Yang Tae Un, Song Joon Young, Noh Ji Yun, Cheong Hee Jin, Kim Woo Joo
Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Infect Chemother. 2015 Mar;47(1):41-8. doi: 10.3947/ic.2015.47.1.41. Epub 2015 Mar 30.
Influenza and pneumococcal vaccinations can reduce morbidity and mortality especially in the elderly and patients with chronic medical disease. The purpose of this study was to estimate vaccination coverage of these populations in a hospital setting.
We conducted a cross-sectional, descriptive study involving adult patients admitted to a 1,000-bed teaching hospital on April 15, 2013. We ascertained the information on whether the patient had received influenza vaccination within a year prior to admission or pneumococcal vaccination by interviewing each patient.
A total of 491 eligible patients aged ≥50 years or with chronic medical illnesses were analyzed. The overall vaccination rate for influenza was 57.2%, and that of pneumococcus was 17.6% among the vaccine-eligible subjects. Influenza/pneumococcal vaccination rates of patients by disease were 62.8%/17.2% for diabetes, 53.3%/15.6% for malignancy, 67.6%/23.5% for chronic pulmonary disease, 66.7%/15.3% for chronic cardiovascular disease, 68.7%/26.9% for chronic renal disease, and 51.2%/18.6% for chronic hepatic disease. Young adult patients with chronic medical conditions were consistently less likely to receive influenza and pneumococcal vaccines irrespective of the underlying disease.
The influenza and pneumococcal vaccine coverage rates among hospitalized patients were low in South Korea. This was especially the case for young adult patients with chronic medical illnesses.
流感疫苗和肺炎球菌疫苗接种可降低发病率和死亡率，尤其是在老年人和患有慢性疾病的患者中。本研究的目的是评估医院环境中这些人群的疫苗接种率。
我们进行了一项横断面描述性研究，纳入了2013年4月15日入住一家拥有1000张床位的教学医院的成年患者。通过询问每位患者，我们确定了患者在入院前一年内是否接种过流感疫苗或肺炎球菌疫苗的信息。
共分析了491名年龄≥50岁或患有慢性疾病的符合条件的患者。在符合疫苗接种条件的受试者中，流感疫苗的总体接种率为57.2%，肺炎球菌疫苗的接种率为17.6%。按疾病分类的患者流感/肺炎球菌疫苗接种率分别为：糖尿病患者62.8%/17.2%，恶性肿瘤患者53.3%/15.6%，慢性肺病患者67.6%/23.5%，慢性心血管疾病患者66.7%/15.3%，慢性肾病患者68.7%/26.9%，慢性肝病患者51.2%/18.6%。患有慢性疾病的年轻成年患者无论潜在疾病如何，始终不太可能接种流感疫苗和肺炎球菌疫苗。
韩国住院患者的流感疫苗和肺炎球菌疫苗接种率较低。患有慢性疾病的年轻成年患者尤其如此。
