Adverse events self-declaration system and influenza vaccination coverage of healthcare workers in a tertiary hospital

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Bayas, Antoni Trilla" "autores" => array:10 [ 0 => array:4 [ "nombre" => "Cesar" "apellidos" => "Velasco Munoz" "email" => array:1 [ 0 => "velascomunoz@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Víctor-Guillermo" "apellidos" => "Sequera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Alba" "apellidos" => "Vilajeliu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Marta" "apellidos" => "Aldea" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Guillermo" "apellidos" => "Mena" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "Sebastiana" "apellidos" => "Quesada" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 6 => array:3 [ "nombre" => "Pilar" "apellidos" => "Varela" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 7 => array:3 [ "nombre" => "Victoria" "apellidos" => "Olivé" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 8 => array:3 [ "nombre" => "José M." "apellidos" => "Bayas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 9 => array:3 [ "nombre" => "Antoni" "apellidos" => "Trilla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Preventiva y Epidemiología, Hospital Clínic de Barcelona, Instituto de Salud Global de Barcelona (ISGlobal), Centro de Investigación en Salud Internacional de Barcelona (CRESIB), Universitat de Barcelona, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Preventiva y Calidad Asistencial, Hospital General Universitario de Castellón, Castellón de la Plana, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Prevención de Riesgos Laborales, Hospital Clínic de Barcelona, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sistema de autodeclaración de acontecimientos adversos y cobertura de vacunación antigripal en profesionales sanitarios en un hospital universitario de tercer nivel" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1436 "Ancho" => 2304 "Tamanyo" => 226032 ] ] "descripcion" => array:1 [ "en" => "Percentage of adverse events reported by health-care personnel in regard to the total number of those who reported one or more adverse event (n=186)." ] ] ] "textoCompleto" => "IntroductionThe flu is a public health problem because of the high rates of sickness that occur during the annual epidemic waves, especially in risk groups. The increase in consultations and of hospitalisations, along with the amount of lost workdays, result in very high direct and indirect costs for society.<a class="elsevierStyleCrossRef" href="#bib0005">1</a>Flu vaccination is recommended for the specific protection of the individual but also to health care workers (HCW) for two reasons: firstly because the HCW can be a source of infection for people at risk of suffering from flu complications (especially among hospitalised patients) and because the HCW is part of the group that provides essential services to the community.<a class="elsevierStyleCrossRef" href="#bib0010">2</a>Despite the implementation and promotion of flu immunisation campaigns in health centres, vaccination coverage for HCW in Spain is very low and rarely exceeds 25%.<a class="elsevierStyleCrossRefs" href="#bib0005">1,3</a> Notably, unlike other countries, flu vaccination is always voluntary for HCW.<a class="elsevierStyleCrossRef" href="#bib0020">4</a> One of the main reasons given by HCW for rejecting the vaccine is the fear of adverse events (AE) and the perception that the vaccine has a low effectiveness.<a class="elsevierStyleCrossRef" href="#bib0025">5</a> Available scientific evidence estimates that the effectiveness of the vaccine against the seasonal flu is over 50% for strains included in it<a class="elsevierStyleCrossRef" href="#bib0030">6</a> but the overall effectiveness decreases to 30% among certain risk groups.<a class="elsevierStyleCrossRef" href="#bib0035">7</a> It has also been evidenced that the effectiveness of the vaccine increases to 86% if only the microbiologically confirmed flu cases are evaluated.<a class="elsevierStyleCrossRef" href="#bib0040">8</a> The overall effectiveness of the vaccine provides enough protection to recommend it to risk groups.<a class="elsevierStyleCrossRefs" href="#bib0035">7,9,10</a> Inactivated flu vaccines are safe and well tolerated. Among the reported AE, local reactions are the most frequent while local pain and induration stand out as very common. The meta-analyses available indicate a relative risk (RR) of pain and induration at the injection point of 3.11 (95% CI 2.08–4.66), followed by erythema (RR 4.01; 95% CI 1.91–8.41) and myalgia (RR 31.54; 95% CI 1.12–2.11).<a class="elsevierStyleCrossRef" href="#bib0055">11</a> Systemic reactions are much less frequent (fever, myalgia, general malaise).<a class="elsevierStyleCrossRef" href="#bib0055">11</a> Allergic reactions and the Guillain–Barre syndrome are rare, the risk of the latter is estimated to be 1.6 cases per million doses.<a class="elsevierStyleCrossRef" href="#bib0055">11</a> No relationship between the flu vaccination and other demyelinating diseases have been found.<a class="elsevierStyleCrossRefs" href="#bib0055">11,12</a>The objectives of this study are to describe the coverage of the flu vaccine in HCW according to the sociodemographic characteristics of the vaccinated HCW and to characterise the reported AE after voluntary administration of vaccines in a tertiary university hospital. The interest of this study is the opportunity to evaluate a self-reporting AE system, as well as to assess the possible impact of AE on the acceptance of the flu vaccine,<a class="elsevierStyleCrossRef" href="#bib0065">13</a> variables that will help to measure the impact of the flu vaccination campaign on the HCW beyond the vaccination coverage.<a class="elsevierStyleCrossRef" href="#bib0070">14</a>MethodologyObservational, cross-sectional study conducted during the 2011–2012 flu vaccination campaign (October 2011–January 2012) conducted with HCW working at the Hospital Clínic de Barcelona (HCB), a university hospital of 700 beds and 4944 registered health-care professionals during that period.The flu vaccination campaign in the HCB included a mobile unit which was made up of doctors and nurses from the Preventive Medicine and Epidemiology and Occupational Health and Safety services (SPRL), which physically moves to different services and areas to bring vaccinations to HCW in their workplace. Following recommendations by the World Health Organisation (WHO) for the Northern Hemisphere, an inactivated vaccine that included 3 strains were used for the 2011–2012 flu vaccination campaign: A/California/7/2009 (H1N1) pdm09, A/Victoria/361/2011 (H3N2) and B/Wisconsin/1/2010 (Yamagata lineage).<a class="elsevierStyleCrossRefs" href="#bib0010">2,15</a> The brand names of the vaccines administered to the HCW during this campaign were: Inflexal®V, lote 3002110.01 (Crucell, Madrid), polyvalent influenza vaccine, Leti®, batches H0232-2 y H0286-2 (LETI Laboratories Barcelona) and Influvac®, batch X05 (Abbott, Madrid).For each flu vaccination campaign, information about the vaccinated HCW (sex, age, profession and work shift) was routinely collected. To calculate the vaccination coverage, the total amount of HCWs vaccinated during the season the study conducted was used as the numerator, and the total permanent and sub-contracted employees working at the HCB at a mid-way point during the campaign was used as the denominator.Each year, the possible AE arising from vaccination are reported voluntarily to the Hospital's SPRL and notified using the yellow card system. All HCW medical consultations and sick-leaves are evaluated as possible AE and are monitored to identify serious AE arising from the vaccination. Allergic reactions, the Guillain–Barre syndrome, seizures and general skin reactions are considered serious AE. Despite being one of the main reasons why HCW choose not to be vaccinated, the hospital SPRL treats per year, an average of 3 AE potentially associated with the flu vaccine, none of them serious. For the reporting of an AE during the 2011–2012 campaign, a voluntary and anonymous AE notification system was established. A self-administered questionnaire that gathered information on social- demographic data (age, gender and professional category) was used, in addition to the presence or not of AE that occurred 48hours after the vaccination was administered. Self-reported AE were classified into the following categories: local (pain, swelling, redness or functional disability) and systemic (headache, fever, fatigue, malaise, joint pain). Other less common AEs were also collected through an open question. After vaccination, the mobile unit delivered the questionnaire to the HCW, after explaining its objectives and after answering any questions. The questionnaires could also be obtained by the HCW in different HCB areas during the vaccination campaign. Once completed, they could be delivered to the SPRL mailbox or to any mobile unit employee throughout the vaccination campaign.A descriptive analysis of the questionnaire data collected was carried out using absolute and relative frequencies for qualitative variables and by calculating the mean and standard deviation (SD) for quantitative variables. A bivariate analysis by multiple logistic regression where the odds ratio (OR) is presented with confidence intervals of 95% (95% CI) was carried out. The primary variable was the reporting or not of AE. To facilitate the interpretation of the regression analysis data, age was categorised in years (<35, 35 to 55 and >55) and profession was categorised into medical specialists/resident doctors, nurse/nursing assistant/medical assistant and others. The professional category “other” included: administrative, maintenance, cleaning, kitchen, security and other professional personnel and technicians. The statistical programme used was SPSS® v18.0. The researchers of this study, approved by the HCB Ethics Committee, respected at all times the confidentiality of the data in compliance with Law 15/1999 on the Protection of Personal Data.ResultsVaccination coverage in health-care professionalsDuring the 2011–2012 flu vaccination campaign a total of 1507 HCW (30.5%) from the HCB voluntarily received one dose of the flu vaccine, 1009 were women (67% of total vaccinated) and 489 were men (33%) (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>). Proportionally, this figure corresponds to 28.9% of the 3489 women registered as HCW at the HCB and 33.6% of the 1455 men registered. The overall average age of the HCW registered at the hospital for that period was 45.0 years (SD 11.6), and the average age of those vaccinated was 43.0 years (SD 11.7). One thousand one hundred and fifty- nine HCW (76.9%) were vaccinated in their workplace through the mobile vaccination unit, and the rest at the SPRL. The highest vaccination coverage among HCW by job category occurred in 166 of 320 resident doctors (51.9%) and in 348 of 813 medical specialists (42.8%), compared to 407 (30.0%) from a total of 1455 nurses, 222 of 815 nursing/medical assistants (27.2%) and 362 of 1541 from the category “other” (23.5%).<elsevierMultimedia ident="tbl0005"></elsevierMultimedia>Self-reported adverse eventsOf the 1507 people vaccinated, 358 answered the AE questionnaire (23.8%). As shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>, 273 were women (76.3%). The highest response rate was obtained in the job category “other”, with 126 completed questionnaires (34.8%), followed by the doctors category, with 79 (22.7%).A total of 186 HCW reported some sort of AE from the 358 who responded to the questionnaire (52.0%). Of the 186, 140 reported local signs and symptoms after vaccination (75.3%), 18, systemic signs and symptoms (9.7%), and 28, both local and systemic symptoms and signs (15.1%). From the professional category, 57.9% of residents who completed the questionnaire reported some type of AE, followed by 55.8% of nursing staff. <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> shows the distribution and frequency of local and systemic symptoms among those who completed the AE questionnaire. One hundred and eighty-six of the entire 1507 HCW vaccinated reported some sort of AE through the notification system (12.3%). The analysis of factors associated with reporting some sort of AE after flu vaccination is shown in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> where the feminine gender and age <35 stand out as variables that do not lose statistical significance in the multivariate model.