Polis M A, Smith J P, Sainer D, Brenneman M N, Kaslow R A
National Institute of Allergy and Infectious Diseases, Bethesda, MD 20892.
Arch Intern Med. 1987 Nov;147(11):1999-2001.
Immunization of adults has been deficient in the United States. According to interviews conducted during their visits to an emergency room, only 20.1% of 350 patients who fit into high-risk categories for immunization had heard of pneumococcal vaccine, whereas 82.7% had heard of influenza vaccine. Only 8.6% and 47.8%, respectively, had ever been given pneumococcal or influenza vaccine. Previous pneumococcal vaccination was six times more common (10.3% vs 1.6%) and prior influenza vaccination twice as common (52.7% vs 25.4%) in the respondents who could identify a primary care provider or clinic than in those who could not. Of the patients who had not received a specific vaccine, about 60% indicated that they would take pneumococcal or influenza vaccine if it was offered while they were in the emergency room setting. Offering vaccine in an emergency room setting promises to complement other approaches to immunizing adults at high risk for complications of influenza and pneumococcal infections.
在美国，成人免疫接种情况一直不足。根据对前往急诊室就诊的患者进行的访谈，在350名符合免疫接种高风险类别的患者中，只有20.1%听说过肺炎球菌疫苗，而听说过流感疫苗的比例为82.7%。分别只有8.6%和47.8%的人曾接种过肺炎球菌疫苗或流感疫苗。在能够确定初级保健提供者或诊所的受访者中，之前接种肺炎球菌疫苗的情况比无法确定的受访者普遍6倍（10.3%对1.6%），之前接种流感疫苗的情况则普遍两倍（52.7%对25.4%）。在未接种特定疫苗的患者中，约60%表示，如果在急诊室就诊时提供肺炎球菌或流感疫苗，他们会接种。在急诊室提供疫苗有望补充其他针对有流感和肺炎球菌感染并发症高风险的成人进行免疫接种的方法。
