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急性呼吸衰竭住院患者的流感和肺炎疫苗接种率。

Influenza and pneumonia vaccination rates in patients hospitalized with acute respiratory failure.

机构信息

Ataturk Chest Diseases and Surgery Education and Research Hospital, Chronic Respiratory Failure Clinic, Home Care Unit and Pulmonary Rehbailitation Center, Ankara, Turkey.

出版信息

Hum Vaccin Immunother. 2019;15(11):2606-2611. doi: 10.1080/21645515.2019.1613128. Epub 2019 Jun 3.

Abstract

: Despite their proven effect, the rates of vaccinations are low. The aim of this study was to determine the rates and associated factors of influenza and pneumonia vaccinations in patients who were hospitalized because of acute respiratory failure. Patients hospitalized because of acute hypoxemic or hypercapnic respiratory failure were recruited for this retrospective study. A survey was conducted with 97 patients. Primary diagnoses, ages, reasons of hospitalizations, education status, vaccination rates, information resources, and thoughts about vaccinations were recorded.: In total 45 (46%) of the patients were female, and 52 (54%) were male. The mean age was 67 ± 12 years. The primary diagnoses were lung disorders ( = 77, 79%), cardiac disorders ( = 16, 17%), and neuromuscular disorders ( = 5, 4%). In total 72 (74%) patients had chronic obstructive pulmonary disease (COPD) with primary lung disorders. All patients were hospitalized due to acute respiratory failure. The main reason for acute respiratory failure was infection in 40 patients (42%). The overall influenza and pneumococcal vaccination rates were 26% and 15%, respectively; for patients with COPD it was 30% and 17%, respectively. The main providers of information were doctors (42%). Vaccination status was not associated with infections or other reasons of hospitalization, age, sex, educational status, and number of hospital admissions in the previous year. A total of 51 patients (52%) had no belief in the benefits of vaccinations.: Vaccination rates were found to be low in patients who were frequently hospitalized. Vaccination status was not related with hospitalization due to infections and history of hospitalization; awareness of vaccinations should be improved both in doctors and patients.

摘要

尽管已证实其有效,但疫苗接种率仍然很低。本研究旨在确定因急性呼吸衰竭住院的患者中流感和肺炎疫苗接种的接种率及其相关因素。本回顾性研究纳入了因急性低氧血症或高碳酸血症性呼吸衰竭而住院的患者。对 97 例患者进行了一项调查,记录了主要诊断、年龄、住院原因、教育程度、接种率、信息来源以及对疫苗接种的看法。

共有 45 名(46%)患者为女性,52 名(54%)为男性。平均年龄为 67 ± 12 岁。主要诊断为肺部疾病(n=77,占 79%)、心脏疾病(n=16,占 17%)和神经肌肉疾病(n=5,占 4%)。因肺部疾病而患有 COPD 的患者共有 72 例(74%)。所有患者均因急性呼吸衰竭而住院。急性呼吸衰竭的主要原因为感染 40 例(42%)。流感和肺炎球菌疫苗接种的总体接种率分别为 26%和 15%;而 COPD 患者的接种率分别为 30%和 17%。信息的主要提供者是医生(42%)。接种状态与感染或其他住院原因、年龄、性别、教育程度以及前一年的住院次数无关。共有 51 名患者(52%)对疫苗接种的益处没有信念。

疫苗接种率在经常住院的患者中较低。接种状态与因感染和住院史而住院无关;医生和患者都应该提高对疫苗接种的认识。

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