Immunization rates and vaccine beliefs among patients with inflammatory bowel disease: an opportunity for improvement.

摘要: BACKGROUND Immunosuppressive agents used to treat inflammatory bowel disease (IBD) can increase the risk for infections, several of which are preventable through vaccination. Our study aimed describe vaccine utilization by immunosuppression status, examine reasons refusal, and identify characteristics associated with lack influenza vaccination in patients IBD. METHODS We administered an online survey between February 2012 April internet-based cohort IBD Crohn's Colitis Foundation America Partners program. RESULTS During this time, 958 individuals completed survey. The median age was 45, 72.8% were female, 62.0% had disease. Self-reported rates low. Those on (n = 514) more likely be counseled avoid live vaccines (P < 0.01). However, counseling low (3.5%-19.1% various vaccines). Among 776 who received vaccine, maintaining health (74.1%), importance prevention (66.1%), provider recommendation (38%) most frequently cited motivations. Factors included lower education level 0.01), younger 0.02), no chronic use Five hundred seventy (59.5%) thought that responsible keeping track their vaccines, whereas 428 (44.7%) placed responsibility gastroenterologist 595 (62.1%) primary care physician. CONCLUSIONS Vaccine remains suboptimal Educational interventions may clarifying misconceptions. Gastroenterologists play a active role maintenance receive or avoid.