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1. Analisi della scarsa attitudine alla vaccinazione antinfluenzale dei medici italiani del futuro: risultati di uno studio multicentrico condotto in 18 Università Italiane

Author

COSTANTINO, Claudio, AMODIO, Emanuele, CALAMUSA, Giuseppe, VITALE, Francesco, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Wauree, C, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, ME, Franco, E, Furnari, R, Galis, V, Gallea, MR, Gallone, MF, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, AR, Grillo, OC, Lanati, N, Mascaretti, S, Mattei, A, MAZZUCCO, Walter, Micò, R, Morciano, L, Nante, N, NAPOLI, Giuseppe, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, FS, Signorelli, C, Siliquini, R, Trabacchi, V, Varetta, A, Ziglio, A, Zoccali, A, Costantino, C, Amodio, E, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Wauree, C, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, ME, Franco, E, Furnari, R, Galis, V, Gallea, MR, Gallone, MF, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, AR, Grillo, OC, Lanati, N, Mascaretti, S, Mattei, A, Mazzucco, W, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, FS, Signorelli, C, Siliquini, R, Trabacchi, V, Varetta, A, Ziglio, A, Zoccali, A, Calamusa, G, and Vitale, F

Subjects
studio multicentrico, specializzandi, Vaccinazione antinfluenzale, Settore MED/42 - Igiene Generale E Applicata
Abstract

Introduzione: Nel corso della stagione influenzale, gli Operatori Sanitari (OS) rappresentano una delle categorie lavorative maggiormente investite dalla responsabilità di limitare la diffusione della patologia influenzale tra i pazienti ospedalizzati e contemporaneamente di proteggere se stessi garantendo la continuità dell'assistenza sanitaria nei periodi di maggiore assenteismo lavorativo e sovraccarico delle attività assistenziali (picco influenzale stagionale). La vaccinazione antinfluenzale, ormai riconosciuta sicura ed efficace, rappresenta ancora oggi una argomento di dibattito tra gli OS, nonostante le raccomandazioni dei Center for Disease Control and Prevention Statunitense ed Europeo a mantenere le coperture tra gli OS sopra il 75%. Numerosi studi confermano come i tassi di vaccinazione antinfluenzale rimangano generalmente bassi sia tra gli OS che in particolare tra i medici in formazione specialistica (MFS). I risultati del presente studio multicentrico cercano di indagare le attitudini e i determinanti associati con la scelta vaccinale antinfluenzale tra i MFS italiani per comprendere le cause e proporre delle soluzioni. Materiali e Metodi: Nel 2012 è stata condotta una survey tra i MFS iscritti a 18 Università Italiane (Bari, Bologna, Brescia, Catania, Catanzaro, Chieti, L'Aquila, Messina, Modena, Napoli Federico II, Palermo, Pavia, Parma, Roma Cattolica, Roma Tor Vergata, Siena, Torino, Verona). Ciascun partecipante è stato contattato tramite una mail in cui erano illustrate le motivazioni dello studio e veniva chiesto di rispondere ad un breve questionario online, anonimo ed autosomministrato che includeva domande sulle attitudini riguardanti la vaccinazione antinfluenzale. Il questionario è stato precedentemente elaborato in collaborazione con il gruppo di lavoro nazionale e successivamente testato in uno studio pilota condotto nell'Università capofila dello studio (Palermo). Results: 2.506 MFS su un totale di 10.854 hanno aderito allo studio (23.1%). L'adesione alla vaccinazione antinfluenzale per la stagione 2011/2012 è stata pari al 11,9%, dato in chiara diminuzione rispetto al 2010/2011 (21.,7%) ed al 2009/2010 (15.5%). I MFS vaccinati nella stagione 2011/2012 sono significativamente più anziani (p=0.006), afferenti all'area clinica (p=0.048), e vaccinati nelle precedenti stagioni influenzali (p

