Immunization coverage among splenectomized patients: Results of an ad hoc survey in Puglia Region (South of Italy)
| Autor: | Silvio Tafuri, Michele Quarto, Cinzia Germinario, Carmen Martino, Maria Serena Gallone |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty medicine.medical_treatment Immunology Population Splenectomy Short Report Meningococcal Vaccines Medical Records Pneumococcal Vaccines 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans Immunology and Allergy 030212 general & internal medicine education Bacterial Capsules Haemophilus Vaccines Pharmacology Vaccines education.field_of_study business.industry Risk of infection Vaccination Functional asplenia Italy 030220 oncology & carcinogenesis Vaccination coverage Disease Susceptibility business |
| Zdroj: | Human Vaccines & Immunotherapeutics. 12:1277-1279 |
| ISSN: | 2164-554X 2164-5515 |
| DOI: | 10.1080/21645515.2015.1138025 |
| Popis: | Patients with anatomic or functional asplenia have a 10–50 times higher risk than general population to develop Overwhelming Post-Splenectomy Infection. Evidences are unanimous in recommending splenectomised patients to receive meningococcal, antipneumococcal and Haemophilus influenzae type B vaccinations according to a specific timing. In Italy there are no current data on the immunisation coverage in these patients. This study aims to investigate immunisation coverage in patients undergoing elective or urgent splenectomy for 2012–2013 in the 3 Apulian hospitals. The patients discharged with the code ICD-9-CM 41.5 - "Total splenectomy" were enrolled. The administration of vaccines was verified through consultation of medical records, archives of general practitioners and vaccination offices. In the study period, 166 subjects underwent splenectomy and none of them received vaccinations during hospitalization. 25 splenectomised patients (15.1%) received at least one of the recommended vaccinations. 21 patients (12.6%) received vaccine against Streptococcus pneumonia, 13 (7.8%) meningococcal vaccine, 10 patients (6%) Haemophilus influenzae type B vaccine. The low vaccination coverage could be due both to poor perception of the risk of infection and to a lack of knowledge on vaccinations by surgeons. For this reason it is necessary to draw up and share operational protocols that establish the administration of vaccines. |
| Databáze: | OpenAIRE |
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