Background Outbreaks of vaccine preventable diseases (VPDs) in health care workers (HCWs) can result in morbidity and mortality and cause significant disruptions to health care services, patients and visitors as well as an added burden on the health system. This scoping review is aimed to describe the epidemiology of VPD outbreaks in HCW, caused by diseases which are prevented by the ten vaccines recommended by World Health Organization (WHO) for HCWs. Methods In April 2022 CINAHL, MEDLINE, Global Health and EMBASE were searched for all articles reporting on VPD outbreaks in HCWs since the year 2000. Articles were included regardless of language and study type. Clinical and epidemiological characteristics of VPD outbreaks were described. Results Our search found 9363 articles, of which 216 met inclusion criteria. Studies describing six of the ten VPDs were found: influenza, measles, varicella, tuberculosis, pertussis and rubella. Most articles (93%) were from high- and upper middle-income countries. While most outbreaks occurred in hospitals, several influenza outbreaks were reported in long term care facilities. Based on available data, vaccination rates amongst HCWs were rarely reported. Conclusion We describe several VPD outbreaks in HCWs from 2000 to April 2022. The review emphasises the need to understand the factors influencing outbreaks in HCWs and highlight importance of vaccination amongst HCWs.

中文翻译：

---

医护人员中疫苗可预防疾病的爆发：范围界定审查

背景 卫生保健工作者 (HCW) 中疫苗可预防疾病 (VPD) 的爆发可能导致发病和死亡，并对卫生保健服务、患者和访客造成严重干扰，并增加卫生系统的负担。本次范围审查旨在描述医护人员中 VPD 爆发的流行病学，这些疾病是由世界卫生组织 (WHO) 为医护人员推荐的十种疫苗所预防的疾病引起的。方法 2022 年 4 月，对 CINAHL、MEDLINE、Global Health 和 EMBASE 进行了搜索，查找自 2000 年以来报告医护人员 VPD 爆发的所有文章。无论语言和研究类型如何，文章均被纳入。描述了 VPD 暴发的临床和流行病学特征。结果 我们的搜索找到了 9363 篇文章，其中 216 篇符合纳入标准。研究发现了十种 VPD 中的六种：流感、麻疹、水痘、肺结核、百日咳和风疹。大多数文章（93%）来自高收入和中高收入国家。虽然大多数疫情发生在医院，但据报道，长期护理机构也发生了几起流感疫情。根据现有数据，医护人员的疫苗接种率很少有报告。结论 我们描述了 2000 年至 2022 年 4 月期间医护人员中发生的几起 VPD 疫情。该综述强调需要了解影响医护人员疫情爆发的因素，并强调医护人员疫苗接种的重要性。