<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>3020-1160</journal-id>
<journal-title><![CDATA[Revista de la Asociación Española de Especialistas en Medicina del Trabajo]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Asoc Esp Espec Med Trab]]></abbrev-journal-title>
<issn>3020-1160</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Especialistas en Medicina del Trabajo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S3020-11602017000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cobertura vacunal de la gripe en el personal del Hospital Universitario de Fuenlabrada]]></article-title>
<article-title xml:lang="en"><![CDATA[Strategies and influenza vaccination coverage in the staff of Fuenlabrada Hospital Universitary]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Colino Romay]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega Hernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berrocal Fernández]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mazón Cuadrado]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peñalver Paolini]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sáez Sierra]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Fuenlabrada  ]]></institution>
<addr-line><![CDATA[Fuenlabrada Madrid]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<volume>26</volume>
<numero>1</numero>
<fpage>55</fpage>
<lpage>61</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S3020-11602017000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S3020-11602017000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S3020-11602017000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivos: La gripe es una enfermedad que ocasiona un alto gasto sanitario, por lo que es necesario implementar todas las medidas necesarias para evitar su transmisión, una de ellas es la vacunación antigripal de los trabajadores del ámbito sanitario, que evita el contagio tanto del paciente hacia el personal, como del personal hacia el paciente. El objetivo principal del estudio fue conocer la cobertura vacunal antigripal entre el personal del Hospital Universitario de Fuenlabrada, así como los objetivos secundarios analizar la cobertura vacunal por profesión, edad y año de vacunación, y establecer estrategias de vacunación, para aumentar la adherencia del personal hospitalario.  Material y Métodos: Se realizó un estudio descriptivo longitudinal entre el año 2006 y 2015 en el Hospital Universitario de Fuenlabrada, que tuvo una media de 1.505 workers trabajadores entre los años 2006 a 2015. Variables de estudio: tipo de profesión, edad y número de vacunas administradas.  Resultados: Se vacunó un total de 2.749 personas en los años desde 2006-2015, con un índice general de cobertura vacunal de 18,25%. La cobertura vacunal total fue mayor en el año 2009, año de la epidemia de Gripe A (H1N1) donde en Índice de vacunación fue 38,36%, y el año 2007 con el más bajo registro vacunal, con un Índice de 13,95%. Por categorías profesionales el personal no sanitario se vacuna más (25,64%) que el personal sanitario (17,00%); y por rango de edades se vacuna más entre los 41-50 años y menos entre los menores e iguales a 30 años.  Conclusiones: Las coberturas vacunales se incrementan en los años en los que aparecen ondas epidémicas específicas, como la ocurrida en el año 2009. La modificación en la estrategia de vacunación, generando mayor adherencia del profesional, una educación específica y facilitando la accesibilidad de horario y acudiendo a sus unidades sin necesidad de desplazamiento del personal, ayudará significativamente al aumento de la aceptación de la vacunación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objectives: The flu is a disease which causes a high health care costs. To avoid the contagion, both of the patient toward the staff and the staff to the patient, is the recommended influenza vaccination of healthcare workers. The main objective of the study was to assess the coverage of influenza vaccination in Fuenlabrada Hospital University of workers between the years 2006 to 2015. Secondary objectives: the analysis of the vaccination coverage by type of profession, age and year of vaccination, and finally to assess a strategic planning of flu vaccination.  Material and methods: The hospital has an average population of 1,505 workers, in the study period 2006-2015. Descriptive study was conducted by analyzing longitudinal vaccination coverage.  Results: 2,749 healthcare workers ere vaccinated a total of in the years from 2006-2015, with a general index of vaccine coverage of 18.25%. The vaccine coverage was higher in the year 2009, the year of the last epidemic Influenza A (H1N1), with a vaccination in index of 38.36 %. The worst vaccine registry is obtained in the year 2007 with an index of 13.95 %. Professional categories non-health personnel is more vaccine (25.64 %) that the health personnel (17.00 %). Vaccine is more in the range between the ages of 41-50 years and less between minors and equal to 30 years.  Conclusions: The vaccine coverage increases in those years in which specific epidemic waves appear, as occurred in the year 2009. It seems necessary a odification of the vaccination strategy, generating greater adhesion of the professional, a specific education and facilitating schedules and flocking to their units.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Vacunación antigripal]]></kwd>
<kwd lng="es"><![CDATA[Cobertura vacunal]]></kwd>
<kwd lng="es"><![CDATA[Personal sanitario]]></kwd>
<kwd lng="en"><![CDATA[Influenza vaccination]]></kwd>
<kwd lng="en"><![CDATA[Coverage vaccination]]></kwd>
<kwd lng="en"><![CDATA[Healthcare workers]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nicholson]]></surname>
<given-names><![CDATA[KG]]></given-names>
</name>
<name>
<surname><![CDATA[Kent]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hammersley]]></surname>
<given-names><![CDATA[VS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute viral infection of upper respiratory tract in elderly people living in the community: comparative, prospective, population based study of disease burden]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>1997</year>
<volume>315</volume>
<page-range>1060-4</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Clark]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[Lynch 3rd]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influenza: epidemiology, clinical features, therapy, and prevention]]></article-title>
<source><![CDATA[Semin Respir Crit Care Med]]></source>
<year>2011</year>
<volume>32</volume>
<page-range>373-92</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elder]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;Donnell]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[McCruden]]></surname>
<given-names><![CDATA[EAB]]></given-names>
</name>
<name>
<surname><![CDATA[Symington]]></surname>
<given-names><![CDATA[IS]]></given-names>
</name>
<name>
<surname><![CDATA[Carman]]></surname>
<given-names><![CDATA[WF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence and recall of influenza in a cohort of Glasgow health care workers during the 1993-4 epidemic: results of serum testing and questionnaire]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>1996</year>
<volume>313</volume>
<page-range>1241-2</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vaqué]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Campins]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bruguera]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vacunaciones en el personal sanitario]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Salleras]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Vacunaciones preventivas: principios y aplicaciones]]></source>