<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia>DiscussionFlu vaccination coverage for HCB HCW was 30.5%, which exceeded the Spanish average, estimated at 24.7%<a class="elsevierStyleCrossRef" href="#bib0015">3</a> for the 2011–2012 season. Despite this rate being an above average HCW flu vaccination coverage percentage, it is considered low when compared to European Union and WHO recommendations.<a class="elsevierStyleCrossRef" href="#bib0055">11</a> Medical staff form a risk group in regard to flu vaccination and thus ideal coverage should be 100% in those who do not present contraindications.<a class="elsevierStyleCrossRef" href="#bib0080">16</a> Vaccination coverage in the HCB for registered HCW aged 60 and over stands out as, despite being regarded as a higher risk group, those who had the lowest coverage by age group. This may be, at least partially, due to the administration of the vaccine to these HCW in their Primary Care centre: there is a double indication because of their occupational and age group.The Cochrane review for injectable inactivated flu vaccines states that the oculo-respiratory and Guillain–Barre post-vaccination syndromes are extremely rare.<a class="elsevierStyleCrossRef" href="#bib0045">9</a> However, local (redness, pain and swelling) and systemic (myalgia, fatigue) AE may be present in more than 50% and fewer than 10% of patients, respectively.<a class="elsevierStyleCrossRefs" href="#bib0045">9,17</a> AE in Spanish studies is shown to have occurred in between 25 and 31% of vaccinated HCW,<a class="elsevierStyleCrossRefs" href="#bib0090">18,19</a> all of them being mild AE. In this study, despite the fact that only 25% of the vaccinated population participated in the voluntary and anonymous AE notification system, results showed that the proportion of AE is similar to that found in the above studies. This study is a pioneer in reporting the AE of flu vaccination in HCW in our environment.<a class="elsevierStyleCrossRefs" href="#bib0100">20,21</a> One of every four people vaccinated voluntarily answered the post-vaccination AE questionnaire, the most significant group being females younger than 35 years-old. 75% of self-reported AE were local. As in other studies, no severe AE (anaphylactic reactions or encephalopathies) attributed to the flu vaccine were registered, which reinforces the profile of the vaccine being safe against seasonal flu.<a class="elsevierStyleCrossRef" href="#bib0100">20</a> The absence of severe AE can be extended to all HCW vaccinated in the hospital, since the SPRL has an exhaustive control of severe AE.With the implementation of the voluntary and anonymous AE reporting system, a greater number of notifications was achieved. The success of a voluntary AE notification system lies in ensuring HCW accept such a system, its safety and easy access, as well as the ultimate usefulness of the data collected for the HCW.<a class="elsevierStyleCrossRef" href="#bib0105">21</a> Most of the AE statements being made by women was also observed in other studies in Spain.<a class="elsevierStyleCrossRefs" href="#bib0095">19,20</a> Similarly, although with less consistency, an increased amount of AE reports was observed among the youngest vaccinated HCW group at the Hospital General Universitario de Alicante.<a class="elsevierStyleCrossRef" href="#bib0110">22</a> Although these differences are not usually observed in clinical trials that assess the safety of the flu vaccination,<a class="elsevierStyleCrossRefs" href="#bib0045">9,17</a> they have been found in clinical trials with adjuvant flu vaccines.<a class="elsevierStyleCrossRef" href="#bib0115">23</a> Nichol et al. associated the female gender and an age younger than 40 years with increased reactogenicity,<a class="elsevierStyleCrossRef" href="#bib0120">24</a> which could lead to a greater tendency to notify AE. The high number of questionnaires answered that reported no AE is worth noting, especially within the team of medical specialists, the professional category that had the highest vaccine coverage. This may be a reflection of acceptance, adherence and monitoring of the HCW to the flu vaccination campaign and to the clinical quality initiatives and safety.The study has several limitations; one of them is that for the calculation of vaccination coverage, the denominator that was used is the amount of HCW recorded for a single day, while the numerator corresponds to the amount of HCW vaccinated throughout the season. This methodology, even after verification that it does not show significant differences with other different calculation methods, could result in an overestimation of the percentage of HCW vaccinated, a fact that could be partially compensated by under-reporting by HCW who have been administered the vaccine in other health centres. Vaccination outside the hospital is not systematically notified to the SPRL, a fact that could result in an underestimation of vaccination coverage, especially in the HCW group aged over 60 years-old. Possible under-reporting, especially of mild local AE, may limit the interpretation of the study results. The study design and anonymity of questionnaires do not allow a causality between the vaccination and the AE reported to be established. The study presents a response bias because, despite the levity of the AE, the HCW affected had a greater motivation to report.ConclusionsThe flu vaccine is a preventive measure which, despite not being highly effective, has a high safety profile. A communication campaign containing the HCW questionnaire results was developed for the following season's vaccination campaign (2012–2013). Its purpose was to generate evidence in the workplace environment, so that the HCW could discuss and transmit individual and collective experiences relating to one the barriers to flu vaccination that exists among their group: the fear of AE.<a class="elsevierStyleCrossRef" href="#bib0065">13</a>The percentage of participation observed in this passive AE notification system is considerably high considering the completion of the questionnaires was voluntary. Vaccination coverage in the HCW centre did not decrease compared to previous seasons. Both events demonstrate the maturity and willingness of HCW to voluntarily report AE, which in turn would ensure the successful systematic implementation of reporting systems. High levels of vaccination coverage must be accompanied by voluntary reporting systems to ensure proper monitoring of AE, with high participation of HCW to avoid response bias. A more comprehensive assessment of the impact of reporting measures and monitoring of AE in the coverage of flu vaccination would be necessary, since they could be factors that increase HCW confidence in the vaccine, especially to demonstrate the absence of serious AE in the HCW's own health centre.Conflict of interestResearchers’ participation has been voluntary and open and there are no conflicts of interest in regard to the content of this article. The authors state that they have attended conferences and/or courses funded by the pharmaceutical industry. That industry funding is independent of the data presented in this study." "textoCompletoSecciones" => array:1 [ "secciones" => array:12 [ 0 => array:3 [ "identificador" => "xres672921" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec679267" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres672922" "titulo" => "Resumen" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Introducción" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec679268" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Methodology" ] 6 => array:3 [ "identificador" => "sec0015" "titulo" => "Results" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0020" "titulo" => "Vaccination coverage in health-care professionals" ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Self-reported adverse events" ] ] ] 7 => array:2 [ "identificador" => "sec0030" "titulo" => "Discussion" ] 8 => array:2 [ "identificador" => "sec0035" "titulo" => "Conclusions" ] 9 => array:2 [ "identificador" => "sec0040" "titulo" => "Conflict of interest" ] 10 => array:2 [ "identificador" => "xack227156" "titulo" => "Acknowledgements" ] 11 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-07-18" "fechaAceptado" => "2015-11-05" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec679267" "palabras" => array:5 [ 0 => "Influenza vaccines" 1 => "Health personnel vaccination" 2 => "Occupational health" 3 => "Drug-related side effects and adverse reactions" 4 => "Vaccination" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec679268" "palabras" => array:5 [ 0 => "Vacuna de la gripe" 1 => "Vacunación del personal sanitario" 2 => "Salud laboral" 3 => "Acontecimientos adversos" 4 => "Vacunación" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "IntroductionDuring the influenza vaccination campaign 2011–2012 we established a self-declaration system of adverse events (AEs) in healthcare workers (HCW). The aim of this study is to describe the vaccinated population and analyse vaccination coverage and self-declared AEs after the voluntary flu vaccination in a university hospital in Barcelona. MethodsObservational study. We used the HCW immunisation record to calculate the vaccination coverage. We collected AEs using a voluntary, anonymous, self-administered survey during the 2011–2012 flu vaccination campaign. We performed a logistic regression model to determine the associated factors to declare AEs. ResultsThe influenza vaccination coverage in HCW was 30.5% (n=1507/4944). We received completed surveys from 358 vaccinated HCW (23.8% of all vaccinated). We registered AEs in 186 respondents to the survey (52.0% of all respondents). Of these, 75.3% (n=140) reported local symptoms after the flu vaccination, 9.7% (n=18) reported systemic symptoms and 15.1% (n=28) both local and systemic symptoms. No serious AEs were self-reported. Female sex and aged under 35 were both factors associated with declaring AEs. ConclusionsOur self-reporting system did not register serious AEs in HCW, resulting in an opportunity to improve HCW trust in flu vaccination." "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "IntroducciónDurante la campaña de vacunación antigripal 2011-2012 establecimos un sistema de autodeclaración de acontecimientos adversos (AA) en el personal sanitario (PS). El objetivo de este estudio es describir la población vacunada y analizar la cobertura de vacunación y los AA autodeclarados tras la vacunación voluntaria del PS frente a la gripe en un hospital universitario de tercer nivel en Barcelona. MétodosEstudio observacional. Para el cálculo de la cobertura de vacunación se utilizó el registro de vacunación de profesionales sanitarios del hospital. Los AA se recogieron mediante una encuesta voluntaria, anónima y autoadministrada durante la campaña de vacunación antigripal 2011-2012, y se analizaron mediante regresión logística. Se construyó un modelo de regresión logística para determinar los factores que predisponen a declarar AA. ResultadosLa campaña alcanzó una cobertura de vacunación antigripal del 30,5% (n=1.507/4.944) del PS. De los vacunados, el 23,8% (n=358) respondieron la encuesta de AA autodeclarados. El 52,0% (n=186) de los que respondieron a la encuesta declaró haber presentado algún tipo de AA. De estos, el 75,3% (n=140) refirió signos y síntomas locales tras la vacunación, el 9,7% (n=18), signos y síntomas sistémicos, y el 15,1% (n=28), síntomas tanto locales como sistémicos. No se declaró ningún AA grave. Ser mujer y tener menos de 35 años se asoció a declarar algún tipo de AA. ConclusionesEl sistema de autodeclaración no registró AA graves en el PS, suponiendo una oportunidad para aumentar la confianza del PS en la vacuna antigripal." "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Introducción" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Velasco Munoz C, Sequera V-G, Vilajeliu A, Aldea M, Mena G, Quesada S, et al. Sistema de autodeclaración de acontecimientos adversos y cobertura de vacunación antigripal en profesionales sanitarios en un hospital universitario de tercer nivel. Med Clin (Barc). 