{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T08:05:21Z","timestamp":1784880321158,"version":"3.55.0"},"reference-count":27,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Objective: Varicella zoster virus (VZV), a member of the Herpesviridae family, is known as the causative agent of chickenpox (varicella). Following primary infection, VZV can remain latent for life and may reactivate over time to cause herpes zoster (shingles). Advanced age, immunodeficiency, and certain chronic illnesses are major risk factors for the development of herpes zoster. To prevent herpes zoster, a live zoster vaccine was licensed in 2006, followed by a recombinant zoster vaccine with higher efficacy in 2018. In T\u00fcrkiye, the recombinant zoster vaccine was licensed in 2024. Raising awareness among healthcare workers is important both for their own health and the safety of vulnerable patients. This study aimed to evaluate healthcare workers\u2019 knowledge and awareness of herpes zoster infection and zoster vaccines across the country, as well as to determine the prevalence of prior herpes zoster infection among them. Methods: After obtaining ethical approval, a nationwide multicenter survey was conducted. A questionnaire was distributed to healthcare workers via an online link. Participation was entirely voluntary. The survey collected demographic information (age, sex, profession, years of experience) and included questions on knowledge of herpes zoster, history of zoster infection, symptoms and severity (if applicable), awareness of the zoster vaccine, and vaccination attitudes. Results: A total of 5180 healthcare workers participated, of whom 3505 were female. The participants ranged in age from 18 to 79 years (mean age: 34.24 \u00b1 11.52). Regarding professions: 47.9% were physicians, 21.3% were nurses or midwives, 0.8% were dentists or dental technicians, and 30% were from other healthcare professions. Among participants, 54.4% had \u226410 years of professional experience, 20% had comorbidities, and 10.5% were using immunosuppressive medications. It was found that 9.6% had previously had herpes zoster, 8.8% had no knowledge of the disease, 39.6% were aware of the vaccine, and 20.1% were unwilling to pay for vaccination. Multivariate binary logistic regression analysis revealed that being a physician significantly increased the likelihood of having correct knowledge by 1.961 times compared to other professions (p &lt; 0.001, CI: 1.608\u20132.392). Similarly, those who had heard of herpes zoster were 3.191 times more likely to answer correctly than those who had not (p = 0.011, CI: 1.650\u20136.172). Male gender was significantly associated with a lower likelihood of having accurate knowledge compared to females (p = 0.001, OR = 0.720, CI: 0.594\u20130.874). Conclusions: This study revealed that healthcare workers\u2019 knowledge and awareness regarding herpes zoster and its vaccines are generally insufficient. The recent licensing of the vaccine in T\u00fcrkiye may explain this, but it is critical for healthcare professionals to be more informed about risk groups and vaccination indications in order to enhance the effectiveness of preventive healthcare services. Given the potential for serious complications of herpes zoster in elderly and immunocompromised individuals, the importance of vaccination should be emphasized more strongly to healthcare workers. Furthermore, the finding that 20.1% of those aware of the vaccine were deterred by its cost highlights the need to improve vaccine accessibility. Economic barriers preventing healthcare workers from being vaccinated emphasize the importance of making the vaccine widely available through public support to protect both healthcare workers and patient safety.<\/jats:p>","DOI":"10.3390\/vaccines14080650","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T07:36:13Z","timestamp":1784878573000},"page":"650","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-Reported History of Herpes Zoster and Awareness of Zoster Vaccination Among Healthcare Workers: A Multicenter Cross-Sectional Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6111-0030","authenticated-orcid":false,"given":"U\u011fur","family":"Erg\u00fcn","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Bal\u0131kesir Atat\u00fcrk City Hospital, 10100 Bal\u0131kesir, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9844-9399","authenticated-orcid":false,"given":"Selma","family":"Tosun","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, University of Health Sciences, 35100 \u0130zmir, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ay\u015feg\u00fcl","family":"Seremet Keskin","sequence":"additional","affiliation":[{"name":"Antalya Training and Research Hospital, University of Health Sciences, 07000 Antalya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2849-9029","authenticated-orcid":false,"given":"Ebru","family":"Demiray G\u00fcrb\u00fcz","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Faculty of Medicine, Dokuz Eyl\u00fcl University, 35100 \u0130zmir, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4015-6488","authenticated-orcid":false,"given":"\u0130rem","family":"\u00c7iftci","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, University of Health Sciences, 35100 \u0130zmir, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3547-9053","authenticated-orcid":false,"given":"Sinem","family":"Ayaz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Hali\u00e7 University, 34000 \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5758-638X","authenticated-orcid":false,"given":"\u0130rem A\u015fk\u0131n","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, University of Health Sciences, 35100 \u0130zmir, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u015eenol","family":"\u00c7omo\u011flu","sequence":"additional","affiliation":[{"name":"\u00dcmraniye Training and Research Hospital, 34000 \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I\u015f\u0131l Deniz","family":"Al\u0131ravc\u0131","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, \u00c7anakkale Onsekiz Mart University, 17020 \u00c7anakkale, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Funda","family":"\u015eahin","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Faculty of Medicine, Ad\u0131yaman University, 02100 Ad\u0131yaman, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"\u015eahin","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Dr. Ersin Arslan Training and Research Hospital, Gaziantep Islam Science and Technology University, 27000 Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9952-1721","authenticated-orcid":false,"given":"Vahibe Ayd\u0131n","family":"Sar\u0131kaya","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Haydarpa\u015fa Numune Training and Research Hospital, 34000 \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7941-3841","authenticated-orcid":false,"given":"\u00d6zlem T\u00fcrkmen","family":"Recen","sequence":"additional","affiliation":[{"name":"Public Health 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T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasih \u0130mran","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, \u015ei\u015fli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, 34000 \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130lyas","family":"D\u00f6kmeta\u015f","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, \u015ei\u015fli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, 34000 \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4657-5291","authenticated-orcid":false,"given":"Fatma","family":"Y\u0131lmaz Karada\u011f","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Sancaktepe \u015eehit Prof. Dr. \u0130lhan Varank Training and Research Hospital, University of Health Sciences, 34000 \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derya \u00d6zt\u00fcrk","family":"Engin","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Sancaktepe \u015eehit Prof. Dr. \u0130lhan Varank Training and Research Hospital, University of Health Sciences, 34000 \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sel\u00e7uk","family":"Kaya","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Faculty of Medicine, \u0130zmir Katip \u00c7elebi University, 35100 \u0130zmir, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1007\/s13555-021-00535-7","article-title":"Burden of herpes zoster in adult patients with underlying conditions: Analysis of german claims data, 2007\u20132018","volume":"11","author":"Batram","year":"2021","journal-title":"Dermatol. 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