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Vaccination attitudes and practices of physicians and nurses in adult oncology settings

Yıl 2024, Cilt: 28 Sayı: 3, 612 - 620, 28.06.2025

Nesligül Özdemir , Burak Yasin Aktas Saadettin Kılıçkap , Aygin Ekincioğlu

Öz

This study aimed to assess the opinions and clinical practices of oncologists and nurses about vaccination recommended for both healthcare workers and cancer patients. A cross-sectional survey study was conducted among physicians and nurses working in adult oncology settings between September 2019 and February 2022. An online survey was sent to the participants via e-mails, with two reminders at 4-week intervals for non-respondents. A total of 80 physicians and 84 nurses completed the survey. The highest vaccination rates for physicians and nurses were reported for hepatitis B, diphtheria-tetanus, and influenza vaccines. Considering the previous influenza season, only 31.25% of the physicians and 22.62% of the nurses had the influenza vaccine. Eighty-seven percent (n=70) of physicians and 57.14% (n=48) of nurses recommended adult vaccines to cancer patients. Influenza, pneumococcal, and hepatitis B vaccines were the most recommended vaccines. Thirty-seven percent of physicians and 44.05% of nurses encountered anti-vaccine attitudes among the patients. Seventeen percent of the physicians had no opinion on the timing of vaccination during conventional cytotoxic chemotherapy. Forty percent, 28.17%, and 18.31% of physicians recommended vaccination 'just before treatment', 'between treatment cycles', and 'immediately after the end of treatment', respectively. Vaccination rates of physicians and nurses working in oncology practice and the recommendation of vaccination to cancer patients are still lower than desired levels. It appears that HCPs have limited knowledge regarding vaccination time schedules in cancer patients.

