Reich Jason S, Miller Hannah L, Wasan Sharmeel K, Noronha Ansu, Ardagna Eileen, Sullivan Kathleen, Jacobson Brian, Farraye Francis A
Dr Reich is a resident; Dr Miller, Dr Wasan, and Dr Noronha are assistant professors of medicine; Ms Ardagna is a nurse; Ms Sullivan is a nurse practitioner; Dr Jacobson is an associate professor of medicine; and Dr Farraye is a professor of medicine at Boston Medical Center in Boston, Massachusetts.
Gastroenterol Hepatol (N Y). 2015 Jun;11(6):396-401.
Patients with inflammatory bowel disease (IBD) are at an increased risk for vaccine-preventable illnesses, such as pneumococcal pneumonia and influenza. We hypothesized that a patient-directed educational program would increase vaccination rates of patients with IBD. We developed a written educational form that was given to all patients over a 15-month period. The form included information about the importance of vaccination and asked patients about their vaccination status. If patients indicated that they were not vaccinated, they were offered a vaccination at the time of their visit. For influenza, the vaccination rates during 3 seasons were compared. For pneumococcal pneumonia, the vaccination rates during a 6-month period before the introduction of the educational program and the rates during the 15-month period after implementation of the intervention were compared. Our form increased the percentage of patients who reported having an influenza vaccination (23% vs 47%; P<.001) and the percentage of patients who reported having a pneumococcal pneumonia vaccination (21% vs 32%; P<.001). We concluded that a simple written educational form designed to assess vaccination status and enable providers to offer same-day influenza and pneumococcal pneumonia vaccinations resulted in a significant increase in influenza and pneumococcal pneumonia vaccination rates among patients in an IBD specialty clinic.
炎症性肠病（IBD）患者罹患疫苗可预防疾病的风险增加，如肺炎球菌肺炎和流感。我们假设一项针对患者的教育项目会提高IBD患者的疫苗接种率。我们制定了一份书面教育材料，并在15个月的时间里分发给所有患者。该材料包含了疫苗接种重要性的信息，并询问患者的疫苗接种状况。如果患者表示未接种疫苗，会在其就诊时为其提供接种服务。对于流感，比较了三个季节的疫苗接种率。对于肺炎球菌肺炎，比较了引入教育项目前6个月的疫苗接种率和实施干预措施后15个月的疫苗接种率。我们的材料提高了报告接种流感疫苗的患者比例（23%对47%；P<0.001）以及报告接种肺炎球菌肺炎疫苗的患者比例（21%对32%；P<0.001）。我们得出结论，一份旨在评估疫苗接种状况并使医护人员能够提供当日流感和肺炎球菌肺炎疫苗接种服务的简单书面教育材料，使IBD专科诊所患者的流感和肺炎球菌肺炎疫苗接种率显著提高。