Published
2014

2. INCIDENZA DELL'INFLUENZA LIKE-ILLNESS TRA I MEDICI IN FORMAZIONE SPECIALISTICA ITALIANI: RISULTATI DI UNO STUDIO MULTICENTRICO

Author

Restivo, Vincenzo, COSTANTINO, Claudio, AMODIO, E, AZZOLINI, E, BALDINI, C, BERGOMI, M, BIAFIORE, A. D., BIANCO, M, BORSARI, L, CACCIARI, P, CADEDDU, C, CAMIA, P, CARLUCCIO, E, CONTI, A, DE WAURE, C, DI GREGORI, V, FABIANI, L, FALLICO, R, FILISETTI, B, FLACCO, M. E, FRANCO, E, FURNARI, R, GALIS, V, GALLEA, M. R, GALLONE, M. F, GALLONE, S, GELATTI, U, GILARDI, F, GIULIANI, A. R, GRILLO, O. C, LANATI, N, MASCARETTI, S, MATTEI, A, MICO' R, MORCIANO, L, NANTE, N, NAPOLI, Giuseppe, NOBILE, C, PALLADINO, R, PARISI, S, PASARO, M, PELISSERO, G, QUARTO, M, RICCIARDI, W, ROMANO, G, RUSTICO, E, SAPONARI, A, SCHIOPPA, F. S, SIGNORELLI, C, SILIQUINI, R, TRABACCHI, V, TRIASSI, M, VARETTA, A, ZIGLIO, A, ZOCCALI, A, CALAMUSA, Giuseppe, FIRENZE, Alberto, VITALE, Francesco, RESTIVO, V, COSTANTINO, C, AMODIO, E, AZZOLINI, E, BALDINI, C, BERGOMI, M, BIAFIORE, A D, BIANCO, M, BORSARI, L, CACCIARI, P, CADEDDU, C, CAMIA, P, CARLUCCIO, E, CONTI, A, DE WAURE, C, DI GREGORI, V, FABIANI, L, FALLICO, R, FILISETTI, B, FLACCO, M E, FRANCO, E, FURNARI, R, GALIS, V, GALLEA, M R, GALLONE, M F, GALLONE, S, GELATTI, U, GILARDI, F, GIULIANI, A R, GRILLO, O C, LANATI, N, MASCARETTI, S, MATTEI, A, MICO' R, MORCIANO, L, NANTE, N, NAPOLI, G, NOBILE, C, PALLADINO, R, PARISI, S, PASARO, M, PELISSERO, G, QUARTO, M, RICCIARDI, W, ROMANO, G, RUSTICO, E, SAPONARI, A, SCHIOPPA, F S, SIGNORELLI, C, SILIQUINI, R, TRABACCHI, V, TRIASSI, M, VARETTA, A, ZIGLIO, A, ZOCCALI, A, CALAMUSA, G, FIRENZE, A, and VITALE,F

Subjects
INFLUENZA, MEDICI IN FORMAZIONE, Settore MED/42 - Igiene Generale E Applicata
Published
2014

3. Influenza vaccination coverage among medical residents

Author

Costantino, C., Mazzucco, W., Azzolini, E., Baldini, C., Bergomi, M., Biafior, A., Bianco, M., Borsari, L., Cacciari, P., Cadeddu, C., Camia, P., Carluccio, E., Conti, A., De Waure, C., Di Gregori, V., Fabiani, L., Fallico, R., Filisetti, B., Flacco, M., Franco, E., Furnari, R., Galis, V., Gallea, M., Gallone, M., Gallone, S., Gelatti, U., Gilardui, F., Giuliani, A., Grillo, Orazio Claudio, Lanati, N., Mascaretti, S., Mattei, A., Micò, R., Morciano, L., Nante, N., Napoli, G., Nobile, C., Palladino, R., Parisi, S., Passaro, M., Pelissero, G., Quarto, M., Ricciardi, W., Romano, G., Rustico, E., Saponari, A., Schioppa, F., Signorelli, C., Siliquini, R., Trabacchi, V., Triassi, M., Varetta, A., Ziglio, A., Zoccali, A., Vitale, F., and Amodio, E.

