita Giuliani, Walter Ricciardi, Alessia Varetta, Walter Mazzucco, Carlo Signorelli, Elisabetta Franco, Nicola Nante, Michele Quarto, Barbara Filisetti, Roberto Furnari, Rocco Micò, Roberto Fallico, Valeria Trabacchi, Maria Passaro, Serena Gallone, F Schioppa, Maria Triassi, Margherita Bergomi, Manuela Bianco, Elena Azzolini, Eugenia Carluccio, Chiara De Waure, Emanuele Amodio, F Gilardi, Umberto Gelatti, Cesare Baldini, Antonella Mattei, Roberta Siliquini, Claudio Costantino, Angela Zoccali, Leila Fabiani, Carmelo G A Nobile, Giuseppe Napoli, Laura Morciano, Raffaele Palladino, Veronica Galis, Orazio Claudio Grillo, Salvatore Parisi, Gabriele Romano, Alessio Daniele Biafiore, Ennio Rustico, Gabriele Pelissero, Andrea Conti, Maria Filomena Gallone, Costantino, C, Mazzucco, W, Vitale, F, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Waure, C, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, M, Franco, E, Furnari, R, Galis, V, Gallea, M, Gallone, M, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, A, Grillo, O, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Amodio, E, Biafiore, A. D, Amodio, E., Claudio, Costantino, Walter, Mazzucco, Francesco, Vitale, Elena, Azzolini, Cesare, Baldini, Margherita, Bergomi, Alessio Daniele Biafiore, Manuela, Bianco, Lucia, Borsari, Paolo, Cacciari, Chiara, Cadeddu, Paola, Camia, Eugenia, Carluccio, Andrea, Conti, Chiara De Waure, Valentina Di Gregori, Leila, Fabiani, Roberto, Fallico, Barbara, Filisetti, Flacco, Maria E., Elisabetta, Franco, Roberto, Furnari, Veronica, Gali, Gallea, Maria R., Gallone, Maria F., Serena, Gallone, Umberto, Gelatti, Francesco, Gilardi, Giuliani, Anna R., Grillo, Orazio C., Niccol?, Lanati, Silvia, Mascaretti, Antonella, Mattei, Rocco, Mic?, Laura, Morciano, Nicola, Nante, Giuseppe, Napoli, Carmelo, Nobile, Palladino, Raffaele, Salvatore, Parisi, Maria, Passaro, Gabriele, Pelissero, Michele, Quarto, Walter, Ricciardi, Gabriele, Romano, Ennio, Rustico, Anita, Saponari, Schioppa, Francesco S., Carlo, Signorelli, Roberta, Siliquini, Valeria, Trabacchi, Triassi, Maria, Alessia, Varetta, Andrea, Ziglio, Angela, Zoccali, and Emanuele, Amodio

Subjects
Adult, Male, medicine.medical_specialty, Pediatrics, Attitude of Health Personnel, Immunology, Socio-culturale, Settore MED/42 - Igiene Generale E Applicata, Influenza immunization, medical residents, Physicians, Health care, Influenza, Human, medicine, influenza vaccination, coverage rate, Immunology and Allergy, Humans, Good practice, Coverage rate, Influenza vaccination, Italy, Medical residents, Multicentre survey, Female, Influenza Vaccines, Vaccination, Data Collection, Internship and Residency, multicentre survey, Ethical responsibility, Pharmacology, business.industry, Italy, coverage rate, influenza vaccination, medical residents, multicentre survey, Influenza, Multicenter study, Vaccination coverage, Family medicine, Multicenter survey, business, Research Paper, Human
Abstract

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P < 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P < 0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future. © 2014 Landes Bioscience.

Published
2014

17. Use of self-medication among adolescents: a systematic review and meta-analysis.

Author

Gualano MR, Bert F, Passi S, Stillo M, Galis V, Manzoli L, and Siliquini R

Subjects
Adolescent, Female, Humans, Internationality, Male, Nonprescription Drugs adverse effects, Observational Studies as Topic, Self Medication methods, Sex Distribution, Nonprescription Drugs administration & dosage, Self Medication adverse effects, Self Medication statistics & numerical data
Abstract

Background: We performed a systematic review and proportion meta-analysis in order to investigate the prevalence and the adverse effects of the self-medication among the teenagers., Methods: We selected observational studies published from January 1990 until January 2014 that examined the use of self-medication in the adolescents (aged from 13 to 18 years). Keywords used on PubMed, ISI Web of Knowledge and Scopus were 'self medication', 'adolescent*', 'self prescription', 'over the counter preparations' and 'self administration'., Results: Finally, 15 articles met the inclusion criteria, for a total of 143 213 subjects involved. Overall, 50% of adolescents use to take drugs without consulting a physician. Further analyses stratified by number of drugs used demonstrated that in the studies reporting that adolescents use more than one type of drug the prevalence rises up to 63%. Only one study reported the possible adverse effects related to the inappropriate use of drugs, which were experienced by 31.1% of the females and 19.6% of the males., Conclusions: Self-medication use among adolescents is a widespread phenomenon. It would be advisable to give more attention on this public health concern and to promote initiatives, such as mass media campaigns and governmental actions, in order to make the citizens more aware to the risks related to the consumption of drugs without medical consultation. Further studies on adverse effects are urgently needed., (© The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.)

Published
2015
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18. Influenza vaccination coverage among medical residents: an Italian multicenter survey.

Author

Costantino C, Mazzucco W, Azzolini E, Baldini C, Bergomi M, Biafiore AD, Bianco M, Borsari L, Cacciari P, Cadeddu C, Camia P, Carluccio E, Conti A, De Waure C, Di Gregori V, Fabiani L, Fallico R, Filisetti B, Flacco ME, Franco E, Furnari R, Galis V, Gallea MR, Gallone MF, Gallone S, Gelatti U, Gilardi F, Giuliani AR, Grillo OC, Lanati N, Mascaretti S, Mattei A, Micò R, Morciano L, Nante N, Napoli G, Nobile CG, Palladino R, Parisi S, Passaro M, Pelissero G, Quarto M, Ricciardi W, Romano G, Rustico E, Saponari A, Schioppa FS, Signorelli C, Siliquini R, Trabacchi V, Triassi M, Varetta A, Ziglio A, Zoccali A, Vitale F, and Amodio E

Subjects
Adult, Female, Humans, Influenza, Human epidemiology, Influenza, Human prevention & control, Italy epidemiology, Male, Vaccination trends, Attitude of Health Personnel, Data Collection methods, Influenza Vaccines therapeutic use, Internship and Residency trends, Physicians trends, Vaccination statistics & numerical data
Abstract

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P<0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P<0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.

Published
2014
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