<year>2003</year>
<page-range>867-76</page-range><publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[Masson]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mayo Montero]]></surname>
<given-names><![CDATA[Elga]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Barrera]]></surname>
<given-names><![CDATA[Valentín]]></given-names>
</name>
<name>
<surname><![CDATA[Sierra Moros]]></surname>
<given-names><![CDATA[Mª José]]></given-names>
</name>
<name>
<surname><![CDATA[Pachón del Amo]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<name>
<surname><![CDATA[Carrasco Garrido]]></surname>
<given-names><![CDATA[Pilar]]></given-names>
</name>
<name>
<surname><![CDATA[Gil de Miguel]]></surname>
<given-names><![CDATA[Ángel]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez García]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evolución de las coberturas vacunales antigripales entre 1993-2001 en España: Análisis por Comunidades Autónomas]]></article-title>
<source><![CDATA[Rev. Esp Salud Pública]]></source>
<year>2004</year>
<volume>78</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>481-92</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<collab>Center for Disease Control and Prevention</collab>
<article-title xml:lang=""><![CDATA[Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP)]]></article-title>
<source><![CDATA[Morbid Mortal Wkly Rep]]></source>
<year>2001</year>
<volume>50</volume>
<numero>RR-4</numero>
<issue>RR-4</issue>
<page-range>8-9</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vírseda]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Restrepo]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Arranz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Magán-Tapia]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández-Ruiz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[de la Cámara]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Seasonal and Pandemic A (H1N1) 2009 influenza vaccination coverage and attitudes among health-care workers in a Spanish University Hospital]]></article-title>
<source><![CDATA[Vaccine]]></source>
<year>2010</year>
<volume>28</volume>
<page-range>4751-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wicker]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rabenau]]></surname>
<given-names><![CDATA[HF]]></given-names>
</name>
<name>
<surname><![CDATA[Doerr]]></surname>
<given-names><![CDATA[HW]]></given-names>
</name>
<name>
<surname><![CDATA[Allwinn]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influenza vaccination compliance among health care workers in a German university hospital]]></article-title>
<source><![CDATA[Infection]]></source>
<year>2009</year>
<volume>37</volume>
<page-range>197-202</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Norton]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
<name>
<surname><![CDATA[Scheifele]]></surname>
<given-names><![CDATA[DW]]></given-names>
</name>
<name>
<surname><![CDATA[Bettinger]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[West]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influenza vaccination in paediatric nurses: Cross-sectional study of coverage, refusal, and factors in acceptance]]></article-title>
<source><![CDATA[Vaccine]]></source>
<year>2008</year>
<volume>26</volume>
<page-range>2942-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fiore]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
<name>
<surname><![CDATA[Shay]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
<name>
<surname><![CDATA[Broder]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Iskander]]></surname>
<given-names><![CDATA[JK]]></given-names>
</name>
<name>
<surname><![CDATA[Uyeki]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
<name>
<surname><![CDATA[Mootrey]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009]]></article-title>
<source><![CDATA[MMWR Recomm Rep]]></source>
<year>2009</year>
<volume>58</volume>
<numero>RR-8</numero>
<issue>RR-8</issue>
<page-range>1-52</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<collab>DHHS U. U.S. Department of Health and Human Services</collab>
<article-title xml:lang=""><![CDATA[Healthy People 2020. Flu Vaccination of Health Care Personnel]]></article-title>
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Picazo]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[González Romo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Salleras i Sanmartí]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Bayas]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez Pasquín]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Situación de la vacunación en adultos en España. Gripe y Neumococo]]></article-title>
<source><![CDATA[Vacunas]]></source>
<year>2012</year>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanchez-Paya]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hernandez-Garcia]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia-Roman]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Camargo-Angeles]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Barrenengoa-Sanudo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Villanueva-Ruiz]]></surname>
<given-names><![CDATA[CO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influenza vaccination among healthcare personnel after pandemic influenza H1N1]]></article-title>
<source><![CDATA[Vaccine]]></source>
<year>2012</year>
<volume>30</volume>
<page-range>911-5</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hakim]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Gaur]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
<name>
<surname><![CDATA[McCullers]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Motivating factors for high rates of influenza vaccination among healthcare workers]]></article-title>
<source><![CDATA[Vaccine]]></source>
<year>2011</year>
<volume>29</volume>
<page-range>5963-9</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hopman]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Riphagen-Dalhuisen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Looijmans-van den Akker]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Frijstein]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Van derGeest-Blankert]]></surname>
<given-names><![CDATA[ADJ]]></given-names>
</name>
<name>
<surname><![CDATA[Danhof-Pont]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Determination of factors required to increase uptake of influenza vaccination among hospital-based healthcare workers]]></article-title>
<source><![CDATA[J Hosp Infect]]></source>
<year>2011</year>
<volume>77</volume>
<page-range>327-31</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McLennan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Wicker]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reflections on the influenza vaccination of healthcare workers]]></article-title>
<source><![CDATA[Vaccine]]></source>
<year>2010</year>
<volume>28</volume>
<page-range>8061-4</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nichol]]></surname>
<given-names><![CDATA[Kl]]></given-names>
</name>
<name>
<surname><![CDATA[Hauge]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influenza vaccination of healthcare workers]]></article-title>
<source><![CDATA[Infect Control Hosp Epidemiol]]></source>
<year>1997</year>
<volume>18</volume>
<page-range>189-94</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
