<?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>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022018000300115</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores que afectan la vacunación contra influenza en funcionarios del Departamento de Enfermería del Hospital &#8220;Dr. Rafael Ángel Calderón Guardia&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors that affect vaccination against influenza in workers of the Department of Nursing]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerdas-Bejarano]]></surname>
<given-names><![CDATA[Deidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guevara-Rodríguez]]></surname>
<given-names><![CDATA[Moraima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinoza-Mora]]></surname>
<given-names><![CDATA[María del Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3 "/>
<xref ref-type="aff" rid="Af4"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidad de Vigilancia Epidemiológica Comité Local de Inmunizaciones ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Servicio de Medicina Interna, Hospital Dr. Rafael Ángel Calderón Guardia Unidad de Inmunología Clínica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Internacional de las Américas  ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>60</volume>
<numero>3</numero>
<fpage>115</fpage>
<lpage>120</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022018000300115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022018000300115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022018000300115&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Justificación: Los programas de inmunización del personal sanitario constituyen una estrategia prioritaria de salud pública con múltiples propósitos, que engloban tanto la protección de los pacientes como de los funcionarios mismos y redundan en un claro beneficio para el empleador. En particular, la vacunación anual contra la influenza en funcionarios de salud representa una medida clave para prevenir la transmisión institucional del virus. A pesar de los esfuerzos por aumentar los índices de cobertura vacunal en este sector, siguen presentándose dudas individuales que inciden en el rechazo de la inmunoprofilaxis por parte de los empleados. El objetivo de este trabajo fue indagar sobre los factores personales, sociales y laborales que propiciaron el rechazo o aceptación de la vacuna contra influenza durante la campaña de inmunización de 2016.  Métodos: Con el fin de identificar la percepción general y los factores que condicionaron el abstencionismo en torno a la vacunación contra la influenza, se efectuó una encuesta anonima y voluntaria en trabajadores de enfermería del Hospital &#8220;Dr. Rafael Ángel Calderón Guardia&#8221;, posterior a la campaña de inmunización de 2016.  Resultados: La falta de información y los conceptos erróneos en materia de inmunizaciones fueron identificados como factores predominantes asociados con el rechazo a la vacuna. Gran parte de los funcionarios no vacunados tenía factores de riesgo para desarrollar enfermedad grave por influenza y laboraban con pacientes vulnerables a infecciones.  Conclusiones: El apoyo y la intensificación de labores educativas de los comités locales de inmunizaciones son necesarios para fomentar el crecimiento de los índices de vacunación del personal de salud. Una estrategia de inmunización obligatoria contra la influenza puede aumentar la cifra de trabajadores vacunados y con ello reducir los casos de infección.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Justification: Immunization programs for health personnel represent a priority in public health as a prevention strategy. The programs have multiple purposes, which encompass the protection of patients and the officials themselves and result in a clear benefit for the employer. The annual vaccination against influenza in health care professionals represents a key measure to prevent institutional transmission of the virus. Despite efforts realized to increase immunization coverage rates in this sector, rejection of immunoprophylaxis by employees still exists mostly due to individual doubts. The aim of this study was to investigate the personal, social and work related factors that led to the rejection or acceptance of the influenza vaccine during the 2016 immunization campaign.  Methods: To identify the general perception and factors which caused abstention related to vaccination against influenza, an anonymous and voluntary survey was conducted on nursing staff of the Dr. Rafael Ángel Calderón Guardia Hospital subsequently to the 2016 influenza immunization campaign.  Results: Lack of information and misconceptions regarding immunizations were identified as predominant factors associated with the rejection of influenza vaccination. Many unvaccinated individuals had risk factors to develop serious illness due to influenza and worked with patients vulnerable to infections.  Conclusions: Supporting and intensifying of campaigns focused in the educational work realized by local immunization committees are necessary to elevate vaccination rates of health personnel. A mandatory immunization strategy against influenza may increase the number of vaccinated workers and thereby reduce cases of infection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[influenza]]></kwd>
<kwd lng="es"><![CDATA[vacunas]]></kwd>
<kwd lng="es"><![CDATA[inmunización]]></kwd>
<kwd lng="es"><![CDATA[personal de salud]]></kwd>
<kwd lng="es"><![CDATA[vacunación obligatoria]]></kwd>
<kwd lng="en"><![CDATA[influenza]]></kwd>
<kwd lng="en"><![CDATA[vaccines]]></kwd>
<kwd lng="en"><![CDATA[immunization]]></kwd>
<kwd lng="en"><![CDATA[health personnel]]></kwd>
<kwd lng="en"><![CDATA[obligatory vaccination]]></kwd>
</kwd-group>
</article-meta>
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