Anahtar Kelimeler

attitudes cancer healthcare professionals oncology vaccination schedule

Kaynakça

  • [1] Chiatti C, Barbadoro P, Lamura G, Pennacchietti L, Di Stanislao F, D'Errico MM, Prospero E. Influenza vaccine uptake among community-dwelling Italian elderly: results from a large cross-sectional study. BMC Public Health. 2011;11:207. https://doi.org/10.1186/1471-2458-11-207
  • [2] Martinez-Baz I, Aguilar I, Moran J, Albeniz E, Aldaz P, Castilla J. Factors associated with continued adherence to influenza vaccination in the elderly. Prev Med. 2012;55(3):246-250. https://doi.org/10.1016/j.ypmed.2012.06.020
  • [3] Lu PJ, Yankey D, Fredua B, O'Halloran AC, Williams C, Markowitz LE, Elam-Evans LD. association of provider recommendation and human papillomavirus vaccination ınitiation among male adolescents aged 13-17 years-United States. J Pediatr. 2019; 206:33-4 e1. https://doi.org/10.1016/j.jpeds.2018.10.034.
  • [4] Dzieciolowska S, Hamel D, Gadio S, Dionne M, Gagnon D, Robitaille L, Cook E, Caron I, Talib A, Parkes L, Dube E, Longtin Y. Covid-19 vaccine acceptance, hesitancy, and refusal among Canadian healthcare workers: A multicenter survey. Am J Infect Control. 2021;49(9):1152-1157. https://doi.org/10.1016/j.ajic.2021.04.079
  • [5] Elhadi M, Alsoufi A, Alhadi A, Hmeida A, Alshareea E, Dokali M, Abodabos S, Alsadiq O, Abdelkabir M, Ashini A, Shaban A, Mohammed S, Alghudban N, Bureziza E, Najah Q, Abdulrahman K, Mshareb N, Derwish K, Shnfier N, Burkan R, Al-Azomi M, Hamdan A, Algathafi K, Abdulwahed E, Alheerish K, Lindi N, Anaiba M, Elbarouni A, Alsharif M, Alhaddad K, Alwhishi E, Aboughuffah M, Aljadidi W, Jaafari A, Khaled A, Zaid A, Msherghi A. Knowledge, attitude, and acceptance of healthcare workers and the public regarding the COVID-19 vaccine: a cross-sectional study. BMC Public Health. 2021;21(1):955. https://doi.org/10.1186/s12889-021-10987-3
  • [6] Asadi-Pooya AA, Barzegar Z, Sadeghian S, Nezafat A, Shahisavandi M, Nabavizadeh SA. COVID-19 vaccine hesitancy among patients with epilepsy or other chronic conditions. Disaster Med Public Health Prep. 2021:1-3. https://doi.org/10.1017/dmp.2021.311
  • [7] Lietz J, Westermann C, Nienhaus A, Schablon A. The occupational risk of influenza A (H1N1) infection among healthcare personnel during the 2009 pandemic: A systematic review and meta-analysis of observational studies. PLoS One. 2016;11(8):e0162061. https://doi.org/10.1371/journal.pone.0162061
  • [8] Muljono DH, Wijayadi T, Sjahril R. Hepatitis B virus infection among health care workers in Indonesia. Euroasian J Hepatogastroenterol. 2018;8(1):88-92. https://doi.org/10.5005/jp-journals-10018-1269
  • [9] Wu MF, Yang YW, Lin WY, Chang CY, Soon MS, Liu CE. Varicella zoster virus infection among healthcare workers in Taiwan: seroprevalence and predictive value of history of varicella infection. J Hosp Infect. 2012;80(2):162-167. https://doi.org/10.1016/j.jhin.2011.11.011
  • [10] Basu S, Giri P, Adisesh A, Mc NR. Healthcare workers and measles-mumps-rubella (MMR) status: how worried should we be about further outbreaks? Epidemiol Infect. 2014;142(8):1688-1694. https://doi.org/10.1017/S0950268813002859
  • [11] Mursy SMM, Mohamed SOO. Knowledge, attitude, and practice towards Hepatitis B infection among nurses and midwives in two maternity hospitals in Khartoum, Sudan. BMC Public Health. 2019;19(1):1597. https://doi.org/10.1186/s12889-019-7982-8
  • [12] Tomljenovic M, Petrovic G, Antoljak N, Hansen L. Vaccination attitudes, beliefs and behaviours among primary health care workers in northern Croatia. Vaccine. 2021;39(4):738-745. https://doi.org/10.1016/j.vaccine.2020.11.049
  • [13] Collange F, Verger P, Launay O, Pulcini C. Knowledge, attitudes, beliefs and behaviors of general practitioners/family physicians toward their own vaccination: A systematic review. Hum Vaccin Immunother. 2016;12(5):1282-1292. https://doi.org/10.1080/21645515.2015.1138024
  • [14] Vora A, Shaikh A. Awareness, attitude, and current practices toward influenza vaccination among physicians in India: A multicenter, cross-sectional study. Front Public Health. 2021; 9:642636. https://doi.org/10.3389/fpubh.2021.642636
  • [15] Andayi F, Emukule GO, Osoro E, Ndegwa LK, Otiato F, Muturi P, Azziz-Baumgartner E, Kalani R, Anyango E, Muthoka PM, Ebama MS, Bresee J, Chaves SS. Knowledge and attitude of Kenyan healthcare workers towards pandemic influenza disease and vaccination: 9 years after the last influenza pandemic. Vaccine. 2021;39(29):3991-3996. https://doi.org/10.1016/j.vaccine.2021.05.057
  • [16] Alkan A, Karcı E, Yasar A, Tuncay G, Koksoy EB, Ürün M, Çay-Senler F, Demirkazık A, Utkan G, Akbulut H, Ürün Y. Vaccination in oncology practice and predictors. Support Care Cancer. 2017;25(9):2677-2682. https://doi.org/10.1007/s00520-017-3675-y
  • [17] Maeda T, Sasaki H, Togawa A, Tanaka T, Arima H, Takata T, Takamatsu Y. Surveillance of the current situation regarding influenza vaccination according to medical oncologists in Japan. Cancer Sci. 2021;112(1):433-443. https://doi.org/10.1111/cas.14742
  • [18] O'Callaghan N, Hanan T, Mullen L, Laffoy M. Seasonal inactivated influenza vaccination in oncology settings. Ir Med J. 2019;112(8):983.
  • [19] Schneiter MK, Levinson K, Rositch AF, Stone RL, Nickles Fader A, Stuart Ferriss J, Wethington SL, Beavis AL. Gynecologic oncology HPV vaccination practice patterns: Investigating practice barriers, knowledge gaps and opportunities for maximizing cervical cancer prevention. Gynecol Oncol Rep. 2022;40:100952. https://doi.org/10.1016/j.gore.2022.100952
  • [20] Akin S, Dizdar O, Ozisik L, Tanriover MD, Kamisli S, Erman M, Hayran M. Vaccination attitudes among patients with cancer receiving chemotherapy. Int J Hematol Oncol. 2016;26(3):167-172. https://doi.org/10.4999/uhod.161317
  • [21] Rubin LG, Levin MJ, Ljungman P, Davies EG, Avery R, Tomblyn M, Bousvaros A, Dhanireddy S, Sung L, Keyserling H, Kang I. 2013 IDSA clinical practice guideline for vaccination of the immunocompromised host. Clin Infect Dis. 2014;58(3):e44-100. https://doi.org/10.1093/cid/cit816
  • [22] General Best Practice Guidelines for Immunization: Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP). https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/immunocompetence.pdf (accessed on 11 November 2023).
  • [23] Genovese C, Picerno IAM, Trimarchi G, Cannavo G, Egitto G, Cosenza B, Merlina V, Icardi G, Panatto D, Amicizia D, Orsi A, Colosio C, Marsili C, Lari C, Palamara MAR, Vitale F, Casuccio A, Costantino C, Azara A, Castiglia P, Bianco A, Currà A, Gabutti G, Stefanati A, Sandri F, Florescu C, Marranzano M, Giorgianni G, Fiore V, Platania A, Torre I, Cappuccio A, Guillari A, Fabiani L, Giuliani AR, Appetiti A, Fauci VLA, Squeri A, Ragusa R, Squeri R. Vaccination coverage in healthcare workers: a multicenter cross-sectional study in Italy. J Prev Med Hyg. 2019;60(1):E12-E7. https://doi.org/10.15167/2421-4248/jpmh2019.60.1.1097
  • [24] Tsigrelis C, Ljungman P. Vaccinations in patients with hematological malignancies. Blood Rev. 2016;30(2):139-147. https://doi.org/10.1016/j.blre.2015.10.001

