{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T09:38:15Z","timestamp":1788255495235,"version":"build-2803163510"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2013,11,5]],"date-time":"2013-11-05T00:00:00Z","timestamp":1383609600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Healthcare workers (HCWs) are at an increased risk of exposure to and transmission of infectious diseases. Vaccination lowers morbidity and mortality of HCWs and their patients. To assess vaccination coverage for influenza and hepatitis B virus (HBV) among HCWs in Croatian hospitals, we conducted yearly nationwide surveys.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>From 2006 to 2011, all 66 Croatian public hospitals, representing 43\u201360% of all the HCWs in Croatia, were included. Statistical analysis was performed using the Kruskal\u2013Wallis analysis of variance, Dunn\u2019s multiple comparison analysis and the chi-square test, as appropriate.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The median seasonal influenza vaccination coverage rates in pre-pandemic (2006\u20132008) seasons were 36%, 25% and 29%, respectively. By occupation, influenza vaccination rates among physicians were 33\u2009\u00b1\u200921%, 33\u2009\u00b1\u200922% among graduate nurses, 30\u00b134% among other HCWs, 26\u2009\u00b1\u200921% among housekeeping and the lowest, 23\u2009\u00b1\u200917%, among practical nurses (p\u2009&lt;\u20090.01). In 2009\u20132010 season, seasonal influenza vaccination coverage was 30%, while overall vaccination coverage against pandemic influenza was fewer than 5%. Median vaccination coverage in the post-pandemic seasons of 2010\u20132011 and 2011\u20132012 decreased to 15% and 14%, respectively (reduction of 24% and 35%, respectively, p\u2009&lt;\u20090.0001). Meanwhile, the median mandatory HBV vaccination coverage was 98%, albeit with considerable differences according to work setting (range 19\u2013100%) and occupation (range 4\u2013100%).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>We found substantial year-on-year variations in seasonal influenza vaccination rates, with reduction in post pandemic influenza seasons. HBV vaccination is satisfactory compared to seasonal influenza vaccination coverage, although substantial variations by occupation and work setting were observed. These findings highlight the need for national strategies that optimize vaccination coverage among HCWs in Croatian hospitals. Further studies are needed to establish the potential role of mandatory vaccination for seasonal influenza.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1471-2334-13-520","type":"journal-article","created":{"date-parts":[[2013,11,5]],"date-time":"2013-11-05T21:00:23Z","timestamp":1383685223000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Influenza and hepatitis B vaccination coverage among healthcare workers in Croatian hospitals: a series of cross-sectional surveys, 2006\u20132011"],"prefix":"10.1186","volume":"13","author":[{"given":"Rok","family":"Civljak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neven","family":"Papic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerija","family":"Stamenic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smilja","family":"Kalenic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilija","family":"Kuzman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josip","family":"Car","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2013,11,5]]},"reference":[{"key":"4206_CR1","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1136\/oemed-2011-100068","volume":"69","author":"JA Haagsma","year":"2012","unstructured":"Haagsma JA, Tariq L, Heederik DJ, Havelaar AH: Infectious disease risks associated with occupational exposure: a systematic review of the literature. 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