Healthcare Practitioners Knowledge of Shoulder Injury Related to Vaccine Administration (SIRVA)
Background: Vaccine pharmacovigilance is at the forefront of the public eye. Shoulder Injuries Related to Vaccine Administration (SIRVA) is a poorly understood Adverse Event Following Immunisation, with iatrogenic origins. Criteria for medicolegal diagnosis of SIRVA is conflicting, current literatur...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-11-01
|
| Series: | Vaccines |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-393X/10/12/1991 |
| _version_ | 1827636650559143936 |
|---|---|
| author | Laura Jane Mackenzie Jaquelin Anne Bousie Phillip Newman Janique Waghorn John Edward Cunningham Mary-Jessimine Ann Bushell |
| author_facet | Laura Jane Mackenzie Jaquelin Anne Bousie Phillip Newman Janique Waghorn John Edward Cunningham Mary-Jessimine Ann Bushell |
| author_sort | Laura Jane Mackenzie |
| collection | DOAJ |
| description | Background: Vaccine pharmacovigilance is at the forefront of the public eye. Shoulder Injuries Related to Vaccine Administration (SIRVA) is a poorly understood Adverse Event Following Immunisation, with iatrogenic origins. Criteria for medicolegal diagnosis of SIRVA is conflicting, current literature and educational materials are lacking, and healthcare practitioner knowledge of the condition is unknown. Methods: A cross-sectional, convenience sampled survey, utilising a validated online questionnaire assessed practitioner knowledge of SIRVA, safe injecting, and upper limb anatomy, and preferred definition for SIRVA. Results: Mean scores were moderate for safe injecting knowledge (69%), and poor for knowledge of anatomy (42%) and SIRVA (55%). Non-immunising healthcare practitioners scored significantly (<i>p</i> = 0.01, and < 0.05, respectively) higher than immunising practitioners for anatomy (2.213 ± 1.52 vs. 3.12 ± 1.50), and safe injecting knowledge (6.70 ± 1.34 vs. 7.14 ± 1.27). Only 52% of authorised vaccinators accurately selected a 40 × 20 mm area recommended for safe injecting. Majority (91.7%) of respondents thought nerve injuries should be included in the diagnostic criteria for SIRVA. Discussion and conclusions: Greater education and awareness of SIRVA is needed in all healthcare disciplines. Consensus regarding SIRVA definition is paramount for accurate reporting and improved future understanding of all aspects of SIRVA. |
| first_indexed | 2024-03-09T15:45:44Z |
| format | Article |
| id | doaj.art-5ae82b07b2424f7cbb4c8e2da14af111 |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-09T15:45:44Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-5ae82b07b2424f7cbb4c8e2da14af1112023-11-24T18:30:45ZengMDPI AGVaccines2076-393X2022-11-011012199110.3390/vaccines10121991Healthcare Practitioners Knowledge of Shoulder Injury Related to Vaccine Administration (SIRVA)Laura Jane Mackenzie0Jaquelin Anne Bousie1Phillip Newman2Janique Waghorn3John Edward Cunningham4Mary-Jessimine Ann Bushell5Faculty of Health (Physiotherapy), University of Canberra, Bruce, ACT 2617, AustraliaFaculty of Health (Physiotherapy), University of Canberra, Bruce, ACT 2617, AustraliaFaculty of Health (Physiotherapy), University of Canberra, Bruce, ACT 2617, AustraliaDepartment of Pharmacy, King’s College London, London WC2R 2LS, UKRoyal Melbourne Hospital, University of Melbourne, Parkville, VIC 3050, AustraliaFaculty of Health (Pharmacy), University of Canberra, Bruce, ACT 2617, AustraliaBackground: Vaccine pharmacovigilance is at the forefront of the public eye. Shoulder Injuries Related to Vaccine Administration (SIRVA) is a poorly understood Adverse Event Following Immunisation, with iatrogenic origins. Criteria for medicolegal diagnosis of SIRVA is conflicting, current literature and educational materials are lacking, and healthcare practitioner knowledge of the condition is unknown. Methods: A cross-sectional, convenience sampled survey, utilising a validated online questionnaire assessed practitioner knowledge of SIRVA, safe injecting, and upper limb anatomy, and preferred definition for SIRVA. Results: Mean scores were moderate for safe injecting knowledge (69%), and poor for knowledge of anatomy (42%) and SIRVA (55%). Non-immunising healthcare practitioners scored significantly (<i>p</i> = 0.01, and < 0.05, respectively) higher than immunising practitioners for anatomy (2.213 ± 1.52 vs. 3.12 ± 1.50), and safe injecting knowledge (6.70 ± 1.34 vs. 7.14 ± 1.27). Only 52% of authorised vaccinators accurately selected a 40 × 20 mm area recommended for safe injecting. Majority (91.7%) of respondents thought nerve injuries should be included in the diagnostic criteria for SIRVA. Discussion and conclusions: Greater education and awareness of SIRVA is needed in all healthcare disciplines. Consensus regarding SIRVA definition is paramount for accurate reporting and improved future understanding of all aspects of SIRVA.https://www.mdpi.com/2076-393X/10/12/1991Shoulder Injuries Related to Vaccine AdministrationSIRVAiatrogenicanatomical knowledgeimmunisationlandmarking techniques |
| spellingShingle | Laura Jane Mackenzie Jaquelin Anne Bousie Phillip Newman Janique Waghorn John Edward Cunningham Mary-Jessimine Ann Bushell Healthcare Practitioners Knowledge of Shoulder Injury Related to Vaccine Administration (SIRVA) Vaccines Shoulder Injuries Related to Vaccine Administration SIRVA iatrogenic anatomical knowledge immunisation landmarking techniques |
| title | Healthcare Practitioners Knowledge of Shoulder Injury Related to Vaccine Administration (SIRVA) |
| title_full | Healthcare Practitioners Knowledge of Shoulder Injury Related to Vaccine Administration (SIRVA) |
| title_fullStr | Healthcare Practitioners Knowledge of Shoulder Injury Related to Vaccine Administration (SIRVA) |
| title_full_unstemmed | Healthcare Practitioners Knowledge of Shoulder Injury Related to Vaccine Administration (SIRVA) |
| title_short | Healthcare Practitioners Knowledge of Shoulder Injury Related to Vaccine Administration (SIRVA) |
| title_sort | healthcare practitioners knowledge of shoulder injury related to vaccine administration sirva |
| topic | Shoulder Injuries Related to Vaccine Administration SIRVA iatrogenic anatomical knowledge immunisation landmarking techniques |
| url | https://www.mdpi.com/2076-393X/10/12/1991 |
| work_keys_str_mv | AT laurajanemackenzie healthcarepractitionersknowledgeofshoulderinjuryrelatedtovaccineadministrationsirva AT jaquelinannebousie healthcarepractitionersknowledgeofshoulderinjuryrelatedtovaccineadministrationsirva AT phillipnewman healthcarepractitionersknowledgeofshoulderinjuryrelatedtovaccineadministrationsirva AT janiquewaghorn healthcarepractitionersknowledgeofshoulderinjuryrelatedtovaccineadministrationsirva AT johnedwardcunningham healthcarepractitionersknowledgeofshoulderinjuryrelatedtovaccineadministrationsirva AT maryjessimineannbushell healthcarepractitionersknowledgeofshoulderinjuryrelatedtovaccineadministrationsirva |