Influenza and pneumococcal vaccine coverage rates among adult patients admitted to "Dr. Fran Mihaljević" University hospital for infectious diseases in Zagreb

Abstract

UVOD: Cijepljenje protiv gripe i pneumokokne bolesti može smanjiti pobol i smrtnost od ovih bolesti, osobito u starijih osoba i onih s komorbiditetom i čimbenicima rizika. U Hrvatskoj ne postoji dovoljno studija o procijepljenosti odraslih protiv gripe i pneumokoka. ----- METODE I BOLESNICI: Provedeno je prospektivno istraživanje u odraslih bolesnika hospitaliziranih zbog različitih infektivnih bolesti u Klinici za infektivne bolesti „Dr. Fran Mihaljević“ u Zagrebu. Istraživanje je provedeno od 1. ožujka do 31. svibnja 2017. godine. Obavljen je jedan susret ispitivača i bolesnika pri kojemu je ispunjen standardizirani upitnik. Dodatni anamnestički podatci nadopunjeni su iz medicinske dokumentacije. ----- REZULTATI: Istraživanjem je obuhvaćeno 196 bolesnika od kojih je 154 (78,6%) imalo indikaciju za cijepljenje protiv gripe, a 119 (60,7%) za cijepljenje protiv pneumokoka. U prethodnoj sezoni 2016./2017. protiv gripe je bilo cijepljeno 35 (22,7%) bolesnika koji su imali indikaciju za cijepljenje. Od onih koji su imali indikaciju, samo 7 (5,6%) bolesnika je bilo cijepljeno protiv pneumokoka, a čak 112 (94,1%) nije bilo cijepljeno. ----- ZAKLJUČCI: Procijepljenost odraslih bolesnika protiv gripe i pneumokoka je niska i nedovoljna. Mediji i zdravstveni djelatnici bi trebali imati veću ulogu u informiranju opće populacije o mogućnosti i potrebi cijepljenja.BACKGROUND: Influenza and pneumococcal vaccinations can reduce morbidity and mortality, especially in the elderly and patients with comorbidities and risk factors. There is a lack of studies regarding influenza and pneumococcal vaccination rates among adults in Croatia. ----- MATERIAL AND METHODS: A prospective study among adult patients admitted to „Dr. Fran Mihaljević“ University Hospital for Infectious Diseases in Zagreb was performed during the period from March 1 to May 31, 2017. One interview was conducted between the examiner and each patient, during which the examiner completed the standardized questionnaire. Additional medical data were supplemented from medical records. ----- RESULTS: The study included 196 patients, of whom 154 (78.6%) had indications for influenza vaccination, and 119 (60.7%) for pneumococcal vaccination. Out of 154 patients who had the indication for vaccination, in the previous season 2016/2017 only 35 (22.7%) were vaccinated against influenza. Only 7 (5.6%) of the patients who had the indication for vaccination had been vaccinated against pneumococcus while 112 (94.1%) were not. ----- CONCLUSION: Influenza and pneumococcal vaccination rates among adults are low. Media and health professionals should play a greater role in informing the general population about the possibilites and the need for vaccination