Published
2014

4. Influenza vaccination coverage among medical residents: an Italian multi center survey

Author

Costantino, C, Mazzucco, W, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Waure, C, Di Gregori, V, Fabiani, Leila, Fallico, R, Filisetti, B, Fiacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Anna Rita, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, Antonella, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, Fs, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, and Amodio, E.

Subjects
medical residents, Italy, vaccination, multicentre survey, coverage rate
Published
2014

5. INCIDENZA DELLE INFLUENZA LIKE-ILLNESSES TRA I MEDICI IN FORMAZIONE SPECIALISTICA ITALIANI: RISULTATI DI UNO STUDIO MULTICENTRICO

Author

Restivo, V, Costantino, C, Amodio, E, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Waure, C, Di Gregori, V, Fabiani, Leila, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Anna Rita, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, Antonella, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, Fs, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Calamusa, G, Firenze, A, and Vitale, F.

Published
2014

6. Analisi della scarsa attitudine alla vaccinazione antinfluenzale dei medici italiani del futuro: risultati di uno studio multicentrico condotta in 18 Università Italiane

Author

Costantino, C, Amodio, E, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A. D., Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Wauree, C, Di Gregori, V, Fabiani, Leila, Fallico, R, Filisetti, B, Flacco, M. E., Franco, E, Furnari, R, Galis, V, Gallea, M. R., Gallone, M. F., Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Anna Rita, Grillo, O. C., Lanati, N, Mascaretti, S, Mattei, Antonella, Mazzucco, W, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, F. S., Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Calamusa, G, and Vitale, F.

Subjects
Flu vaccine
Published
2013

7. Influenza vaccination coverage among medical residents: an Italian multicenter survey

Author

Costantino, C, Mazzucco, Walter, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, Chiara, Camia, P, Carluccio, E, Conti, A, De Waure, Chiara, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Ar, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, Walter, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, Amodio, E., Cadeddu, Chiara (ORCID:0000-0003-0149-1078), De Waure, Chiara (ORCID:0000-0002-4346-1494), Ricciardi, Gualtiero (ORCID:0000-0002-5655-688X), Costantino, C, Mazzucco, Walter, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, Chiara, Camia, P, Carluccio, E, Conti, A, De Waure, Chiara, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Ar, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, Walter, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, Amodio, E., Cadeddu, Chiara (ORCID:0000-0003-0149-1078), De Waure, Chiara (ORCID:0000-0002-4346-1494), and Ricciardi, Gualtiero (ORCID:0000-0002-5655-688X)

Abstract

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P<0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P<0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.

