Abstract
Aims: To determine the trend of IV and PV coverage for the at risk population comparing the years 2001 and 2010.
Methods: 1191 adults (507 in 2001 and 684 in 2010), including patients, relatives, health care workers, medical students and hospital employees, were interviewed at the hospital. They were asked about age, medical history, their knowledge about IV and PV and vaccination history. At risk population was considered according with the current national guidelines.
Results: Among the people with indications for IV, it was received by 50.1% in 2001 and 63.1% in 2010 (p < 0.001) and PV by 11.8% in 2001 and 20.7% in 2010 (p = 0.003).
The trend of vaccination rate improved significantly for few indications; for IV in health care workers (21.2% vs. 77.7%, p<0.001) and in people with hepatic comorbidity (9.4% vs. 46.1%, p=0.017) and for PV only for those with pulmonary comorbidity (17.7% in 2001 vs 51.0% in 2010, p=0.004).
Analyzing 2001 and 2010 together, IV rate was higher in retired people >65 years old included in a social security program (PAMI) consisting in intensive advertising, free delivery and administration; than in those not included in such program (62.1% vs. 46.4%, p=0.001).
Conclusions: Vaccination coverage remains low, particularly for PV. Improvement of IV and PV require better awareness, changes in clinical practice, deliver mechanisms and surveillance to assess the progress.
- © 2011 ERS