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Knowledge that was gained from the article?
I thought both of these articles were very interesting! I learned that just the 9 strains of HPV that are covered in the vaccine are responsible for 90% of anal cancer in males and females. I was surprised how many strains of HPV that exist (more than 150) and I didn’t know that the HPV molecules get caught up in the smoke from OR procedures.What other questions does this article raise?
Since OR staff have been infected with HPV from procedures on infected patients, this means it can be caught airborne. Inhalation of aerosolized viral material as the article states causes oropharyngeal disease so is there any risk to the community of infected people spreading it by smoking??
Protecting health care workers is a good idea but we probably need to be concerned with more of the population than that.Do I agree or disagree
I agree that we need to look into these questions further and do more studies on this topic. I think these article raise a several questions that need further research.I agree with Jeff about the potential need to vaccinate adults older than 45 since a large portion of the over 40 crowd probably has not ever received the vaccine because it came out after they were over the recommendation age for the injection.
I like the point Greg made about the difficulties that exist in our ability “as adult oncology nurses” to impact the community at large with impactful education since the information pertains to most patients children or grandchildren. The schools and public health areas would be more impactful. One thing we might be able to do as a cancer research organizati8on is provide handouts to the schools for the students and to community organizations that is evidence based and help these organizations to get the word out but helping to provide the education.
Jeff
It would make sense for HPV vaccines to be offered with sex education. Then parents could fill out one form to approve or deny the education and the vaccine.
However, I remember reading that one reason parents aren’t getting their kids the HPV vaccine is because they think it would make their children be more promiscuous since it is an STD vaccine. Perhaps a school would separate the HPV vaccine from sex education classes to focus instead on cancer prevention. AS you mentioned, with current views on vaccines I think this approach might work better. Ultimately it would be up to the school district.As far as lung cancer and vaccines, I was happy to hear that Cuba started a clinical trial for a vaccine targeting epidermal growth factor (EGF) in Non-small-cell lung cancer (NSCLC):
https://pubmed.ncbi.nlm.nih.gov/20387330/Holly the article you shared was really interesting especially reading that reoccurrence was less likely with patient’s that are already vaccinated. Shawver.25 I agree, I wonder if there is just a lack of research for people older than 45.
Greg
I agree with the point that you made about the updated 2014 HPV vaccine covers 9 strains now further increasing the importance of the vaccine. This shows how we are constantly innovating and trying to keep our vaccines updated. However, I also agree trying to share this information is difficult with our current patients due to the age gap.1. What was the knowledge gained from the article?
Occupational Exposure article.
This article just confirmed what I suspected from working in Derm and cauterizing skin cancer and lesions. The smoke was horrible, I would properly mask if I had free hands to put one on but that was not always possible. Many co0workers didn’t give it a 2nd thought. The MD never masked and always responded to my comments he probably would have cancer later in life from it.HPV Knowledge/ Rebecca Hoover article:
They want more people to take the vaccination and are blaming the fact that many are choosing not to because they are not well informed.2. Will the research/information in this article change or influence your practice? If so how?
IF, I am around cautery, I will mask w/ an N95 and not just a surgical mask.
3. What other questions does the article raise about current practice?
Why is masking is not required when using cautery, unless that has recently changed. Common sense should have told people that breathing in that smoke or any other kind of smoke involves risks.
HPV Knowledge/ Rebecca Hoover article:
Are we educating on how to promote overall health? How to support our immune system so it functions at it maximum potential?
4. Do you agree/disagree with the conclusions of the author, why?
I am not so convinced the vaccine is safe from what research I have read and the personal testimonies I have heard. Not sure if they can absolutely state the benefits outweigh the risks. Healthcare workers may have disease associated w/ exposure to HPV but they may have already had other risks to start with. I would definitely read the actual studies and not just go by what someone else is saying the studies said.HPV Knowledge/ Rebecca Hoover article:
I do not agree at all – I am so tired of hearing that people are making decisions because they just are not informed or educated enough. Actually, I am starting to realize that they are making decisions because they are so much more informed and educated on the subject than most that just believe what they are told without any thought or research on their own. So the “non-vaxers” which are being so shamed these days actually make their decisions based on research they read for themselves AND actually think about on their own. The shamers should be the ashamed. I am not sure how all the sudden it is okay to be so judgmental of others’ personal views and choices.
I worked Head and neck and I know what HPV cancer is like and I work gyn/onc now and I know what that cancer is like and I still support those that choose not to vax IF I am sure they are making an informed decision.
We were designed with phenomenal immune systems and we should ALL be more informed about its function, natural abilities and how to support and maintain rather than always rely on man-made/ synthetics for our health. Sometimes we need a little help but to the extent that we are being told we do these days.Holly – It always seems to come down to $ more than actual health! As far as getting an updated version, your immune system recognizes different strains of viruses so you don’t have to have vax or antibodies for every single one you may encounter.
Shawver.25 and those talking about getting vaccinated at school –
I don’t think that is the appropriate setting to be vaccinating kids. That responsibility should not be put on school and left to the medical professionals. How can they properly educate and answer questions? Then there is risk of reaction they would be responsible for managing. If they want it they should be getting it from their doctor.Thanks Katie, this was an interesting topic.
What was the knowledge gained from the article?
OCCUPATIONAL EXPOSURE TO HPV AND VACCINATION FOR HEALTH CARE WORKERS
-I had never even considered occupational exposure to HPV. It does make sense, but I guess and had never thought of it. I was surprised to see that there are at least 4 case reports of occupational exposure, associated and resulting in illness to the providers. I was happy to see there are federal regulations and guidelines in place to reduce the risks from surgical smoke. Also the encouragement of the HPV vaccine.HPV KNOWLEDGE AND EDUCATION: REPORT ON VACCINATION DATA FROM A NATIONAL HEALTH TRENDS SURVEY
-I was unaware that the CDC extended the recommendation for the vaccine to include men and women 27-45 years. I also thought it interesting and great that in other countries children are being vaccinated in schools.What other questions does the article raise about current practice?