2016;146:155–159." ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1436 "Ancho" => 2304 "Tamanyo" => 226032 ] ] "descripcion" => array:1 [ "en" => "Percentage of adverse events reported by health-care personnel in regard to the total number of those who reported one or more adverse event (n=186)." ] ] 1 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:3 [ "leyenda" => "AE, adverse event; SD, standard deviation; HCW, health-care worker." "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">Characteristics \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">HCW hospital</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">HCW vaccinated</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">HCW respondents</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">HCW with a self-reported AE</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">4944 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">100 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1507 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">100 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">358 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">100 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">186 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">100 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">30.5<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">23.8<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">52.0<a class="elsevierStyleCrossRef" href="#tblfn0015">c</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top"></td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top">Sex</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Female \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3489 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">70.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1009 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">67.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">273 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">76.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">153 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">84.5 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Male \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1455 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">29.4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">489 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">33.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">85 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">23.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">28 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15.5 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">No data \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top"></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Age in years, mean (SD) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">44 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">(11.9) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">43 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">(11.7) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">45 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">(11.6) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">43.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">(11.4) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top"></td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top">Age groups in years</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">18–24 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">129 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">59 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">25–44 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2419 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">48.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">728 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">48.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">144 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">40.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">85 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">45.7 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">45–59 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1970 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">39.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">617 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">40.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">165 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">46.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">84 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">45.2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">60 or over \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">426 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">8.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">103 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">6.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">41 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">11.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.9 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top"></td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top">Professional category</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Medical specialist \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">813 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">16.4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">348 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">23.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">79 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">23.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">36 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">20.5 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Resident doctor \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">320 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">6.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">166 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">11.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">19 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">5.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.3 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Nurse \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1455 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">29.4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">407 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">27.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">77 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">22.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">43 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24.4 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Nursing/medical assistant \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">815 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">16.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">222 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">14.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">39 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">11.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">17 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">9.7 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Others \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1541 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">31.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">362 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">24.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">126 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">37.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">69 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">39.2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">No data \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1103546.png" ] ] ] "notaPie" => array:3 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "a" "nota" => "Percentage of HCW vaccinated/total HCW at the hospital." ] 1 => array:3 [ "identificador" => "tblfn0010" "etiqueta" => "b" "nota" => "Percentage HCW who completed the questionnaire/HCW vaccinated." ] 2 => array:3 [ "identificador" => "tblfn0015" "etiqueta" => "c" "nota" => "HCW with a self-reported AE/HCW who completed the questionnaire." ] ] ] "descripcion" => array:1 [ "en" => "Hospital Clínic de Barcelona health-care professional characteristics. 2011–2012 flu vaccination season." ] ] 2 => array:8 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at2" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "AE, health-care professional with self-reported adverse event; CI, confidence interval; OR, odds ratio; ORa, odds ratio adjusted depending on the chosen model.The percentages of those who did not present adverse events have been omitted.Bold, variables that were significant in the multivariate model." "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">AE (n=186) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">No AE (n=172) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">OR \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">95% CI \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">ORa \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">96% CI \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top">Sex</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Male \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">28 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">32.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">45 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">52.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Female \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">153 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">56.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">120 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">44.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.05 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.21–3.48 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.75 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.01–3.07 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Lost \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">41.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">58.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.33–3.97 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top"></td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top">Age in years</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><35 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">52 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">66.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">26 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">33.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.96 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.13–3.39 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.89 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.06–3.37 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">35–55 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">97 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">50.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">95 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">49.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">>55 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">37 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">42.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">51 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">58.