Al Ghobain Mohammed, Farahat Fayssal, Zeitouni Mohammed, Alsowayan Waleed, Al-Awfi Sultan, AlBarrak Ali, Al-Basheri Shareefah, Alhabeeb Fatmah, Alhamad Esam H
Professor of Pulmonary Medicine, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Director, Community and Public Health, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Ann Thorac Med. 2025 Jan-Mar;20(1):36-48. doi: 10.4103/atm.atm_202_24. Epub 2024 Oct 16.
Adult patients with chronic respiratory diseases (CRDs) are considered high risk group who are more likely to experience worse clinical outcomes if they acquire viral or bacterial infections. Vaccination is the best preventive tool to reduce the risk of infection and disease occurrence and to reduce the level of severity of complications associated with the various vaccine-preventable infections. These guidelines were developed by the Saudi Thoracic Society task force to emphasize the critical importance of improving the vaccine coverage rates in adult patients with CRD. They are intended to serve as a reference for healthcare practitioners managing CRD patients. The guidelines aimed to review the current knowledge related to vaccination efficacy in adult patients with CRD, based on the recent evidence and recommendations. Integrating the administration of the recommended vaccines in routine healthcare, such as during outpatient visits or before hospital discharge, is crucial for improving the vaccination rates in high-risk patients. The key strategies to address this public health priority include simplifying vaccination guidelines to enhance their accessibility and implementation by healthcare providers, increasing awareness in both the patients and healthcare providers that vaccines are not only intended for children. Additional strategies include maintaining continuous surveillance and advance research to discover novel vaccines. This approach aims to expand the range of preventable diseases and improve overall health and well-being. Vaccine hesitancy remains a significant challenge that necessitates a clear understanding of the community concerns. Providing appropriate education and communication, as well as addressing these concerns, are the crucial steps toward improving vaccine acceptance and uptake. By implementing these guidelines and multifaceted strategies, healthcare systems can optimize vaccine coverage and protection for patients with CRD, reduce the burden of vaccine-preventable complications, and improve the clinical outcomes in this vulnerable population.
患有慢性呼吸道疾病(CRD)的成年患者被视为高危群体,如果他们感染病毒或细菌,更有可能出现更差的临床结果。接种疫苗是降低感染风险和疾病发生率以及降低与各种疫苗可预防感染相关并发症严重程度的最佳预防工具。这些指南由沙特胸科学会特别工作组制定,以强调提高CRD成年患者疫苗接种覆盖率的至关重要性。它们旨在为管理CRD患者的医疗从业者提供参考。这些指南旨在根据最新证据和建议,回顾与CRD成年患者疫苗接种效果相关的现有知识。将推荐疫苗的接种纳入常规医疗保健,如门诊就诊期间或出院前,对于提高高危患者的疫苗接种率至关重要。解决这一公共卫生优先事项的关键策略包括简化疫苗接种指南,以提高医疗服务提供者的可及性和实施率,提高患者和医疗服务提供者对疫苗不仅适用于儿童的认识。其他策略包括持续监测和推进研究以发现新型疫苗。这种方法旨在扩大可预防疾病的范围,改善整体健康和福祉。疫苗犹豫仍然是一个重大挑战,需要清楚了解社区的担忧。提供适当的教育和沟通以及解决这些担忧是提高疫苗接受度和接种率的关键步骤。通过实施这些指南和多方面策略,医疗系统可以优化CRD患者的疫苗接种覆盖率和保护水平,减轻疫苗可预防并发症的负担,并改善这一弱势群体的临床结果。