Vaccination Status and Other Preventive Measures in Medical Schools. Big Needs and Opportunities

Arch Med Res. 2018 May;49(4):255-260. doi: 10.1016/j.arcmed.2018.08.009. Epub 2018 Sep 5.

Abstract

Background: Proper immunization and knowledge in infection prevention are key factors in protecting medical students.

Aim of the study: To describe the status on vaccination recommended for healthcare workers (HCW) and infection prevention knowledge.

Methods: We conducted a cross-sectional study on medical students at clinical years of medical school from a public University in Mexico.

Results: A total of 1,824 medical students responded the survey. One thousand ninety (59.8%) were women. Median age was 22 years. One thousand six hundred twenty-two (88.9%) knew their childhood immunization status. One thousand seventy-one (58.7%) were vaccinated against influenza for the 2016-2017 season; 1667 (91.4%) had been vaccinated at least once against hepatitis B, only 315 (18.9%) of vaccinated had received a full course with 3 doses. Most students were vaccinated against measles, mumps and rubella during childhood, 542 (29.7%) received an additional dosage during or after adolescence. Six hundred ninety-seven (38.2%) were concerned about vaccine's safety. A total of 1,431 (78.5%) properly identified situations were standard precautions are recommended, and 1540 (84.4%) had received some training on safe care delivery and personal protective equipment. Regarding needle-stick injuries, 1165 (63.9%) had been informed on the protocols to follow if an injury occurred. Three hundred forty-nine (19.1%) had suffered needle-stick injuries, only 125 (35.8%) received immediate medical attention at the point of care.

Conclusions: Most medical students were not vaccinated as recommended, and they were not adequately instructed on safe practices for medical attention, nor advised or followed when a health-care related accident occurs. The results may be useful for implementation strategies on vaccination compliance and training on infection prevention.

Keywords: Health personnel; Infection control; Medical students; Needlestick injuries; Vaccination.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Child
  • Cross-Sectional Studies
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Personnel / statistics & numerical data*
  • Hepatitis B / prevention & control
  • Humans
  • Male
  • Measles Vaccine / therapeutic use
  • Mexico
  • Mumps Vaccine / therapeutic use
  • Needlestick Injuries / therapy*
  • Primary Prevention / methods
  • Rubella Vaccine / therapeutic use
  • Schools, Medical / statistics & numerical data*
  • Students, Medical / statistics & numerical data*
  • Surveys and Questionnaires
  • Vaccination / statistics & numerical data*
  • Young Adult

Substances

  • Measles Vaccine
  • Mumps Vaccine
  • Rubella Vaccine