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.71 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.43–1.18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.69 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.40–1.18 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top"></td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="9" align="left" valign="top">Professional category</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Medical specialists/resident doctors \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">47 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">48.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">51 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">52.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Nursing, nursing/medical assistant \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">60 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">51.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">56 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">48.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.68–2.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Others \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">69 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">54.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">57 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">45.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.31 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.77–2.23 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1103545.png" ] ] ] ] "descripcion" => array:1 [ "en" => "Factors that predict the reporting of adverse events by health-care professionals after administration of the flu vaccine during the 2011–2012 season (n=358)." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guia Tècnica per a la Campanya de Vacunació Antigripal Estacional 2013. Campanya 2013-2014 [Internet]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Urbiztondo" 1 => "M. Marti¿nez" 2 => "J. Batalla" 3 => "C. Cabezas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2013" "editorial" => "Agència de Salut Pública de Catalunya" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "Guia Tècnica per a la Campanya de Vacunació Antigripal Estacional 2012 [Internet]" ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2013" "editorial" => "Agència de Salut Pública de Catalunya" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Implementation of the Council Recommendation on seasonal influenza vaccination (2009/1019/EU) [Internet]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "European Centre for Disease Prevention and Control" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2014" "editorial" => "ECDC" "editorialLocalizacion" => "Stockholm" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mandatory vaccination of health care workers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Alexandra" 1 => "J.D. Stewart" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMp0910151" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "2009" "volumen" => "361" "paginaInicial" => "2015" "paginaFinal" => "2017" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19890107" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Influenza vaccine and healthcare workers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F.C. Aguilar-Díaz" 1 => "M.E. Jiménez-Corona" 2 => "S. Ponce-de-León-Rosales" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arcmed.2011.12.006" "Revista" => array:6 [ "tituloSerie" => "Arch Med Res" "fecha" => "2011" "volumen" => "42" "paginaInicial" => "652" "paginaFinal" => "657" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22227045" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.T. Osterholm" 1 => "N.S. Kelley" 2 => "A. Sommer" 3 => "E.A. Belongia" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S1473-3099(11)70295-X" "Revista" => array:6 [ "tituloSerie" => "Lancet Infect Dis" "fecha" => "2012" "volumen" => "12" "paginaInicial" => "36" "paginaFinal" => "44" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22032844" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safety and effectiveness of the influenza vaccine: new data, new challenges" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Trilla" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "2013" "volumen" => "141" "paginaInicial" => "67" "paginaFinal" => "69" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Early estimates of influenza vaccine effectiveness in Navarre, Spain: 2012/13 mid-season analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Castilla" 1 => "I. Martinez-Baz" 2 => "V. Martinez-Artola" 3 => "M. Fernandez-Alonso" 4 => "G. Reina" 5 => "M. Guevara" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Euro Surveill" "fecha" => "2013" "volumen" => "18" "paginaInicial" => "2" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23449182" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vaccines for preventing influenza in healthy adults (Review). The Cochrane Collaboration [Internet]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "V. Demicheli" 1 => "T. Jefferson" 2 => "L.A. Al-Ansary" 3 => "E. Ferroni" 4 => "A. Rivetti" 5 => "C. di Pietrantonj" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2014" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effects of vaccination and the new neuraminidase inhibitor, laninamivir, on influenza infection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T. Mizuno" 1 => "S. Mizuno" 2 => "T. Kanda" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1371/journal.pone.0092601" "Revista" => array:5 [ "tituloSerie" => "PLOS ONE" "fecha" => "2014" "volumen" => "9" "paginaInicial" => "e92601" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24699254" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A systematic review of the evidence on the effectiveness and risks of inactivated influenza vaccines in different target groups" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "B. Michiels" 1 => "F. Govaerts" 2 => "R. Remmen" 3 => "E. Vermeire" 4 => "S. Coenen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.vaccine.2011.08.008" "Revista" => array:6 [ "tituloSerie" => "Vaccine" "fecha" => "2011" "volumen" => "29" "paginaInicial" => "9159" "paginaFinal" => "9170" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21840359" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Expected and unexpected adverse effects H1N1 vaccination for health care workers in a university hospital" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Dinh" 1 => "C. Lawrence" 2 => "J. Salomon" 3 => "A. 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Sanz" 5 => "P. del Amo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Quimioter" "fecha" => "2012" "volumen" => "25" "paginaInicial" => "226" "paginaFinal" => "239" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22987273" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effectiveness and cost-benefit of influenza vaccination of healthy working adults" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C.B. Bridges" 1 => "W.W. Thompson" 2 => "M.I. Meltzer" 3 => "G.R. Reeve" 4 => "W.J. Talamonti" 5 => "N.J. Cox" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "JAMA" "fecha" => "2000" "volumen" => "284" "paginaInicial" => "1655" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11015795" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluación de una novedosa campaña de vacunación de la gripe en personal sanitario en la temporada 2011-2012" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Camargo Angeles" 1 => "C. Villanueva Ruiz" 2 => "V. García-Román" 3 => "J.L. Mendoza-García" 4 => "F.J. Conesa-Peñuela" 5 => "I. Tenza Iglesias" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.12961/aprl.2014.17.1.04" "Revista" => array:6 [ "tituloSerie" => "Arch Prev Riesgos Labor" "fecha" => "2014" "volumen" => "17" "paginaInicial" => "26" "paginaFinal" => "30" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24458207" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reacciones adversas de la vacuna de la gripe estacional y la vacuna de la gripe A H1N1 en personal sanitario" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Inglés Torruella" 1 => "R. Gil Soto" 2 => "R. Carreras Valls" 3 => "J. Valverde Lozano" 4 => "D. Benito Carreras" 5 => "A. Besora Cunillera" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.12961/aprl.2013.16.1.03" "Revista" => array:6 [ "tituloSerie" => "Arch Prev Riesgos Labor" "fecha" => "2013" "volumen" => "16" "paginaInicial" => "11" "paginaFinal" => "16" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23744018" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Frequency of adverse reactions after influenza vaccination in health care personnel of a university hospital in Spain" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "I. Hernández-García" 1 => "J. Sánchez-Payá" 2 => "R. Camargo" 3 => "J. Barrenengoa" 4 => "H. Martínez" 5 => "A. González-Torga" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.eimc.2009.11.010" "Revista" => array:6 [ "tituloSerie" => "Enferm Infecc Microbiol Clin" "fecha" => "2010" "volumen" => "28" "paginaInicial" => "435" "paginaFinal" => "438" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20362356" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sistemas de registro y notificacio¿n de incidentes y eventos adversos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. Bañeres" 1 => "E. Cavero" 2 => "L. López" 3 => "C. Orrego" 4 => "R. Suñol" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1999" "editorial" => "Ministerio de Sanidad y Consumo, Centro de Publicaciones" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Frequency and factors associated with adverse reactions following the administration of influenza vaccine in personal health during the 2009-2010 season" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Sánchez-Payá" 1 => "I. Hernández-García" 2 => "J. Barrenengoa-Sañudo" 3 => "R. Camargo-Angeles" 4 => "A. Rincon" 5 => "S. Romero-Candeira" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Salud Publica" "fecha" => "2010" "volumen" => "84" "paginaInicial" => "851" "paginaFinal" => "859" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21327318" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safety and reactogenicity profile of an adjuvanted H5N1 pandemic candidate vaccine in adults within a phase iii safety trial" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "H.C. Rümke" 1 => "J.M. Bayas" 2 => "J.R. de Juanes" 3 => "C. Caso" 4 => "J.H. Richardus" 5 => "M. Campins" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.vaccine.2008.02.068" "Revista" => array:6 [ "tituloSerie" => "Vaccine" "fecha" => "2008" "volumen" => "26" "paginaInicial" => "2378" "paginaFinal" => "2388" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18407382" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Side effects associated with influenza vaccination in healthy working adults. A randomized, placebo-controlled trial" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K.L. Nichol" 1 => "K.L. Margolis" 2 => "A. Lind" 3 => "M. Murdoch" 4 => "R. McFadden" 5 => "M. Hauge" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Intern Med" "fecha" => "1996" "volumen" => "156" "paginaInicial" => "1546" "paginaFinal" => "1550" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8687262" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack227156" "titulo" => "Acknowledgements" "texto" => "To all the health-care personnel and the entire flu vaccination campaign team at the Hospital Clínic." 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Adverse events self-declaration system and influenza vaccination coverage of healthcare workers in a tertiary hospital

Sistema de autodeclaración de acontecimientos adversos y cobertura de vacunación antigripal en profesionales sanitarios en un hospital universitario de tercer nivel

Cesar Velasco Munoza,

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velascomunoz@gmail.com

Corresponding author.

