Vaccine Storage Practices and the Effects of Education in Some Private Medical Institutions
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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.
Abstract
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.
참고문헌 (16)
- Gazmararian JA, "Vaccine storage practices in primary care physician offices: assessment and intervention", Am J Prev Med, 23(4), pp.246~253 (2002)
- 김춘배, "국가필수예방접종 보장범위 확대 시범사업에 따른 의사의 예방접종 관리행태 및 만족도 비교", 보건행정학회지, 19(3), pp.71~91 (2009), 한국보건행정학회
- 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", pp.2010
- Organization designing for managing efficient immunization and vaccine logistics in KCDC, "Lee SG", Korea Center for Disease Control, ~ (2007)
- Yuan L, "Vaccine storage and handling. Knowledge and practice in primary care physicians’ offices", Can Fam Physician, 41, pp.1169~1176 (1995)
- "Vaccine storage and handling"[URL]
- Ki MR, "Epidemiology of infectious disease, In Korean Society for Preventive Medicine. Preventive medicine and public health", pp.235~315 (2011), Gyechukmunwhasa
- Lerman SJ, "Measles in children previously vaccinated against measles", JAMA, 216(8), pp.1311~1314 (1971)
- Krugman RD, "Impotency of live-virus vaccines as a result of improper handling in clinical practice", J Pediatr, 85(4), pp.512~514 (1974)
- Steinmetz N, "Storage conditions of live measles, mumps and rubella virus vaccines in Montreal", Can Med Assoc J, 128(2), pp.162~163 (1983)
- Hunter S, "Storage of vaccines in general practice", BMJ, 99(6700), pp.661~662 (1989)
- Bishai DM, "Vaccine storage practices in pediatric offices", Pediatrics, 89(2), pp.193~196 (1992)
- Thakker Y, "Storage of vaccines in the community: weak link in the cold chain?", BMJ, 304(6829), pp.756~758 (1992)
- Cheriyan E, "Monitoring the vaccine cold chain", Arch Dis Child, 69(5), pp.600~601 (1993)
- Woodyard E, "Vaccine storage in the physician’s office: a community study", J Am Board Fam Pract, 8(2), pp.91~94 (1995)
- "Handbook forsafe use of vaccine"[URL]