Yıl 2024, Cilt: 28 Sayı: 3, 612 - 620, 28.06.2025

Nesligül Özdemir , Burak Yasin Aktas Saadettin Kılıçkap , Aygin Ekincioğlu

Öz

Kaynakça

  • [1] Chiatti C, Barbadoro P, Lamura G, Pennacchietti L, Di Stanislao F, D'Errico MM, Prospero E. Influenza vaccine uptake among community-dwelling Italian elderly: results from a large cross-sectional study. BMC Public Health. 2011;11:207. https://doi.org/10.1186/1471-2458-11-207
  • [2] Martinez-Baz I, Aguilar I, Moran J, Albeniz E, Aldaz P, Castilla J. Factors associated with continued adherence to influenza vaccination in the elderly. Prev Med. 2012;55(3):246-250. https://doi.org/10.1016/j.ypmed.2012.06.020
  • [3] Lu PJ, Yankey D, Fredua B, O'Halloran AC, Williams C, Markowitz LE, Elam-Evans LD. association of provider recommendation and human papillomavirus vaccination ınitiation among male adolescents aged 13-17 years-United States. J Pediatr. 2019; 206:33-4 e1. https://doi.org/10.1016/j.jpeds.2018.10.034.
  • [4] Dzieciolowska S, Hamel D, Gadio S, Dionne M, Gagnon D, Robitaille L, Cook E, Caron I, Talib A, Parkes L, Dube E, Longtin Y. Covid-19 vaccine acceptance, hesitancy, and refusal among Canadian healthcare workers: A multicenter survey. Am J Infect Control. 2021;49(9):1152-1157. https://doi.org/10.1016/j.ajic.2021.04.079
  • [5] Elhadi M, Alsoufi A, Alhadi A, Hmeida A, Alshareea E, Dokali M, Abodabos S, Alsadiq O, Abdelkabir M, Ashini A, Shaban A, Mohammed S, Alghudban N, Bureziza E, Najah Q, Abdulrahman K, Mshareb N, Derwish K, Shnfier N, Burkan R, Al-Azomi M, Hamdan A, Algathafi K, Abdulwahed E, Alheerish K, Lindi N, Anaiba M, Elbarouni A, Alsharif M, Alhaddad K, Alwhishi E, Aboughuffah M, Aljadidi W, Jaafari A, Khaled A, Zaid A, Msherghi A. Knowledge, attitude, and acceptance of healthcare workers and the public regarding the COVID-19 vaccine: a cross-sectional study. BMC Public Health. 2021;21(1):955. https://doi.org/10.1186/s12889-021-10987-3
  • [6] Asadi-Pooya AA, Barzegar Z, Sadeghian S, Nezafat A, Shahisavandi M, Nabavizadeh SA. COVID-19 vaccine hesitancy among patients with epilepsy or other chronic conditions. Disaster Med Public Health Prep. 2021:1-3. https://doi.org/10.1017/dmp.2021.311
  • [7] Lietz J, Westermann C, Nienhaus A, Schablon A. The occupational risk of influenza A (H1N1) infection among healthcare personnel during the 2009 pandemic: A systematic review and meta-analysis of observational studies. PLoS One. 2016;11(8):e0162061. https://doi.org/10.1371/journal.pone.0162061
  • [8] Muljono DH, Wijayadi T, Sjahril R. Hepatitis B virus infection among health care workers in Indonesia. Euroasian J Hepatogastroenterol. 2018;8(1):88-92. https://doi.org/10.5005/jp-journals-10018-1269
  • [9] Wu MF, Yang YW, Lin WY, Chang CY, Soon MS, Liu CE. Varicella zoster virus infection among healthcare workers in Taiwan: seroprevalence and predictive value of history of varicella infection. J Hosp Infect. 2012;80(2):162-167. https://doi.org/10.1016/j.jhin.2011.11.011
  • [10] Basu S, Giri P, Adisesh A, Mc NR. Healthcare workers and measles-mumps-rubella (MMR) status: how worried should we be about further outbreaks? Epidemiol Infect. 2014;142(8):1688-1694. https://doi.org/10.1017/S0950268813002859
  • [11] Mursy SMM, Mohamed SOO. Knowledge, attitude, and practice towards Hepatitis B infection among nurses and midwives in two maternity hospitals in Khartoum, Sudan. BMC Public Health. 2019;19(1):1597. https://doi.org/10.1186/s12889-019-7982-8
  • [12] Tomljenovic M, Petrovic G, Antoljak N, Hansen L. Vaccination attitudes, beliefs and behaviours among primary health care workers in northern Croatia. Vaccine. 2021;39(4):738-745. https://doi.org/10.1016/j.vaccine.2020.11.049
