Missed opportunities to vaccinate a cohort of hospitalised elderly with pneumococcal and influenza vaccines

Susan Anne Skull, Ross Andrews, G Byrnes, H Kelly, Terry Nolan, Graham Brown, Donald Campbell

    Research output: Contribution to journalArticle

    Abstract

    This study examines missed opportunities for recommended influenza vaccine and 23-valent pneumococcal vaccine (23vPPV) among hospitalised elderly persons. 4772 inpatients aged ?65 years (cases of pneumonia and frequency-matched randomly selected cohort subjects) participated from two large tertiary Australian hospitals. For subjects unvaccinated with influenza vaccine (past year), 1110/1115 (99.6%) had visited either a doctor (99.4%, mean 11.2 visits) or the same hospital (52.0%, mean 1.5 visits). For those unvaccinated with 23vPPV (past 5 years), 1809/1813 (99.8%) had visited either a doctor (99.7%, mean 11.2 visits) or the same hospital (51.5%, mean 1.5 times) in the past year; 71% had been admitted to the same hospital in the past 5 years (mean 3.4 times). 2.3% of all subjects had vaccination status recorded. No unvaccinated subject was vaccinated during admission, despite approximately 40% reporting acceptability of vaccination if offered. Previous hospitalisation was a risk factor for being unvaccinated. Barriers to implementation of current vaccination policy in the hospital setting require formal evaluation in Australia. � 2007 Elsevier Ltd. All rights reserved.
    Original languageEnglish
    Pages (from-to)5146-5154
    Number of pages9
    JournalVaccine
    Volume25
    Issue number28
    Publication statusPublished - 2007

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    Skull, S. A., Andrews, R., Byrnes, G., Kelly, H., Nolan, T., Brown, G., & Campbell, D. (2007). Missed opportunities to vaccinate a cohort of hospitalised elderly with pneumococcal and influenza vaccines. Vaccine, 25(28), 5146-5154.