Adults with invasive pneumococcal disease: missed opportunities for vaccination.
作者： Moe H Kyaw , Carolyn M Greene , William Schaffner , Susan M Ray , Miriam Shapiro
DOI: 10.1016/J.AMEPRE.2006.06.007
关键词:
摘要: Background The pneumococcal polysaccharide vaccine (PPV) can prevent invasive disease (IPD) in the elderly and those with certain underlying illnesses. However, uptake remains suboptimal. Identification of missed opportunities for vaccination could guide new strategies improving uptake. Missed were defined as one or more visits to a hospital, emergency room (ER), main provider 2 years before infection among unvaccinated, adult IPD case–patients indication. Methods Adults aged 18 older identified six Active Bacterial Core surveillance/Emerging Infections Program Network sites during 1-year period 2001 2003. Using chart review, patient/proxy interview, questionnaire, questionnaires from additional providers, data collected on demographics, indications, status, recent healthcare encounters. Results A total 1878 cases enrolled, 83% had Of 1177 indication sufficient information encounters, 617 (52%) unvaccinated. these, 566 (92%) vaccination, 54% hospitalized, 58% ER visits, 76% visited their illness. number providers (median=6) was higher than hospitalizations (median=1), (median=1). Conclusions One documented nearly all unvaccinated Most multiple times. Implementation systematic PPV programs outpatient settings will likely increase high-risk adults.
elsevier.com
sci-hub.se 参考文章(27)
Abigail Shefer, David P Hopkins, Serigne M Ndiaye, Bayo C Willis, Task Force on Community Preventive Services, Improving influenza, pneumococcal polysaccharide, and hepatitis B vaccination coverage among adults aged <65 years at high risk: a report on recommendations of the Task Force on Community Preventive Services. Morbidity and Mortality Weekly Report. ,vol. 54, pp. 1- 11 ,(2005)
Stella M. Yu, Healthy People 2010. Maternal and Child Health Journal. ,vol. 2, pp. 63- 66 ,(1998) , 10.1023/A:1021801927353
Cherie A. Noe, Lawrence J. Markson, PNEUMOCOCCAL VACCINATION : PERCEPTIONS OF PRIMARY CARE PHYSICIANS Preventive Medicine. ,vol. 27, pp. 767- 772 ,(1998) , 10.1006/PMED.1998.0393
Gregory A Poland, Abigail M Shefer, Mary McCauley, Peggy S Webster, Patricia N Whitley-Williams, Georges Peter, Standards for adult immunization practices American Journal of Preventive Medicine. ,vol. 25, pp. 144- 150 ,(2003) , 10.1016/S0749-3797(03)00120-X
Tammy A Mieczkowski, Stephen A Wilson, Adult pneumococcal vaccination: a review of physician and patient barriers. Vaccine. ,vol. 20, pp. 1383- 1392 ,(2002) , 10.1016/S0264-410X(01)00463-7
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
Jane E. Sisk, William Whang, Jay C. Butler, Vishnu-Priya Sneller, Cynthia G. Whitney, Cost-Effectiveness of Vaccination against Invasive Pneumococcal Disease among People 50 through 64 Years of Age: Role of Comorbid Conditions and Race Annals of Internal Medicine. ,vol. 138, pp. 960- 968 ,(2003) , 10.7326/0003-4819-138-12-200306170-00007
David S. Fedson, Hospital-based pneumococcal immunization: epidemiologic rationale from the Shenandoah study. JAMA. ,vol. 264, pp. 1117- 1122 ,(1990) , 10.1001/JAMA.1990.03450090053024
David S. Fedson, Influenza and pneumococcal immunization strategies for physicians. Chest. ,vol. 91, pp. 436- 443 ,(1987) , 10.1378/CHEST.91.3.436
Thomas C Rushton, Rama Ganguly, John T Sinnott IV, Madhabi Banerji, None, Barriers to immunization--an examination of factors that influence the application of pneumococcal vaccine by house staff. Vaccine. ,vol. 12, pp. 1173- 1179 ,(1994) , 10.1016/0264-410X(94)90239-9