[Improvement of pneumococcal immunization coverage in older patients]

Autor: S, Krypciak, E, Liuu, M, Vincenot, C, Landelle, P, Lesprit, M-A, Cariot, A, Mézière, E, Taillandier-Hériche, J-L, Leroux, F, Canoui-Poitrine, E, Paillaud
Jazyk: francouzština
Rok vydání: 2014
Předmět:
Zdroj: La Revue de medecine interne. 36(4)
ISSN: 1768-3122
Popis: To study pneumococcal immunization coverage in older patients in hospital, and the impact of two actions aiming at improving this coverage.We reported a prospective and descriptive study conducted from November 2009 to August 2010, including all new patients ≥75 years old received in a geriatric short-stay department and residing in Val-de-Marne, France. This study was performed in three successive three-month periods, to assess the vaccination coverage in the months following hospital release. Period I was the reference; Period II included an awareness campaign of general practitioners relying on the hospitalization discharge report, containing an indication for the vaccination; Period III consisted in a systematic proposal of vaccination by the geriatric hospital department.Indication for pneumococcal vaccination has been given to 139 patients (61.2%) in 227 processed questionnaires. The main indication was heart failure for 105 patients (75.5%). Twenty-four patients were already vaccinated (17.2%). No vaccination was reported in the three months following period I in 33 included patients. The awareness campaign targeting regular doctors resulted in only one vaccination out of 37 patients. Immunization coverage in the department had reached 84.5% of inoculation (38 of 45 patients).Pneumococcal vaccination is often prescribed in elderly patients but generally not executed. The awareness campaign did not result in a big enough immunization coverage improvement, compared to a codified proposal of vaccination during hospital stay.
Databáze: OpenAIRE