DOI QR코드

DOI QR Code

Vaccine Storage Practices and the Effects of Education in Some Private Medical Institutions

  • 투고 : 2011.09.04
  • 심사 : 2011.11.01
  • 발행 : 2012.03.31

초록

Objectives: Although vaccination rates have increased, problems still remain in the storage and handling of vaccines. This study focused on inspecting actual vaccine storage status and awareness, and comparing them before and after education was provided. Methods: In the primary inspection, a status survey checklist was completed by visual inspection. A questionnaire on the awareness of proper vaccine storage and handling was also administered to vaccine administrators in private medical institutions in 4 regions in Gyeongsangbuk-province. One-on-one education was then carried out, and our self-produced manual on safe vaccine storage and management methods was provided. In the secondary inspection, the investigators visited the same medical institutions and used the same questionnaire and checklist used during the primary inspection. The results before and after education were compared, by treating each appropriate answer as 1 point. Results: The average checklists score was 9.74 (out of 15 points), which increased significantly after education was provided (by 0.84, p<0.001). The participants demonstrated improved practices in recording storage temperatures(p=0.016), storing vaccines in the center of the refrigerator (p=0.004), storing vaccines with other medication and nonmedical items (p=0.031) after education. The average score calculated from the questionnaires was 10.48 (out of 14points), which increased after education (by 1.03, p<0.001). Conclusions: This study suggests that vaccine storage practices and awareness are inadequate, but can be partially improved by providing relevant education. Repetitive education and policy-making are required to store vaccines safely because one-off education and unenforced guidelines offer limited efficacy.

키워드

참고문헌

  1. Gazmararian JA, Oster NV, Green DC, Schuessler L, Howell K, Davis J, et al. Vaccine storage practices in primary care physician offices: assessment and intervention. Am J Prev Med 2002;23(4):246-253.
  2. Kim CB, Lee SG, Lee JJ, Jeon SY, Hyun SJ, Lee YK, et al. A comparative study of the administrative behavior of vaccination and satisfaction of physicians according to the national expanded programme on immunization in Korea. Korean J Health Policy Adm 2009;19(3):71-91 (Korean).
  3. Lee KH. Changes in vaccination status and user satisfaction for the full coverage project of the national immunization program (NIP): focus on Gangnam-gu, Seoul [dissertation]. Seoul: Korea University; 2010 (Korean).
  4. Lee SG. Organization designing for managing efficient immunization and vaccine logistics in KCDC. Seoul: Korea Center for Disease Control; 2007 (Korean).
  5. Yuan L, Daniels S, Naus M, Brcic B. Vaccine storage and handling. Knowledge and practice in primary care physicians' offices. Can Fam Physician 1995;41:1169-1176.
  6. Centers for Disease Control and Prevention. Vaccine storage and handling [cited 2012 Mar 12]. Available from: http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/vac-storage.pdf.
  7. Ki MR, Kim SD, Bae GR, Lee HJ, Lim HS, Cheon BC, et al. Epidemiology of infectious disease. In: Korean Society for Preventive Medicine. Preventive medicine and public health. Seoul: Gyechukmunwhasa; 2011, p. 235-315 (Korean).
  8. Lerman SJ, Gold E. Measles in children previously vaccinated against measles. JAMA 1971;216(8):1311-1314.
  9. Krugman RD, Meyer BC, Enterline JC, Parkman PD, Witte JJ, Meyer HM Jr. Impotency of live-virus vaccines as a result of improper handling in clinical practice. J Pediatr 1974;85(4):512-514.
  10. Steinmetz N, Furesz J, Reinhold C, Yarosh W. Storage conditions of live measles, mumps and rubella virus vaccines in Montreal. Can Med Assoc J 1983;128(2):162-163.
  11. Hunter S. Storage of vaccines in general practice. BMJ 1989;299(6700):661-662.
  12. Bishai DM, Bhatt S, Miller LT, Hayden GF. Vaccine storage practices in pediatric offices. Pediatrics 1992;89(2):193-196.
  13. Thakker Y, Woods S. Storage of vaccines in the community: weak link in the cold chain? BMJ 1992;304(6829):756-758.
  14. Cheriyan E. Monitoring the vaccine cold chain. Arch Dis Child 1993;69(5):600-601.
  15. Woodyard E, Woodyard L, Alto WA. Vaccine storage in the physician's office: a community study. J Am Board Fam Pract 1995;8(2):91-94.
  16. 16. Korea Food and Drug Administration. Handbook forsafe use of vaccine [cited 2012 Mar 20]. Available from: http://www.kfda.go.kr/index.kfda?mid=102&pageNo=30&seq=5875&cmd=v.

피인용 문헌

  1. Effectiveness of a web-based education program to improve vaccine storage conditions in primary care (Keep Cool): study protocol for a randomized controlled trial vol.16, pp.1, 2012, https://doi.org/10.1186/s13063-015-0824-9
  2. Good vaccination practice: it all starts with a good vaccine storage temperature vol.3, pp.None, 2012, https://doi.org/10.1186/s40813-017-0071-4
  3. Visual inspection of vaccine storage conditions in general practices: A study of 75 vaccine refrigerators vol.14, pp.12, 2019, https://doi.org/10.1371/journal.pone.0225764
  4. Improving knowledge on vaccine storage management in general practices: Learning effectiveness of an online-based program vol.38, pp.47, 2012, https://doi.org/10.1016/j.vaccine.2020.09.049
  5. Impact of educational intervention on the best immunization practices among practicing health care professionals in a south Indian city vol.9, pp.None, 2012, https://doi.org/10.1177/25151355211032590