-It makes me wonder why the U.S. does not consider offering these vaccines, and possibly others, in a school setting. It would be beneficial to children who are not able to follow with their pediatricians as recommended.Do you agree/disagree with the conclusions of the author, why?
HPV KNOWLEDGE AND EDUCATION: REPORT ON VACCINATION DATA FROM A NATIONAL HEALTH TRENDS SURVEY
-I agree that there is a lack of knowledge and multiple barriers that need addressed to increase vaccination rates and that continuing to educate people in different facets will help to increase vaccine rates.Greg- That would be a great idea for the vaccines to be offered with sex ed. Unfortunately there are people who withhold their children from this, but for those who do not it could be an opportunity for some children to receive the vaccine that otherwise would not be able to.
Holly-Thank you for sharing the info on the study you did in the voice and swallow clinic. People vaccinated that already had HPV reduced recurrence and need for surgery. Shows the justification to just go ahead and vaccinate regardless of HPV status.
What was the knowledge gained from the article?
“There has been little to no growth in HPV knowledge in the general population in the United States from 2005 to 2018.”
“In 2010, oropharyngeal cancers surpassed cervical cancer as the most common HPV-associated cancer.”
As a chemotherapy nurse, I hadn’t given much thought to the occupational risk that some health care workers have with treating HPV patients.Will the research/information in this article change or influence your practice? If so how? I will educate whom ever will listen about the HPV vaccine. I agree with others it’s difficult to educate adults about the HPV vaccines since the target group are children and young adults. Although there are still individuals in our community who’ve had a small number of sexual partners so this education would still be beneficial to them.
What other questions does the article raise about current practice?
I agree with the others in that providers in the surgical settings should wear a N95 or another means to protect themselves from the virus.
I was discussing this article with colleague who’s worked with derm and she said N95’s were worn during the cauterization of a wart, because of the HPV exposure. So is a N95 not protection enough?
How much does the vaccine cost? Would our health department administer the vaccine to those that 27–45 years?Do you agree/disagree with the conclusions of the author, why?
“The degree to which this exposure increases disease risk is uncertain and likely challenging to estimate accurately.”
I disagree with this statement because those doctors that are cauterizing HPV associated illness day in and day out would have a greater risk of exposure than someone who workers in other areas of medicine.blackwell- please share what you’ve heard in regards to the vaccine being unsafe. Have you heard personal testimonies? When I pulled the vaccine up on the CDC website it states the vaccine is very safe. Thank you for your input. I love hearing from other nurses I feel like I have a narrow point of view working with just breast cancer patients and not general oncology patients.
What was the knowledge gained from the article?
I found it very interesting and quite alarming that HPV was being transmitted to health care workers in on surgical cases associated with surgical smoke from patients who have HPV virus. I also learned that the original HPV vaccine approved in 2006 only covered 4 strains and the new one in 2014 covers 9 strains.
What other questions does the article raise about current practice?
I have a couple of questions from each article. First being, what have we done since the 2018 study in the 4 areas to increase vaccine compliancy. I.E. (missed clinical opportunities, increasing parents acceptance of vaccination, maximize access to vaccine, and global uptake)
Second being, I’d be curious of staff- willingness to receive HPV vaccine working in treating HPV associated conditions.
Do you agree/disagree with the conclusions of the author, why?
I do agree with the sentiment that proper education needs to be taught regarding vaccinations and that taking those opportunities to educate should be taken. I feel like many times people get their information from the wrong sources these days (i.e. social media) regarding such important topics.
karafa-I agree schools could be an easy measure to use to increase vaccine status, however, I just feel like the push back would be so huge. Even if it’s voluntary and given with signed consents, after this last year and half and aversions to simple measures to prevent the spread of covid, I feel like the pushback would be huge.
hsu-did your sons school offer the covid vaccine?
smith- that is so cool your old unit did a study and found it reduces the risk of reoccurence!
What was the knowledge gained from the article?
I learned that procedures that eliminate HPV can actually be an occupational hazard for those in “at risk areas.” I was stunned to learn that HPV when cauterized can actually be aerosolized and spread to healthcare workers in close proximity to the procedure. Also, I was unaware that the Gardasil vaccine now covers 9 common cancer causing HPV variants. I realized I myself am a little behind in HPV information and resources.What other questions does the acritical rise about current practices?
I am curious now as to what other ways HPV is spread. If HPV is aerosolized when being cauterized does other factors such as vaping and smoking spread HPV? I am also curious as to why age 45 is the cut off age for the Gardasil vaccine. I assume more research is focused on the preventable younger population but we still see people over the age of 45 with HPV induced oral cancers. Also, as mentioned in the discussion, OSU has conducted research that concluded those with the HPV vaccine had less reoccurrence than those who did not have the Gardasil vaccine. Could offering the vaccine at a later age offer a different age group benefits?Will the research/information in this article change or influence your practice?
If so how?
The information in the articles encourages me to advocate more for oncology prevention. I will particularly pay close attention to teachable moments I have with patients that arise around the Gardasil Vaccine and HPV prevention and share my information. Not only will I pay attention to teachable moments but I also realize that HPV research continues to expand resulting in me needing to keep current with up-to-date research. Also, I will continue to protect myself during cauterizing procedures and wear and N95.
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