, Víctor-Guillermo Sequeraa, Alba Vilajeliua, Marta Aldeaa, Guillermo Menab, Sebastiana Quesadac, Pilar Varelac, Victoria Olivéc, José M. Bayasa, Antoni Trillaa

a Servicio de Medicina Preventiva y Epidemiología, Hospital Clínic de Barcelona, Instituto de Salud Global de Barcelona (ISGlobal), Centro de Investigación en Salud Internacional de Barcelona (CRESIB), Universitat de Barcelona, Barcelona, Spain

b Servicio de Medicina Preventiva y Calidad Asistencial, Hospital General Universitario de Castellón, Castellón de la Plana, Spain

c Servicio de Prevención de Riesgos Laborales, Hospital Clínic de Barcelona, Barcelona, Spain

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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The flu is a public health problem because of the high rates of sickness that occur during the annual epidemic waves&#44; especially in risk groups&#46; The increase in consultations and of hospitalisations&#44; along with the amount of lost workdays&#44; result in very high direct and indirect costs for society&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Flu vaccination is recommended for the specific protection of the individual but also to health care workers &#40;HCW&#41; for two reasons&#58; firstly because the HCW can be a source of infection for people at risk of suffering from flu complications &#40;especially among hospitalised patients&#41; and because the HCW is part of the group that provides essential services to the community&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Despite the implementation and promotion of flu immunisation campaigns in health centres&#44; vaccination coverage for HCW in Spain is very low and rarely exceeds 25&#37;&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a> Notably&#44; unlike other countries&#44; flu vaccination is always voluntary for HCW&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> One of the main reasons given by HCW for rejecting the vaccine is the fear of adverse events &#40;AE&#41; and the perception that the vaccine has a low effectiveness&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Available scientific evidence estimates that the effectiveness of the vaccine against the seasonal flu is over 50&#37; for strains included in it<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> but the overall effectiveness decreases to 30&#37; among certain risk groups&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> It has also been evidenced that the effectiveness of the vaccine increases to 86&#37; if only the microbiologically confirmed flu cases are evaluated&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> The overall effectiveness of the vaccine provides enough protection to recommend it to risk groups&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#44;9&#44;10</span></a> Inactivated flu vaccines are safe and well tolerated&#46; Among the reported AE&#44; local reactions are the most frequent while local pain and induration stand out as very common&#46; The meta-analyses available indicate a relative risk &#40;RR&#41; of pain and induration at the injection point of 3&#46;11 &#40;95&#37; CI 2&#46;08&#8211;4&#46;66&#41;&#44; followed by erythema &#40;RR 4&#46;01&#59; 95&#37; CI 1&#46;91&#8211;8&#46;41&#41; and myalgia &#40;RR 31&#46;54&#59; 95&#37; CI 1&#46;12&#8211;2&#46;11&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> Systemic reactions are much less frequent &#40;fever&#44; myalgia&#44; general malaise&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> Allergic reactions and the Guillain&#8211;Barre syndrome are rare&#44; the risk of the latter is estimated to be 1&#46;6 cases per million doses&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> No relationship between the flu vaccination and other demyelinating diseases have been found&#46;<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">11&#44;12</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The objectives of this study are to describe the coverage of the flu vaccine in HCW according to the sociodemographic characteristics of the vaccinated HCW and to characterise the reported AE after voluntary administration of vaccines in a tertiary university hospital&#46; The interest of this study is the opportunity to evaluate a self-reporting AE system&#44; as well as to assess the possible impact of AE on the acceptance of the flu vaccine&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> variables that will help to measure the impact of the flu vaccination campaign on the HCW beyond the vaccination coverage&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Methodology</span><p id="par0025" class="elsevierStylePara elsevierViewall">Observational&#44; cross-sectional study conducted during the 2011&#8211;2012 flu vaccination campaign &#40;October 2011&#8211;January 2012&#41; conducted with HCW working at the Hospital Cl&#237;nic de Barcelona &#40;HCB&#41;&#44; a university hospital of 700 beds and 4944 registered health-care professionals during that period&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The flu vaccination campaign in the HCB included a mobile unit which was made up of doctors and nurses from the Preventive Medicine and Epidemiology and Occupational Health and Safety services &#40;SPRL&#41;&#44; which physically moves to different services and areas to bring vaccinations to HCW in their workplace&#46; Following recommendations by the World Health Organisation &#40;WHO&#41; for the Northern Hemisphere&#44; an inactivated vaccine that included 3 strains were used for the 2011&#8211;2012 flu vaccination campaign&#58; A&#47;California&#47;7&#47;2009 &#40;H1N1&#41; pdm09&#44; A&#47;Victoria&#47;361&#47;2011 &#40;H3N2&#41; and B&#47;Wisconsin&#47;1&#47;2010 &#40;Yamagata lineage&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;15</span></a> The brand names of the vaccines administered to the HCW during this campaign were&#58; <span class="elsevierStyleItalic">Inflexal</span><span class="elsevierStyleSup">&#174;</span><span class="elsevierStyleItalic">V</span>&#44; lote 3002110&#46;01 &#40;Crucell&#44; Madrid&#41;&#44; polyvalent influenza vaccine&#44; <span class="elsevierStyleItalic">Leti</span><span class="elsevierStyleSup">&#174;</span>&#44; batches H0232-2 y H0286-2 &#40;LETI Laboratories Barcelona&#41; and <span class="elsevierStyleItalic">Influvac</span><span class="elsevierStyleSup">&#174;</span>&#44; batch X05 &#40;Abbott&#44; Madrid&#41;&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">For each flu vaccination campaign&#44; information about the vaccinated HCW &#40;sex&#44; age&#44; profession and work shift&#41; was routinely collected&#46; To calculate the vaccination coverage&#44; the total amount of HCWs vaccinated during the season the study conducted was used as the numerator&#44; and the total permanent and sub-contracted employees working at the HCB at a mid-way point during the campaign was used as the denominator&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Each year&#44; the possible AE arising from vaccination are reported voluntarily to the Hospital&#39;s SPRL and notified using the yellow card system&#46; All HCW medical consultations and sick-leaves are evaluated as possible AE and are monitored to identify serious AE arising from the vaccination&#46; Allergic reactions&#44; the Guillain&#8211;Barre syndrome&#44; seizures and general skin reactions are considered serious AE&#46; Despite being one of the main reasons why HCW choose not to be vaccinated&#44; the hospital SPRL treats per year&#44; an average of 3 AE potentially associated with the flu vaccine&#44; none of them serious&#46; For the reporting of an AE during the 2011&#8211;2012 campaign&#44; a voluntary and anonymous AE notification system was established&#46; A self-administered questionnaire that gathered information on social- demographic data &#40;age&#44; gender and professional category&#41; was used&#44; in addition to the presence or not of AE that occurred 48<span class="elsevierStyleHsp" style=""></span>hours after the vaccination was administered&#46; Self-reported AE were classified into the following categories&#58; local &#40;pain&#44; swelling&#44; redness or functional disability&#41; and systemic &#40;headache&#44; fever&#44; fatigue&#44; malaise&#44; joint pain&#41;&#46; Other less common AEs were also collected through an open question&#46; After vaccination&#44; the mobile unit delivered the questionnaire to the HCW&#44; after explaining its objectives and after answering any questions&#46; The questionnaires could also be obtained by the HCW in different HCB areas during the vaccination campaign&#46; Once completed&#44; they could be delivered to the SPRL mailbox or to any mobile unit employee throughout the vaccination campaign&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">A descriptive analysis of the questionnaire data collected was carried out using absolute and relative frequencies for qualitative variables and by calculating the mean and standard deviation &#40;SD&#41; for quantitative variables&#46; A bivariate analysis by multiple logistic regression where the <span class="elsevierStyleItalic">odds ratio</span> &#40;OR&#41; is presented with confidence intervals of 95&#37; &#40;95&#37; CI&#41; was carried out&#46; The primary variable was the reporting or not of AE&#46; To facilitate the interpretation of the regression analysis data&#44; age was categorised in years &#40;&#60;35&#44; 35 to 55 and &#62;55&#41; and profession was categorised into medical specialists&#47;resident doctors&#44; nurse&#47;nursing assistant&#47;medical assistant and others&#46; The professional category &#8220;other&#8221; included&#58; administrative&#44; maintenance&#44; cleaning&#44; kitchen&#44; security and other professional personnel and technicians&#46; The statistical programme used was SPSS<span class="elsevierStyleSup"><span class="elsevierStyleItalic">&#174;</span></span> v18&#46;0&#46; The researchers of this study&#44; approved by the HCB Ethics Committee&#44; respected at all times the confidentiality of the data in compliance with Law 15&#47;1999 on the Protection of Personal Data&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Vaccination coverage in health-care professionals</span><p id="par0050" class="elsevierStylePara elsevierViewall">During the 2011&#8211;2012 flu vaccination campaign a total of 1507 HCW &#40;30&#46;5&#37;&#41; from the HCB voluntarily received one dose of the flu vaccine&#44; 1009 were women &#40;67&#37; of total vaccinated&#41; and 489 were men &#40;33&#37;&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; Proportionally&#44; this figure corresponds to 28&#46;9&#37; of the 3489 women registered as HCW at the HCB and 33&#46;6&#37; of the 1455 men registered&#46; The overall average age of the HCW registered at the hospital for that period was 45&#46;0 years &#40;SD 11&#46;6&#41;&#44; and the average age of those vaccinated was 43&#46;0 years &#40;SD 11&#46;7&#41;&#46; One thousand one hundred and fifty- nine HCW &#40;76&#46;9&#37;&#41; were vaccinated in their workplace through the mobile vaccination unit&#44; and the rest at the SPRL&#46; The highest vaccination coverage among HCW by job category occurred in 166 of 320 resident doctors &#40;51&#46;9&#37;&#41; and in 348 of 813 medical specialists &#40;42&#46;8&#37;&#41;&#44; compared to 407 &#40;30&#46;0&#37;&#41; from a total of 1455 nurses&#44; 222 of 815 nursing&#47;medical assistants &#40;27&#46;2&#37;&#41; and 362 of 1541 from the category &#8220;other&#8221; &#40;23&#46;5&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Self-reported adverse events</span><p id="par0055" class="elsevierStylePara elsevierViewall">Of the 1507 people vaccinated&#44; 358 answered the AE questionnaire &#40;23&#46;8&#37;&#41;&#46; As shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#44; 273 were women &#40;76&#46;3&#37;&#41;&#46; The highest response rate was obtained in the job category &#8220;other&#8221;&#44; with 126 completed questionnaires &#40;34&#46;8&#37;&#41;&#44; followed by the doctors category&#44; with 79 &#40;22&#46;7&#37;&#41;&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">A total of 186 HCW reported some sort of AE from the 358 who responded to the questionnaire &#40;52&#46;0&#37;&#41;&#46; Of the 186&#44; 140 reported local signs and symptoms after vaccination &#40;75&#46;3&#37;&#41;&#44; 18&#44; systemic signs and symptoms &#40;9&#46;7&#37;&#41;&#44; and 28&#44; both local and systemic symptoms and signs &#40;15&#46;1&#37;&#41;&#46; From the professional category&#44; 57&#46;9&#37; of residents who completed the questionnaire reported some type of AE&#44; followed by 55&#46;8&#37; of nursing staff&#46; <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a> shows the distribution and frequency of local and systemic symptoms among those who completed the AE questionnaire&#46; One hundred and eighty-six of the entire 1507 HCW vaccinated reported some sort of AE through the notification system &#40;12&#46;3&#37;&#41;&#46; The analysis of factors associated with