Published
2014

8. Influenza vaccination coverage among medical residents: An Italian multicenter survey

Author

Chiara Cadeddu, Francesco Vitale, Valentina Di Gregori, Lucia Borsari, Maria Elena Flacco, Paola Camia, Maria R Gallea, Anita Saponari, Silvia Mascaretti, Paolo Cacciari, Andrea Ziglio, Niccolò Lanati, Anna Rita Giuliani, Walter Ricciardi, Alessia Varetta, Walter Mazzucco, Carlo Signorelli, Elisabetta Franco, Nicola Nante, Michele Quarto, Barbara Filisetti, Roberto Furnari, Rocco Micò, Roberto Fallico, Valeria Trabacchi, Maria Passaro, Serena Gallone, F Schioppa, Maria Triassi, Margherita Bergomi, Manuela Bianco, Elena Azzolini, Eugenia Carluccio, Chiara De Waure, Emanuele Amodio, F Gilardi, Umberto Gelatti, Cesare Baldini, Antonella Mattei, Roberta Siliquini, Claudio Costantino, Angela Zoccali, Leila Fabiani, Carmelo G A Nobile, Giuseppe Napoli, Laura Morciano, Raffaele Palladino, Veronica Galis, Orazio Claudio Grillo, Salvatore Parisi, Gabriele Romano, Alessio Daniele Biafiore, Ennio Rustico, Gabriele Pelissero, Andrea Conti, Maria Filomena Gallone, Costantino, C, Mazzucco, W, Vitale, F, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, A, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, C, Camia, P, Carluccio, E, Conti, A, De Waure, C, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, M, Franco, E, Furnari, R, Galis, V, Gallea, M, Gallone, M, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, A, Grillo, O, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, C, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Amodio, E, Biafiore, A. D, Amodio, E., Claudio, Costantino, Walter, Mazzucco, Francesco, Vitale, Elena, Azzolini, Cesare, Baldini, Margherita, Bergomi, Alessio Daniele Biafiore, Manuela, Bianco, Lucia, Borsari, Paolo, Cacciari, Chiara, Cadeddu, Paola, Camia, Eugenia, Carluccio, Andrea, Conti, Chiara De Waure, Valentina Di Gregori, Leila, Fabiani, Roberto, Fallico, Barbara, Filisetti, Flacco, Maria E., Elisabetta, Franco, Roberto, Furnari, Veronica, Gali, Gallea, Maria R., Gallone, Maria F., Serena, Gallone, Umberto, Gelatti, Francesco, Gilardi, Giuliani, Anna R., Grillo, Orazio C., Niccol?, Lanati, Silvia, Mascaretti, Antonella, Mattei, Rocco, Mic?, Laura, Morciano, Nicola, Nante, Giuseppe, Napoli, Carmelo, Nobile, Palladino, Raffaele, Salvatore, Parisi, Maria, Passaro, Gabriele, Pelissero, Michele, Quarto, Walter, Ricciardi, Gabriele, Romano, Ennio, Rustico, Anita, Saponari, Schioppa, Francesco S., Carlo, Signorelli, Roberta, Siliquini, Valeria, Trabacchi, Triassi, Maria, Alessia, Varetta, Andrea, Ziglio, Angela, Zoccali, and Emanuele, Amodio

Subjects
Adult, Male, medicine.medical_specialty, Pediatrics, Attitude of Health Personnel, Immunology, Socio-culturale, Settore MED/42 - Igiene Generale E Applicata, Influenza immunization, medical residents, Physicians, Health care, Influenza, Human, medicine, influenza vaccination, coverage rate, Immunology and Allergy, Humans, Good practice, Coverage rate, Influenza vaccination, Italy, Medical residents, Multicentre survey, Female, Influenza Vaccines, Vaccination, Data Collection, Internship and Residency, multicentre survey, Ethical responsibility, Pharmacology, business.industry, Italy, coverage rate, influenza vaccination, medical residents, multicentre survey, Influenza, Multicenter study, Vaccination coverage, Family medicine, Multicenter survey, business, Research Paper, Human
Abstract

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P < 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P < 0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future. © 2014 Landes Bioscience.

Published
2014

9. Influenza vaccination coverage among medical residents: an Italian multicenter survey.

Author

Costantino C, Mazzucco W, Azzolini E, Baldini C, Bergomi M, Biafiore AD, Bianco M, Borsari L, Cacciari P, Cadeddu C, Camia P, Carluccio E, Conti A, De Waure C, Di Gregori V, Fabiani L, Fallico R, Filisetti B, Flacco ME, Franco E, Furnari R, Galis V, Gallea MR, Gallone MF, Gallone S, Gelatti U, Gilardi F, Giuliani AR, Grillo OC, Lanati N, Mascaretti S, Mattei A, Micò R, Morciano L, Nante N, Napoli G, Nobile CG, Palladino R, Parisi S, Passaro M, Pelissero G, Quarto M, Ricciardi W, Romano G, Rustico E, Saponari A, Schioppa FS, Signorelli C, Siliquini R, Trabacchi V, Triassi M, Varetta A, Ziglio A, Zoccali A, Vitale F, and Amodio E

Subjects
Adult, Female, Humans, Influenza, Human epidemiology, Influenza, Human prevention & control, Italy epidemiology, Male, Vaccination trends, Attitude of Health Personnel, Data Collection methods, Influenza Vaccines therapeutic use, Internship and Residency trends, Physicians trends, Vaccination statistics & numerical data
Abstract

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P<0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P<0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.

