Missed opportunities to vaccinate a cohort of hospitalised elderly with pneumococcal and influenza vaccines.

作者: Susan A. Skull , Ross M. Andrews , Graham B. Byrnes , Heath A. Kelly , Terence M. Nolan

DOI: 10.1016/J.VACCINE.2007.04.082

关键词: Risk factorInfluenza vaccineCohortPneumococcal vaccinePediatricsVaccination policyCohort studyVaccinationMedicineImmunologyPneumonia

摘要: This study examines missed opportunities for recommended influenza vaccine and 23-valent pneumococcal (23vPPV) among hospitalised elderly persons. 4772 inpatients aged ≥65 years (cases of pneumonia frequency-matched randomly selected cohort subjects) participated from two large tertiary Australian hospitals. For subjects unvaccinated with (past year), 1110/1115 (99.6%) had visited either a doctor (99.4%, mean 11.2 visits) or the same hospital (52.0%, 1.5 visits). those 23vPPV 5 years), 1809/1813 (99.8%) (99.7%, (51.5%, times) in past year; 71% been admitted to (mean 3.4 times). 2.3% all vaccination status recorded. No subject was vaccinated during admission, despite approximately 40% reporting acceptability if offered. Previous hospitalisation risk factor being unvaccinated. Barriers implementation current policy setting require formal evaluation Australia.

参考文章(31)
Mary Beth Grimm, Kristin Nichol, Byron J. Crouse, Diane C. Peterson, Hospital-based strategies for improving influenza vaccination rates. Journal of Family Practice. ,vol. 38, pp. 258- 261 ,(1994)
Nigel C Weightman, Anthony Walters, Missed opportunities in vaccination of patients with subsequent pneumococcal bacteraemia. British Journal of General Practice. ,vol. 53, pp. 547- 549 ,(2003)
Gerald L. Mandell, R. Gordon Douglas, John E. Bennett, Principles and Practice of Infectious Diseases ,(1985)
M. H. Kyaw, P. Christie, S. C. Clarke, J. D. Mooney, S. Ahmed, I. G. Jones, H. Campbell, Invasive Pneumococcal Disease in Scotland, 1999–2001: Use of Record Linkage to Explore Associations between Patients and Disease in Relation to Future Vaccination Policy Clinical Infectious Diseases. ,vol. 37, pp. 1283- 1291 ,(2003) , 10.1086/379016
Dale W. Bratzler, Peter M. Houck, Hui Jiang, Wato Nsa, Claudette Shook, Lori Moore, Lisa Red, Failure to Vaccinate Medicare Inpatients: A Missed Opportunity JAMA Internal Medicine. ,vol. 162, pp. 2349- 2356 ,(2002) , 10.1001/ARCHINTE.162.20.2349
Susan A. Skull, Ross M. Andrews, Graham B. Byrnes, Heath A. Kelly, Terence M. Nolan, Graham V. Brown, Donald A. Campbell, Prevention of community-acquired pneumonia among a cohort of hospitalized elderly: Benefit due to influenza and pneumococcal vaccination not demonstrated Vaccine. ,vol. 25, pp. 4631- 4640 ,(2007) , 10.1016/J.VACCINE.2007.03.015
Richard Kent Zimmerman, Mary Patricia Nowalk, Inis J Bardella, Michael J Fine, Janine E Janosky, Tammy A Santibanez, Stephen A Wilson, Mahlon Raymund, Physician and practice factors related to influenza vaccination among the elderly. American Journal of Preventive Medicine. ,vol. 26, pp. 1- 10 ,(2004) , 10.1016/J.AMEPRE.2003.09.020
Moe H Kyaw, Carolyn M Greene, William Schaffner, Susan M Ray, Miriam Shapiro, Nancy L Barrett, Ken Gershman, Allen S Craig, Angela Roberson, Elizabeth R Zell, Anne Schuchat, Nancy M Bennett, Cynthia G Whitney, Active Bacterial Core Surveillance Program of the Emerging Infections Program Network, Adults with invasive pneumococcal disease: missed opportunities for vaccination. American Journal of Preventive Medicine. ,vol. 31, pp. 286- 292 ,(2006) , 10.1016/J.AMEPRE.2006.06.007
Paul R. Dexter, Susan Perkins, J. Marc Overhage, Kati Maharry, Richard B. Kohler, Clement J. McDonald, A computerized reminder system to increase the use of preventive care for hospitalized patients. The New England Journal of Medicine. ,vol. 345, pp. 965- 970 ,(2001) , 10.1056/NEJMSA010181