Vaccinations in pneumonia (VIP): pneumococcal and influenza vaccination patterns among patients hospitalized for pneumonia

Although the CDC ACIP (Advisory Committee on Immunization Practices) recommends that appropriate inpatients receive pneumococcal and influenza vaccines, adult vaccination rates for these remain low. We therefore examined perihospitalization vaccination rates for high-risk pneumonia inpatients. A ret...

Full description

Saved in:
Bibliographic Details
Published in:Preventive medicine 2005-04, Vol.40 (4), p.384-388
Main Authors: Greci, Laura S., Katz, David L., Jekel, James
Format: Article
Language:English
Subjects:
Aged
Bacterial Vaccines - immunology
Cohort Studies
Female
Hospitalization - statistics & numerical data
Hospitals
Humans
Influenza
Influenza Vaccines - immunology
Male
Pneumococcal
Pneumococcal Infections - immunology
Pneumococcal Infections - prevention & control
Pneumonia
Pneumonia - immunology
Retrospective Studies
Streptococcus pneumoniae - immunology
Vaccination
Vaccinations
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Although the CDC ACIP (Advisory Committee on Immunization Practices) recommends that appropriate inpatients receive pneumococcal and influenza vaccines, adult vaccination rates for these remain low. We therefore examined perihospitalization vaccination rates for high-risk pneumonia inpatients. A retrospective chart review of all pneumonia patients admitted to one community hospital from 6/1/95 to 5/31/96. Vaccination history, co-morbidity, mortality, and prior and subsequent pneumonia admissions were recorded. Primary care providers and nursing homes were contacted to complete and verify vaccine histories. For 173 total admissions (160 subjects), vaccine histories were documented in the hospital chart in less than 0.5% of patients. While 97% had indications for both vaccines at the time of admission, no vaccines were given in the hospital and less than 5% had documented vaccinations during the subsequent 3 years. Despite clear indications, few patients had documented vaccination at any time. These data lend urgency to the recommendation that pneumococcal and influenza vaccines should be routinely administered to pneumonia inpatients at discharge. Furthermore, they illustrate the need for an improved method for tracking individual adult vaccinations.
ISSN:0091-7435
1096-0260
DOI:10.1016/j.ypmed.2004.06.024