reporting some sort of AE after flu vaccination is shown in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> where the feminine gender and age &#60;35 stand out as variables that do not lose statistical significance in the multivariate model&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Discussion</span><p id="par0065" class="elsevierStylePara elsevierViewall">Flu vaccination coverage for HCB HCW was 30&#46;5&#37;&#44; which exceeded the Spanish average&#44; estimated at 24&#46;7&#37;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> for the 2011&#8211;2012 season&#46; Despite this rate being an above average HCW flu vaccination coverage percentage&#44; it is considered low when compared to European Union and WHO recommendations&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> Medical staff form a risk group in regard to flu vaccination and thus ideal coverage should be 100&#37; in those who do not present contraindications&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> Vaccination coverage in the HCB for registered HCW aged 60 and over stands out as&#44; despite being regarded as a higher risk group&#44; those who had the lowest coverage by age group&#46; This may be&#44; at least partially&#44; due to the administration of the vaccine to these HCW in their Primary Care centre&#58; there is a double indication because of their occupational and age group&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">The Cochrane review for injectable inactivated flu vaccines states that the oculo-respiratory and Guillain&#8211;Barre post-vaccination syndromes are extremely rare&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> However&#44; local &#40;redness&#44; pain and swelling&#41; and systemic &#40;myalgia&#44; fatigue&#41; AE may be present in more than 50&#37; and fewer than 10&#37; of patients&#44; respectively&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;17</span></a> AE in Spanish studies is shown to have occurred in between 25 and 31&#37; of vaccinated HCW&#44;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;19</span></a> all of them being mild AE&#46; In this study&#44; despite the fact that only 25&#37; of the vaccinated population participated in the voluntary and anonymous AE notification system&#44; results showed that the proportion of AE is similar to that found in the above studies&#46; This study is a pioneer in reporting the AE of flu vaccination in HCW in our environment&#46;<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">20&#44;21</span></a> One of every four people vaccinated voluntarily answered the post-vaccination AE questionnaire&#44; the most significant group being females younger than 35 years-old&#46; 75&#37; of self-reported AE were local&#46; As in other studies&#44; no severe AE &#40;anaphylactic reactions or encephalopathies&#41; attributed to the flu vaccine were registered&#44; which reinforces the profile of the vaccine being safe against seasonal flu&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> The absence of severe AE can be extended to all HCW vaccinated in the hospital&#44; since the SPRL has an exhaustive control of severe AE&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">With the implementation of the voluntary and anonymous AE reporting system&#44; a greater number of notifications was achieved&#46; The success of a voluntary AE notification system lies in ensuring HCW accept such a system&#44; its safety and easy access&#44; as well as the ultimate usefulness of the data collected for the HCW&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a> Most of the AE statements being made by women was also observed in other studies in Spain&#46;<a class="elsevierStyleCrossRefs" href="#bib0095"><span class="elsevierStyleSup">19&#44;20</span></a> Similarly&#44; although with less consistency&#44; an increased amount of AE reports was observed among the youngest vaccinated HCW group at the Hospital General Universitario de Alicante&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a> Although these differences are not usually observed in clinical trials that assess the safety of the flu vaccination&#44;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;17</span></a> they have been found in clinical trials with adjuvant flu vaccines&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a> Nichol et al&#46; associated the female gender and an age younger than 40 years with increased reactogenicity&#44;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a> which could lead to a greater tendency to notify AE&#46; The high number of questionnaires answered that reported no AE is worth noting&#44; especially within the team of medical specialists&#44; the professional category that had the highest vaccine coverage&#46; This may be a reflection of acceptance&#44; adherence and monitoring of the HCW to the flu vaccination campaign and to the clinical quality initiatives and safety&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">The study has several limitations&#59; one of them is that for the calculation of vaccination coverage&#44; the denominator that was used is the amount of HCW recorded for a single day&#44; while the numerator corresponds to the amount of HCW vaccinated throughout the season&#46; This methodology&#44; even after verification that it does not show significant differences with other different calculation methods&#44; could result in an overestimation of the percentage of HCW vaccinated&#44; a fact that could be partially compensated by under-reporting by HCW who have been administered the vaccine in other health centres&#46; Vaccination outside the hospital is not systematically notified to the SPRL&#44; a fact that could result in an underestimation of vaccination coverage&#44; especially in the HCW group aged over 60 years-old&#46; Possible under-reporting&#44; especially of mild local AE&#44; may limit the interpretation of the study results&#46; The study design and anonymity of questionnaires do not allow a causality between the vaccination and the AE reported to be established&#46; The study presents a response bias because&#44; despite the levity of the AE&#44; the HCW affected had a greater motivation to report&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Conclusions</span><p id="par0085" class="elsevierStylePara elsevierViewall">The flu vaccine is a preventive measure which&#44; despite not being highly effective&#44; has a high safety profile&#46; A communication campaign containing the HCW questionnaire results was developed for the following season&#39;s vaccination campaign &#40;2012&#8211;2013&#41;&#46; Its purpose was to generate evidence in the workplace environment&#44; so that the HCW could discuss and transmit individual and collective experiences relating to one the barriers to flu vaccination that exists among their group&#58; the fear of AE&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">The percentage of participation observed in this passive AE notification system is considerably high considering the completion of the questionnaires was voluntary&#46; Vaccination coverage in the HCW centre did not decrease compared to previous seasons&#46; Both events demonstrate the maturity and willingness of HCW to voluntarily report AE&#44; which in turn would ensure the successful systematic implementation of reporting systems&#46; High levels of vaccination coverage must be accompanied by voluntary reporting systems to ensure proper monitoring of AE&#44; with high participation of HCW to avoid response bias&#46; A more comprehensive assessment of the impact of reporting measures and monitoring of AE in the coverage of flu vaccination would be necessary&#44; since they could be factors that increase HCW confidence in the vaccine&#44; especially to demonstrate the absence of serious AE in the HCW&#39;s own health centre&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Conflict of interest</span><p id="par0095" class="elsevierStylePara elsevierViewall">Researchers&#8217; participation has been voluntary and open and there are no conflicts of interest in regard to the content of this article&#46; The authors state that they have attended conferences and&#47;or courses funded by the pharmaceutical industry&#46; That industry funding is independent of the data presented in this study&#46;</p></span></span>"
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              "titulo" => "Vaccination coverage in health-care professionals"
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              "titulo" => "Self-reported adverse events"
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    "fechaRecibido" => "2015-07-18"
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            0 => "Influenza vaccines"
            1 => "Health personnel vaccination"
            2 => "Occupational health"
            3 => "Drug-related side effects and adverse reactions"
            4 => "Vaccination"
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          "clase" => "keyword"
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            0 => "Vacuna de la gripe"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">During the influenza vaccination campaign 2011&#8211;2012 we established a self-declaration system of adverse events &#40;AEs&#41; in healthcare workers &#40;HCW&#41;&#46; The aim of this study is to describe the vaccinated population and analyse vaccination coverage and self-declared AEs after the voluntary flu vaccination in a university hospital in Barcelona&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Observational study&#46; We used the HCW immunisation record to calculate the vaccination coverage&#46; We collected AEs using a voluntary&#44; anonymous&#44; self-administered survey during the 2011&#8211;2012 flu vaccination campaign&#46; We performed a logistic regression model to determine the associated factors to declare AEs&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The influenza vaccination coverage in HCW was 30&#46;5&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1507&#47;4944&#41;&#46; We received completed surveys from 358 vaccinated HCW &#40;23&#46;8&#37; of all vaccinated&#41;&#46; We registered AEs in 186 respondents to the survey &#40;52&#46;0&#37; of all respondents&#41;&#46; Of these&#44; 75&#46;3&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>140&#41; reported local symptoms after the flu vaccination&#44; 9&#46;7&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>18&#41; reported systemic symptoms and 15&#46;1&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#41; both local and systemic symptoms&#46; No serious AEs were self-reported&#46; Female sex and aged under 35 were both factors associated with declaring AEs&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Our self-reporting system did not register serious AEs in HCW&#44; resulting in an opportunity to improve HCW trust in flu vaccination&#46;</p></span>"
        "secciones" => array:4 [
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducci&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Durante la campa&#241;a de vacunaci&#243;n antigripal 2011-2012 establecimos un sistema de autodeclaraci&#243;n de acontecimientos adversos &#40;AA&#41; en el personal sanitario &#40;PS&#41;&#46; El objetivo de este estudio es describir la poblaci&#243;n vacunada y analizar la cobertura de vacunaci&#243;n y los AA autodeclarados tras la vacunaci&#243;n voluntaria del PS frente a la gripe en un hospital universitario de tercer nivel en Barcelona&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional&#46; Para el c&#225;lculo de la cobertura de vacunaci&#243;n se utiliz&#243; el registro de vacunaci&#243;n de profesionales sanitarios del hospital&#46; Los AA se recogieron mediante una encuesta voluntaria&#44; an&#243;nima y autoadministrada durante la campa&#241;a de vacunaci&#243;n antigripal 2011-2012&#44; y se analizaron mediante regresi&#243;n log&#237;stica&#46; Se construy&#243; un modelo de regresi&#243;n log&#237;stica para determinar los factores que predisponen a declarar AA&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La campa&#241;a alcanz&#243; una cobertura de vacunaci&#243;n antigripal del 30&#44;5&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;507&#47;4&#46;944&#41; del PS&#46; De los vacunados&#44; el 23&#44;8&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>358&#41; respondieron la encuesta de AA autodeclarados&#46; El 52&#44;0&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>186&#41; de los que respondieron a la encuesta declar&#243; haber presentado alg&#250;n tipo de AA&#46; De estos&#44; el 75&#44;3&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>140&#41; refiri&#243; signos y s&#237;ntomas locales tras la vacunaci&#243;n&#44; el 9&#44;7&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>18&#41;&#44; signos y s&#237;ntomas sist&#233;micos&#44; y el 15&#44;1&#37; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#41;&#44; s&#237;ntomas tanto locales como sist&#233;micos&#46; No se declar&#243; ning&#250;n AA grave&#46; Ser mujer y tener menos de 35 a&#241;os se asoci&#243; a declarar alg&#250;n tipo de AA&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El sistema de autodeclaraci&#243;n no registr&#243; AA graves en el PS&#44; suponiendo una oportunidad para aumentar la confianza del PS en la vacuna antigripal&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Please cite this article as&#58; Velasco Munoz C&#44; Sequera V-G&#44; Vilajeliu A&#44; Aldea M&#44; Mena G&#44; Quesada S&#44; et al&#46; Sistema de autodeclaraci&#243;n de acontecimientos adversos y cobertura de vacunaci&#243;n antigripal en profesionales sanitarios en un hospital universitario de tercer nivel&#46; Med Clin &#40;Barc&#41;&#46; 2016&#59;146&#58;155&#8211;159&#46;</p>"