Published
2014
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10. A web search on environmental topics: what is the role of ranking?

Author

Covolo L, Filisetti B, Mascaretti S, Limina RM, and Gelatti U

Subjects
Confidence Intervals, Odds Ratio, Bibliometrics, Environmental Health, Information Storage and Retrieval, Search Engine
Abstract

Background: Although the Internet is easy to use, the mechanisms and logic behind a Web search are often unknown. Reliable information can be obtained, but it may not be visible as the Web site is not located in the first positions of search results. The possible risks of adverse health effects arising from environmental hazards are issues of increasing public interest, and therefore the information about these risks, particularly on topics for which there is no scientific evidence, is very crucial. The aim of this study was to investigate whether the presentation of information on some environmental health topics differed among various search engines, assuming that the most reliable information should come from institutional Web sites., Materials and Methods: Five search engines were used: Google, Yahoo!, Bing, Ask, and AOL. The following topics were searched in combination with the word "health": "nuclear energy," "electromagnetic waves," "air pollution," "waste," and "radon." For each topic three key words were used. The first 30 search results for each query were considered. The ranking variability among the search engines and the type of search results were analyzed for each topic and for each key word. The ranking of institutional Web sites was given particular consideration., Results: Variable results were obtained when surfing the Internet on different environmental health topics. Multivariate logistic regression analysis showed that, when searching for radon and air pollution topics, it is more likely to find institutional Web sites in the first 10 positions compared with nuclear power (odds ratio=3.4, 95% confidence interval 2.1-5.4 and odds ratio=2.9, 95% confidence interval 1.8-4.7, respectively) and also when using Google compared with Bing (odds ratio=3.1, 95% confidence interval 1.9-5.1)., Conclusions: The increasing use of online information could play an important role in forming opinions. Web users should become more aware of the importance of finding reliable information, and health institutions should be able to make that information more visible.

Published
2013
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11. Polychlorinated biphenyls and cancer: an epidemiological assessment.

Author

Zani C, Toninelli G, Filisetti B, and Donato F

Subjects
Case-Control Studies, Cohort Studies, Food Contamination, Humans, Incidence, Neoplasms chemically induced, Neoplasms mortality, Occupational Exposure, Polychlorinated Biphenyls blood, Carcinogens toxicity, Environmental Exposure, Neoplasms epidemiology, Polychlorinated Biphenyls toxicity
Abstract

Polychlorinated biphenyls (PCBs) are toxic and persistent chemicals produced between 1930s and 1980s primarily for insulating fluids in heavy-duty electrical equipment in power plants, industries, and large buildings. They persist in the environment and accumulate in plants and animals, and have been classified as probable carcinogens to humans. We performed a systematic review and meta-analysis of scientific literature on the relationship between PCB exposure and human cancer. Two cohorts of people highly exposed to PCBs through ingestion of contaminated rice oil and some cohorts of occupationally exposed workers failed to show a definite increase in total cancer mortality and provided inconsistent results regarding single cancers. Several cohort and case-control studies investigated the association between PCBs and specific cancers, showing an association between PCB serum levels and non-Hodgkin lymphomas (NHL), with a summary odds ratio of 1.5 (95% confidence interval: 1.1-1.7), but no consistent results for the other cancer sites and types. In conclusion, this review provides some evidence for the role of PCBs in the development of NHL, although the inconsistent results of studies performed on highly polluted people and occupationally exposed workers do not allow a firm conclusion to be drawn.

Published
2013
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