{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:23:05Z","timestamp":1787242985740,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:00:00Z","timestamp":1694044800000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["16FED1612328"],"award-info":[{"award-number":["16FED1612328"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["16FED1612343"],"award-info":[{"award-number":["16FED1612343"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["18FED1812054IPD"],"award-info":[{"award-number":["18FED1812054IPD"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["19FED19112003IPD"],"award-info":[{"award-number":["19FED19112003IPD"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Influenza Resp Viruses"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Uncertainty about risk of illness and the value of influenza vaccines negatively affects vaccine uptake among persons targeted for influenza vaccination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>During 2016\u20132019, we followed a cohort of healthcare personnel (HCP) targeted for free\u2010of\u2010charge influenza vaccination in five Lima hospitals to quantify risk of influenza, workplace presenteeism (coming to work despite illness), and absenteeism (taking time off from work because of illness). The HCP who developed acute respiratory illnesses (ARI) (\u22651 of acute cough, runny nose, body aches, or feverishness) were tested for influenza using reverse\u2010transcription polymerase chain reaction (rt\u2010PCR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>The cohort (2968 HCP) contributed 950,888 person\u2010days. Only 36 (6%) of 605 HCP who participated every year were vaccinated. The HCP had 5750 ARI and 147 rt\u2010PCR\u2010confirmed influenza illnesses. The weighted incidence of laboratory\u2010confirmed influenza was 10.0\/100 person\u2010years; 37% used antibiotics, and 0.7% used antivirals to treat these illnesses. The HCP with laboratory\u2010confirmed influenza were present at work while ill for a cumulative 1187\u2009hours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>HCP were frequently ill and often worked rather than stayed at home while ill. Our findings suggest the need for continuing medical education about the risk of influenza and benefits of vaccination and stay\u2010at\u2010home\u2010while\u2010ill policies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/irv.13189","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T01:24:18Z","timestamp":1694136258000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Healthcare personnel in 2016\u20132019 prospective cohort infrequently got vaccinated, worked while ill, and frequently used antibiotics rather than antivirals against viral influenza illnesses"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0298-5814","authenticated-orcid":false,"given":"Eduardo","family":"Azziz\u2010Baumgartner","sequence":"first","affiliation":[{"name":"Influenza Division Centers for Disease Control and Prevention  Atlanta Georgia 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Influenza Division Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Candice","family":"Romero","sequence":"additional","affiliation":[{"name":"Vysnova Partners Inc  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young M.","family":"Yoo","sequence":"additional","affiliation":[{"name":"Influenza Division Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Gonzales","sequence":"additional","affiliation":[{"name":"Vysnova Partners Inc  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeny","family":"Tinoco","sequence":"additional","affiliation":[{"name":"US Naval Medical Research Unit No. 6  Bellavista Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Silva","sequence":"additional","affiliation":[{"name":"US Naval Medical Research Unit No. 6  Bellavista Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduar","family":"Bravo","sequence":"additional","affiliation":[{"name":"Hospital Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy Rojas","family":"Serrano","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Salud  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Matos","sequence":"additional","affiliation":[{"name":"Hospital Nacional Arzobispo Loayza  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Chavez\u2010Perez","sequence":"additional","affiliation":[{"name":"Hospital Nacional Dos de Mayo  Lima 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