Healthcare Workers' Exposures for Mumps, Measles, Rubella and Varicella Zoster Virus Infections: A Multicenter Survey Study

ABSTRACT Objectives: In this research article, the authors carried out a multi-center study to evaluate the exposure and vaccination status of selected Turkish health-care workers for measles, rubella, mumps, and varicella zoster. Methods: The authors conducted a survey research by a questionnaire for health-care workers. The participants were questioned about vaccination and exposure of mumps, measles, rubella and varicella zoster virus. Results: A total of 5165 health-care workers; 1665 male (32.2%) and 3500 female (67.8%) participated in the study. The rates of measles, rubella, mumps and varicella history in the participants were found to be 39.2%, 21.8%, 50.8% and 56.9%, respectively. When health-care workers were asked about vaccination against measles, mumps and rubella; 2327 (47.4%) participants could not remember, 1423 (29%) participants stated that they had not been vaccinated and 763 (15.5%) had been vaccinated. Only 55 (1.1%) of the participants stated that they had measles vaccination. In total 2376 (49%) participants stated that they had not been vaccinated against varicella zoster and 451 (9.4%) people did not have vaccination since they already had developed disease and 1913 (39.8%) people did not remember their vaccination status for varicella zoster. Only 68 (1.4%) health-care workers stated that they had been vaccination against varicella zoster. Conclusions: The authors found that only a small group of health-care workers were vaccinated against these diseases and most of them could not remember whether they had been exposed to these viruses. J Microbiol Infect Dis 2019; 9(3):104-111.

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  • REFERENCES 1. Centers for Disease Control and Prevention. Progress toward measles elimination-Japan, 1999-2008. MMWR 2008; 57(38):1049-52. 2. Guris D, Bayazit Y, Ozdemirer U, et al. Measles epidemiology and elimination strategies in Turkey. J Infect Dis 2003; 187 Suppl 1:S230-S234. 3. Centers for Disease Control and Prevention. Immunization of Health-care Workers: Recommendation of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC). MMRW 1997; 46(RR-18):1-42. 4. Zencir M, Bal F, Guler M, et al. The evaluation of exposure status against the measles, mumps, rubella and the varicella zoster virus infections among the health care workers. Izmir Training and Research Hospital Medical Journal 2014; 18 (4): 108-112. 5. Ciliz N. Determination of measles, rubella, mumps, varicella, diphtheria, tetanus and HBV antibody levels in health care workers, Celal Bayar University Hospital, Department of Medical Microbiology, Thesis, Manisa 2013. 6. Sengoz M. Seroprevalence of measles, rubella, mumps, varicella in health care workers. Bulent Ecevit University Hospital, Department of Infectious Diseases and Clinical Microbiology, Thesis, Zonguldak 2015. 7. Guner E. Determination of awareness and immunization status of diseases and vaccination that can be protected by the health care workers. University of Health Sciences, Bozyaka Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Thesis, Izmir 2017. 8. Tosun S, Deveci S, Kaplan Y, Isbir B, Yilmaz T. EKMUD Congress, 24-28 October, Ankara, 259, p170. 9. Ziegler E. Prevalence of measles susceptibility among health care workers in a UK Hospital. Does the UK need to introduce a measles policy for its health care workers? Occupat Med 2003; 53:398-440. 10. Alp E, Cevahir F, Gokahmetoglu S, Demiraslan H, Doganay M. Prevaccination screening of health care workers for immunity to measles, rubella, mumps, and varicella in a developing country: What do we save? J Infect Public Health 2012; 5: 127-132. 11. Celikbas A, Ergonul O, Aksaray S, et al. Measles, rubella, mumps, and varicella seroprevalence among health care workers in Turkey: is prevaccination screening cost-effective? Am J Infect Control 2006; 34:583-587. 12. Taddei C, Ceccherini V, Niccolai G, et al. Attitude toward immunization and risk perception of measles, rubella, mumps, varicella and pertussis in health care workers in 6 hospitals of Florance, Italy 2011. Hum Vaccin Immunother 2014; 10: 2612-2622. 13. Giri P, Basu S, Farrow D, Adisesh A. Cost-effectiveness analysis of MMR immunization in health care workers. Occup Med 2013; 63:422-4. 14. Chodick G, Ashkenazi S, Livni G, Lerman Y. Cost-effectiveness of varicella vaccination of health care workers. Vaccine 2005; 17;23:5064-5072. 15. Gulec H. Varicella and hepatitis an antibody prevalance in health care workers. University of Istanbul, Istanbul Faculty of Medicine, Department of Medical Microbiology. Thesis, Istanbul 2013. 16. Fedeli U, Zanetti C, Saia B. Susceptibility of health care workers to measles, mumps, rubella and varicella. J Hosp Infect 2002; 51: 133-135. 17. Chazan B, Colodner R, Teitler N, Chen Y, Raz R. Varicella zoster virus in health care workers in Northern Israel: seroprevalence and predictive value of history of varicella infection. Am J Infect Control 2008; 36:436–438. 18. Dinelli MI, Moreira Td, Paulino ER, da Rocha MC, Graciani FB, de Moraes-Pinto MI. Immune status and risk perception of acquisition of vaccine preventable diseases among health care workers. Am J Infect Control 2009; 37: 858-860. 19. Borras E, Campins M, Working Group for the Study of the Immune Status in Health care Workers. Are health care workers immune to rubella? Hum Vaccin Immunother 2014; 10: 686-691. 20. Koksal I, Usluer G. Adult Immunization. ANKEM. 2006; 20(4):239-245. 21. National Vaccine Workshop Report. T. C. Ministry of Health Infectious Diseases Association. 27-29 March 2014, Ankara. 22. Kimberlin DW, Brady MT, Jackson MA, Long SS. 2018-2021 Report of the Committee on Infectious Diseases Red Book, 31st ed. Itasca, IL 2018. 23. Centers for Disease Control and Prevention: Immunization of health care personnel: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2011; 60 (No. RR-7):1-45.