Should Patients With COPD Be Vaccinated?
Exacerbations of COPD are a major component of the socioeconomic burden related to COPD, and frequent exacerbations are associated with greater decline in health status. Tracheobronchial infections are involved in 50-70% of exacerbations, so influenza and pneumococcal vaccines are recommended for pr...
| Publicado en: | Respiratory Care Vol. 60; no. 2; pp. 239 - 244 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Feb2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103751049&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103751049 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Feb2015 vid: 60 iid: 2 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 103751049 100710256 10.4187/respcare.03350 NLM25316894 103751049 ppf: 239 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Should Patients With COPD Be Vaccinated? aug: au: Cimen, Pinar Unlu, Mehmet Kirakli, Cenk Katgi, Nuran Demirci Ucsular, Fatma Ayranci, Aysu Zeki Guclu, Salih affil: Pulmonary Division, Izmir Training and Research Hospital for Thoracic Medicine and Surgery, Yenişehir, Izmir, Turkey. sug: subj: Pulmonary Disease, Chronic Obstructive Classification Influenza Vaccine Therapeutic Use Pneumococcal Vaccine Therapeutic Use Health Knowledge Outcomes (Health Care) Human Descriptive Statistics Female Male Middle Age Aged Prospective Studies Data Analysis Software Pearson's Correlation Coefficient Educational Status Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Exacerbations of COPD are a major component of the socioeconomic burden related to COPD, and frequent exacerbations are associated with greater decline in health status. Tracheobronchial infections are involved in 50-70% of exacerbations, so influenza and pneumococcal vaccines are recommended for prevention. The aim of this study was to determine the level of knowledge among COPD patients about the vaccines, find the rate of patients inoculated with both influenza and pneumococcal vaccines, and assess the effectiveness of vaccination status. METHODS: Patients with COPD were recruited from the out-patient clinic of our hospital between September and October 2012. Subject demographic data such as age, gender, level of education, and smoking status were recorded. Vaccination status, number of subjects who were informed by a health-care professional about immunization, and COPD-related emergency or hospital admissions triggered by tracheobronchial infections over 1 y after administration of both influenza and pneumococcal vaccines were noted. RESULTS: Eighty-eight subjects were enrolled during the study period. Eighty-two subjects were male (93.2%), 6 subjects were female (6.8%), and the median age was 61.5 y. According to Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2006 classification, 5 subjects were in stage 1 (5.7%), 22 subjects were in stage 2 (25%), 34 subjects were in stage 3 (38.6%), and 27 subjects were in stage 4 (30.7%). Sixty-two subjects had graduated from primary school (70.5%), 21 subjects had graduated from high school (23.9%), one subject had graduated from university (1.1%), and 4 subjects had no education (4.5%). Forty-five subjects (51%) were vaccinated. There was no significant correlation between level of education and vaccination status (P = .37). Both COPD-related emergency department and hospital visits were significantly decreased in vaccinated patients with COPD (P < .001 and P = .02, respectively). Of all the subjects, 39.7% (35 of 88 subjects) mentioned that no health-care professional recommended vaccination. CONCLUSIONS: Physicians should be more aware of vaccination and recommend both influenza and pneumococcal vaccines to all patients with COPD to reduce exacerbations. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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