  • [13] Collange F, Verger P, Launay O, Pulcini C. Knowledge, attitudes, beliefs and behaviors of general practitioners/family physicians toward their own vaccination: A systematic review. Hum Vaccin Immunother. 2016;12(5):1282-1292. https://doi.org/10.1080/21645515.2015.1138024
  • [14] Vora A, Shaikh A. Awareness, attitude, and current practices toward influenza vaccination among physicians in India: A multicenter, cross-sectional study. Front Public Health. 2021; 9:642636. https://doi.org/10.3389/fpubh.2021.642636
  • [15] Andayi F, Emukule GO, Osoro E, Ndegwa LK, Otiato F, Muturi P, Azziz-Baumgartner E, Kalani R, Anyango E, Muthoka PM, Ebama MS, Bresee J, Chaves SS. Knowledge and attitude of Kenyan healthcare workers towards pandemic influenza disease and vaccination: 9 years after the last influenza pandemic. Vaccine. 2021;39(29):3991-3996. https://doi.org/10.1016/j.vaccine.2021.05.057
  • [16] Alkan A, Karcı E, Yasar A, Tuncay G, Koksoy EB, Ürün M, Çay-Senler F, Demirkazık A, Utkan G, Akbulut H, Ürün Y. Vaccination in oncology practice and predictors. Support Care Cancer. 2017;25(9):2677-2682. https://doi.org/10.1007/s00520-017-3675-y
  • [17] Maeda T, Sasaki H, Togawa A, Tanaka T, Arima H, Takata T, Takamatsu Y. Surveillance of the current situation regarding influenza vaccination according to medical oncologists in Japan. Cancer Sci. 2021;112(1):433-443. https://doi.org/10.1111/cas.14742
  • [18] O'Callaghan N, Hanan T, Mullen L, Laffoy M. Seasonal inactivated influenza vaccination in oncology settings. Ir Med J. 2019;112(8):983.
  • [19] Schneiter MK, Levinson K, Rositch AF, Stone RL, Nickles Fader A, Stuart Ferriss J, Wethington SL, Beavis AL. Gynecologic oncology HPV vaccination practice patterns: Investigating practice barriers, knowledge gaps and opportunities for maximizing cervical cancer prevention. Gynecol Oncol Rep. 2022;40:100952. https://doi.org/10.1016/j.gore.2022.100952
  • [20] Akin S, Dizdar O, Ozisik L, Tanriover MD, Kamisli S, Erman M, Hayran M. Vaccination attitudes among patients with cancer receiving chemotherapy. Int J Hematol Oncol. 2016;26(3):167-172. https://doi.org/10.4999/uhod.161317
  • [21] Rubin LG, Levin MJ, Ljungman P, Davies EG, Avery R, Tomblyn M, Bousvaros A, Dhanireddy S, Sung L, Keyserling H, Kang I. 2013 IDSA clinical practice guideline for vaccination of the immunocompromised host. Clin Infect Dis. 2014;58(3):e44-100. https://doi.org/10.1093/cid/cit816
  • [22] General Best Practice Guidelines for Immunization: Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP). https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/immunocompetence.pdf (accessed on 11 November 2023).
  • [23] Genovese C, Picerno IAM, Trimarchi G, Cannavo G, Egitto G, Cosenza B, Merlina V, Icardi G, Panatto D, Amicizia D, Orsi A, Colosio C, Marsili C, Lari C, Palamara MAR, Vitale F, Casuccio A, Costantino C, Azara A, Castiglia P, Bianco A, Currà A, Gabutti G, Stefanati A, Sandri F, Florescu C, Marranzano M, Giorgianni G, Fiore V, Platania A, Torre I, Cappuccio A, Guillari A, Fabiani L, Giuliani AR, Appetiti A, Fauci VLA, Squeri A, Ragusa R, Squeri R. Vaccination coverage in healthcare workers: a multicenter cross-sectional study in Italy. J Prev Med Hyg. 2019;60(1):E12-E7. https://doi.org/10.15167/2421-4248/jpmh2019.60.1.1097
  • [24] Tsigrelis C, Ljungman P. Vaccinations in patients with hematological malignancies. Blood Rev. 2016;30(2):139-147. https://doi.org/10.1016/j.blre.2015.10.001
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Eczacılık ve Eczacılık Uygulaması
Bölüm Articles
Yazarlar

