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• W2080346274 abstract "Étudier la couverture vaccinale anti-pneumococcique des sujets âgés hospitalisés et l’impact de deux actions visant à améliorer cette couverture. Nous avons mené une étude prospective descriptive de novembre 2009 à août 2010 incluant tout nouveau patient âgé de 75 ans et plus admis en unité de court séjour gériatrique et résidant dans le Val-de-Marne. Elle rapportait trois périodes successives de trois mois évaluant l’incidence de la vaccination dans les mois suivant la sortie de l’hospitalisation : période I : période témoin ; période II : notification de l’indication à la vaccination dans le compte rendu d’hospitalisation à l’attention du médecin traitant ; période III : vaccination systématiquement proposée dans le service. L’indication à la vaccination anti-pneumococcique concernait 139 patients (61,2 %), parmi les 227 questionnaires analysés : la principale indication était l’insuffisance cardiaque pour 105 patients (75,5 %). Vingt-quatre patients étaient déjà vaccinés (couverture de 17,2 %). Aucune vaccination n’était rapportée dans les trois mois sur les 33 patients ayant une indication en période I. La sensibilisation du médecin traitant n’a permis de vacciner qu’un seul patient parmi 37. La proposition de vaccination dans le service a permis d’atteindre un taux de couverture vaccinale de 84,5 % (38 patients sur 45). La vaccination anti-pneumococcique est souvent indiquée chez le sujet âgé mais elle est peu pratiquée. Notre méthode de sensibilisation du médecin traitant a été insuffisante pour améliorer la couverture, contrairement à une proposition de vaccination plus codifiée au cours de l’hospitalisation. To study pneumococcal immunization coverage in older patients in hospital, and the impact of two actions aiming at improving this coverage. We reported a prospective and descriptive study conducted from November 2009 to August 2010, including all new patients ≥ 75 years old received in a geriatric short-stay department and residing in Val-de-Marne, France. This study was performed in three successive three-month periods, to assess the vaccination coverage in the months following hospital release. Period I was the reference; Period II included an awareness campaign of general practitioners relying on the hospitalization discharge report, containing an indication for the vaccination; Period III consisted in a systematic proposal of vaccination by the geriatric hospital department. Indication for pneumococcal vaccination has been given to 139 patients (61.2%) in 227 processed questionnaires. The main indication was heart failure for 105 patients (75.5%). Twenty-four patients were already vaccinated (17.2%). No vaccination was reported in the three months following period I in 33 included patients. The awareness campaign targeting regular doctors resulted in only one vaccination out of 37 patients. Immunization coverage in the department had reached 84.5% of inoculation (38 of 45 patients). Pneumococcal vaccination is often prescribed in elderly patients but generally not executed. The awareness campaign did not result in a big enough immunization coverage improvement, compared to a codified proposal of vaccination during hospital stay." @default.
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• W2080346274 date "2015-04-01" @default.
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• W2080346274 title "Amélioration de la couverture vaccinale anti-pneumococcique chez le sujet âgé" @default.
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• W2080346274 doi "https://doi.org/10.1016/j.revmed.2014.05.022" @default.
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