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Percentage of adverse events reported by health-care personnel in regard to the total number of those who reported one or more adverse event &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>186&#41;&#46;</p>"
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          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">AE&#44; adverse event&#59; SD&#44; standard deviation&#59; HCW&#44; health-care worker&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">Characteristics&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">HCW hospital</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">HCW vaccinated</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">HCW respondents</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">HCW with a self-reported AE</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Total</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4944&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1507&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">358&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">186&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&#46;5<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&#46;8<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">52&#46;0<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Sex</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3489&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">70&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">67&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">273&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">76&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">153&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">84&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Male&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1455&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">489&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>No data&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Age in years&#44; mean &#40;SD&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;11&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;11&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;11&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">43&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#40;11&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Age groups in years</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>18&#8211;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">129&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>25&#8211;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2419&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">48&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">728&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">48&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">144&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">40&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">45&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>45&#8211;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1970&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">39&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">617&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">40&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">165&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">46&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">84&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">45&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>60 or over&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">426&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">103&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Professional category</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Medical specialist&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">813&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">348&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Resident doctor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">320&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">166&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Nurse&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1455&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">407&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">22&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Nursing&#47;medical assistant&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">815&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">222&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Others&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1541&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">31&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">362&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">24&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">126&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">37&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>No data&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Hospital Cl&#237;nic de Barcelona health-care professional characteristics&#46; 2011&#8211;2012 flu vaccination season&#46;</p>"
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">32&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">52&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;00&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Female&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">56&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">120&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;15&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Age in years</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60;35&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">66&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">33&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">1&#46;96</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">1&#46;13&#8211;3&#46;39</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">1&#46;89</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">1&#46;06&#8211;3&#46;37</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>35&#8211;55&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">95&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">49&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62;55&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">58&#46;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;43&#8211;1&#46;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;40&#8211;1&#46;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Professional category</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Medical specialists&#47;resident doctors&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">52&#46;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Nursing&#44; nursing&#47;medical assistant&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">51&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">56&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;68&#8211;2&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Others&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">54&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">57&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;77&#8211;2&#46;23&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Factors that predict the reporting of adverse events by health-care professionals after administration of the flu vaccine during the 2011&#8211;2012 season &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>358&#41;&#46;</p>"
        ]
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      "titulo" => "References"
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        0 => array:2 [
          "identificador" => "bibs0005"
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              "identificador" => "bib0005"
              "etiqueta" => "1"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Guia T&#232;cnica per a la Campanya de Vacunaci&#243; Antigripal Estacional 2013&#46; Campanya 2013-2014 &#91;Internet&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46; Urbiztondo"
                            1 => "M&#46; Marti¿nez"
                            2 => "J&#46; Batalla"
                            3 => "C&#46; Cabezas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2013"
                        "editorial" => "Ag&#232;ncia de Salut P&#250;blica de Catalunya"
                        "editorialLocalizacion" => "Barcelona"
                      ]
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                  "contribucion" => array:1 [
                    0 => array:1 [
                      "titulo" => "Guia T&#232;cnica per a la Campanya de Vacunaci&#243; Antigripal Estacional 2012 &#91;Internet&#93;"
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Implementation of the Council Recommendation on seasonal influenza vaccination &#40;2009&#47;1019&#47;EU&#41; &#91;Internet&#93;"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "European Centre for Disease Prevention and Control"
                          ]
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                      ]
                    ]
                  ]
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                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2014"
                        "editorial" => "ECDC"
                        "editorialLocalizacion" => "Stockholm"
                      ]
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                    0 => array:2 [
                      "titulo" => "Mandatory vaccination of health care workers"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Alexandra"
                            1 => "J&#46;D&#46; Stewart"
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                        ]
                      ]
                    ]
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                      "doi" => "10.1056/NEJMp0910151"
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                        "tituloSerie" => "N Engl J Med"
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                        "volumen" => "361"
                        "paginaInicial" => "2015"
                        "paginaFinal" => "2017"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19890107"
                            "web" => "Medline"
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                      "titulo" => "Influenza vaccine and healthcare workers"
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                          ]
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                        "tituloSerie" => "Arch Med Res"
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                        "volumen" => "42"
                        "paginaInicial" => "652"
                        "paginaFinal" => "657"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22227045"
                            "web" => "Medline"
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              "identificador" => "bib0030"
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                    0 => array:2 [
                      "titulo" => "Efficacy and effectiveness of influenza vaccines&#58; a systematic review and meta-analysis"
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                          "etal" => false
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                            2 => "A&#46; Sommer"
                            3 => "E&#46;A&#46; Belongia"
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                        "tituloSerie" => "Lancet Infect Dis"
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                        "paginaFinal" => "44"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22032844"
                            "web" => "Medline"
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                      "titulo" => "Safety and effectiveness of the influenza vaccine&#58; new data&#44; new challenges"
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                        "paginaFinal" => "69"
