Spruill W J, Cooper J W, Taylor W J
Am J Hosp Pharm. 1982 Nov;39(11):1904-6.
High-risk candidates in an ambulatory-care center were identified and immunized against pneumococcal pneumonia and influenza in a program coordinated by a pharmacist. Patients determined to be at increased risk for pneumococcal pneumonia were notified by letter of the vaccination program and encouraged to participate. Participants were then screened by their health-care providers to determine whether they were candidates for the vaccination. Those who received the pneumococcal pneumonia vaccine were later urged to be immunized against influenza virus. Of 1593 patients selected as possible vaccine candidates, 474 received the pneumococcal vaccine and 397 received the influenza vaccine. No confirmed cases of pneumococcal pneumonia and only one case of flu-like syndrome developed among the immunized patients. Income from the program exceeded its cost, excluding the salaries of the center's employees. Substantial savings were projected from reduced future treatment costs. The pharmacist had initiated and coordinated a successful effort to increase vaccine use and decrease morbidity.
在一个门诊护理中心，高风险人群通过药剂师协调的项目被识别出来，并接种了肺炎球菌肺炎疫苗和流感疫苗。被确定为肺炎球菌肺炎风险增加的患者通过信件得知疫苗接种项目，并被鼓励参与。然后，参与者由他们的医疗服务提供者进行筛查，以确定他们是否适合接种疫苗。那些接种了肺炎球菌肺炎疫苗的人随后被敦促接种流感病毒疫苗。在被选为可能的疫苗接种对象的1593名患者中，474人接种了肺炎球菌疫苗，397人接种了流感疫苗。在接种疫苗的患者中，没有确诊的肺炎球菌肺炎病例，只有一例类似流感的综合征。该项目的收入超过了成本，不包括该中心员工的工资。预计未来治疗成本的降低将带来大量节省。这位药剂师发起并协调了一项成功的工作，以增加疫苗的使用并降低发病率。
