New opportunity for vaccinating older people: well-child clinic visits.

摘要: Background: Streptococcus pneumoniae causes considerable morbidity and mortality in the elderly. As aging of population is making health elderly a universal priority, preventive measures, such as vaccination, will become increasingly important. Methods:  We designed prospective interventional study to determine whether recommendations vaccinate grandparents children attending well-child clinics would increase pneumococcal vaccination rate Children younger than 5 years age, university clinic from 1 May 31 September 2008 who had over 65 age were eligible. A survey including questions about demographic characteristics children, their parents was carried out by face-to-face interview with parents. High-risk medical conditions history also noted benefits necessity (23vPPV) for emphasized. Four months later these families contacted this intervention increased rates elderly. Results:  Information obtained 938 545 children. Before interview, among all grandparents, only 0.9% vaccinated 23vPPV. after intervention, immunization coverage 19.1%. The sex grandchild (OR: 1.99) previous hepatitis B or influenza 2.73) significant parameters accounting higher rates. Conclusion:  Reminding vaccines could be an opportunity field.