Fedson D S
Infect Control. 1982 Jul-Aug;3(4):303-8. doi: 10.1017/s0195941700056381.
Many patients hospitalized for or dying of pneumococcal bacteremia have been discharged from a hospital within the previous five years. In addition to age and underlying medical condition, previous hospital care, particularly for high risk conditions, is a useful marker for identifying individuals who are destined to develop serious pneumococcal infections. Relatively few patients, especially those with high risk conditions, would need to receive pneumococcal vaccine at the time of hospital discharge to prevent, within the next five years, each subsequent readmission or death from pneumococcal pneumonia. Although pneumococcal vaccine has not been widely used in the hospital setting, there are sound epidemiologic reasons to expect that organized programs for vaccine delivery in hospitals would be an effective approach to preventing many serious pneumococcal infections.
许多因肺炎球菌菌血症住院或死亡的患者在过去五年内曾从医院出院。除年龄和基础医疗状况外，既往的医院护理，尤其是针对高危状况的护理，是识别注定会发生严重肺炎球菌感染个体的有用指标。相对较少的患者，尤其是那些有高危状况的患者，需要在出院时接种肺炎球菌疫苗，以预防未来五年内随后因肺炎球菌肺炎导致的每次再入院或死亡。尽管肺炎球菌疫苗在医院环境中尚未广泛使用，但基于合理的流行病学原因，可以预期在医院开展有组织的疫苗接种项目将是预防许多严重肺炎球菌感染的有效方法。