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                    0 => array:2 [
                      "titulo" => "Early estimates of influenza vaccine effectiveness in Navarre&#44; Spain&#58; 2012&#47;13 mid-season analysis"
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                          "etal" => true
                          "autores" => array:6 [
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                            1 => "I&#46; Martinez-Baz"
                            2 => "V&#46; Martinez-Artola"
                            3 => "M&#46; Fernandez-Alonso"
                            4 => "G&#46; Reina"
                            5 => "M&#46; Guevara"
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                    ]
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                        "paginaInicial" => "2"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23449182"
                            "web" => "Medline"
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              "identificador" => "bib0045"
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                0 => array:2 [
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                      "titulo" => "Vaccines for preventing influenza in healthy adults &#40;Review&#41;&#46; The Cochrane Collaboration &#91;Internet&#93;"
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                          "etal" => false
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                            4 => "A&#46; Rivetti"
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                    0 => array:1 [
                      "Libro" => array:1 [
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                    0 => array:2 [
                      "titulo" => "Effects of vaccination and the new neuraminidase inhibitor&#44; laninamivir&#44; on influenza infection"
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                          "etal" => false
                          "autores" => array:3 [
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                            1 => "S&#46; Mizuno"
                            2 => "T&#46; Kanda"
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                      ]
                    ]
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                    0 => array:2 [
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                        "tituloSerie" => "PLOS ONE"
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                        "paginaInicial" => "e92601"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24699254"
                            "web" => "Medline"
                          ]
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                ]
              ]
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              "identificador" => "bib0055"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A systematic review of the evidence on the effectiveness and risks of inactivated influenza vaccines in different target groups"
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                          "etal" => false
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                            2 => "R&#46; Remmen"
                            3 => "E&#46; Vermeire"
                            4 => "S&#46; Coenen"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
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                        "tituloSerie" => "Vaccine"
                        "fecha" => "2011"
                        "volumen" => "29"
                        "paginaInicial" => "9159"
                        "paginaFinal" => "9170"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21840359"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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            11 => array:3 [
              "identificador" => "bib0060"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Expected and unexpected adverse effects H1N1 vaccination for health care workers in a university hospital"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46; Dinh"
                            1 => "C&#46; Lawrence"
                            2 => "J&#46; Salomon"
                            3 => "A&#46; Descatha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
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                        "tituloSerie" => "Vaccine"
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                        "volumen" => "28"
                        "paginaInicial" => "2063"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20044058"
                            "web" => "Medline"
                          ]
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                      ]
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                ]
              ]
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              "identificador" => "bib0065"
              "etiqueta" => "13"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Vacunaci&#243;n de gripe en trabajadores sanitarios&#46; Por qu&#233; se vacunan y por qu&#233; no se vacunan"
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                        ]
                      ]
                    ]
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                    0 => array:1 [
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                        "tituloSerie" => "Enferm Infecc Microbiol Clin"
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                        "paginaInicial" => "413"
                        "paginaFinal" => "417"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16956528"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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            13 => array:3 [
              "identificador" => "bib0070"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Evaluating influenza vaccination campaigns beyond coverage&#58; a before-after study among health care workers"
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                            4 => "M&#46; Aldea"
                            5 => "V&#46;G&#46; Sequera"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ajic.2013.04.006"
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                        "tituloSerie" => "Am J Infect Control"
                        "fecha" => "2013"
                        "volumen" => "41"
                        "paginaInicial" => "674"
                        "paginaFinal" => "678"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23896285"
                            "web" => "Medline"
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                ]
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                    0 => array:2 [
                      "titulo" => "Information sheet&#46; Observed rate of vaccine reactions&#46; Influenza vaccine &#91;Internet&#93;"
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                          "etal" => false
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                    0 => array:1 [
                      "Libro" => array:3 [
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              ]
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            15 => array:3 [
              "identificador" => "bib0080"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Consensus document on vaccination against influenza in health care workers"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            3 => "J&#46;M&#46; Bayas"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Quimioter"
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                        "paginaInicial" => "226"
                        "paginaFinal" => "239"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22987273"
                            "web" => "Medline"
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              ]
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              "identificador" => "bib0085"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effectiveness and cost-benefit of influenza vaccination of healthy working adults"
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                        "paginaInicial" => "1655"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11015795"
                            "web" => "Medline"
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                ]
              ]
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              "identificador" => "bib0090"
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                    0 => array:2 [
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                    ]
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                  "host" => array:1 [
                    0 => array:2 [
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                        "tituloSerie" => "Arch Prev Riesgos Labor"
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                        "paginaInicial" => "26"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24458207"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0095"
              "etiqueta" => "19"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reacciones adversas de la vacuna de la gripe estacional y la vacuna de la gripe A H1N1 en personal sanitario"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
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                            2 => "R&#46; Carreras Valls"
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                            4 => "D&#46; Benito Carreras"
                            5 => "A&#46; Besora Cunillera"
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                        ]
                      ]
                    ]
                  ]
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                        "paginaInicial" => "11"
                        "paginaFinal" => "16"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23744018"
                            "web" => "Medline"
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                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0100"
              "etiqueta" => "20"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Frequency of adverse reactions after influenza vaccination in health care personnel of a university hospital in Spain"
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                            3 => "J&#46; Barrenengoa"
                            4 => "H&#46; Mart&#237;nez"
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                        ]
                      ]
                    ]
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                  "host" => array:1 [
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                        "tituloSerie" => "Enferm Infecc Microbiol Clin"
                        "fecha" => "2010"
                        "volumen" => "28"
                        "paginaInicial" => "435"
                        "paginaFinal" => "438"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20362356"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0105"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sistemas de registro y notificacio¿n de incidentes y eventos adversos"
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                          "etal" => false
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                            3 => "C&#46; Orrego"
                            4 => "R&#46; Su&#241;ol"
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                    ]
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                  "host" => array:1 [
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                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0110"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Frequency and factors associated with adverse reactions following the administration of influenza vaccine in personal health during the 2009-2010 season"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
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                            2 => "J&#46; Barrenengoa-Sa&#241;udo"
                            3 => "R&#46; Camargo-Angeles"
                            4 => "A&#46; Rincon"
                            5 => "S&#46; Romero-Candeira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Salud Publica"
                        "fecha" => "2010"
                        "volumen" => "84"
                        "paginaInicial" => "851"
                        "paginaFinal" => "859"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21327318"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
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Article information

ISSN: 23870206
Original language: English

DOI:10.1016/j.medcle.2016.04.064

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