Nesligül Özdemir 0000-0003-2551-9549

Burak Yasin Aktas 0000-0001-5460-4895

Saadettin Kılıçkap 0000-0003-1637-7390

Aygin Ekincioğlu 0000-0002-3481-0074

Yayımlanma Tarihi 28 Haziran 2025
Gönderilme Tarihi 29 Kasım 2023
Kabul Tarihi 23 Ocak 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 28 Sayı: 3

Kaynak Göster

APA Özdemir, N., Aktas, B. Y., Kılıçkap, S., Ekincioğlu, A. (2025). Vaccination attitudes and practices of physicians and nurses in adult oncology settings. Journal of Research in Pharmacy, 28(3), 612-620.
AMA Özdemir N, Aktas BY, Kılıçkap S, Ekincioğlu A. Vaccination attitudes and practices of physicians and nurses in adult oncology settings. J. Res. Pharm. Haziran 2025;28(3):612-620.
Chicago Özdemir, Nesligül, Burak Yasin Aktas, Saadettin Kılıçkap, ve Aygin Ekincioğlu. “Vaccination Attitudes and Practices of Physicians and Nurses in Adult Oncology Settings”. Journal of Research in Pharmacy 28, sy. 3 (Haziran 2025): 612-20.
EndNote Özdemir N, Aktas BY, Kılıçkap S, Ekincioğlu A (01 Haziran 2025) Vaccination attitudes and practices of physicians and nurses in adult oncology settings. Journal of Research in Pharmacy 28 3 612–620.
IEEE N. Özdemir, B. Y. Aktas, S. Kılıçkap, ve A. Ekincioğlu, “Vaccination attitudes and practices of physicians and nurses in adult oncology settings”, J. Res. Pharm., c. 28, sy. 3, ss. 612–620, 2025.
ISNAD Özdemir, Nesligül vd. “Vaccination Attitudes and Practices of Physicians and Nurses in Adult Oncology Settings”. Journal of Research in Pharmacy 28/3 (Haziran 2025), 612-620.
JAMA Özdemir N, Aktas BY, Kılıçkap S, Ekincioğlu A. Vaccination attitudes and practices of physicians and nurses in adult oncology settings. J. Res. Pharm. 2025;28:612–620.
MLA Özdemir, Nesligül vd. “Vaccination Attitudes and Practices of Physicians and Nurses in Adult Oncology Settings”. Journal of Research in Pharmacy, c. 28, sy. 3, 2025, ss. 612-20.
Vancouver Özdemir N, Aktas BY, Kılıçkap S, Ekincioğlu A. Vaccination attitudes and practices of physicians and nurses in adult oncology settings. J. Res. Pharm. 2025;28(3):612-20.