title: Missed opportunities to vaccinate a cohort of hospitalised elderly with pneumococcal and influenza vaccines.
abstract: This study examines missed opportunities for recommended influenza vaccine and 23-valent pneumococcal vaccine (23vPPV) among hospitalised elderly persons. 4772 inpatients aged > or = 65 years (cases of pneumonia and frequency-matched randomly selected cohort subjects) participated from two large tertiary Australian hospitals. For subjects unvaccinated with influenza vaccine (past year), 1110/1115 (99.6%) had visited either a doctor (99.4%, mean 11.2 visits) or the same hospital (52.0%, mean 1.5 visits). For those unvaccinated with 23vPPV (past 5 years), 1809/1813 (99.8%) had visited either a doctor (99.7%, mean 11.2 visits) or the same hospital (51.5%, mean 1.5 times) in the past year; 71% had been admitted to the same hospital in the past 5 years (mean 3.4 times). 2.3% of all subjects had vaccination status recorded. No unvaccinated subject was vaccinated during admission, despite approximately 40% reporting acceptability of vaccination if offered. Previous hospitalisation was a risk factor for being unvaccinated. Barriers to implementation of current vaccination policy in the hospital setting require formal evaluation in Australia.
authors.affiliation: Department of Paediatrics, University of Melbourne, Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, Australia. saskull@unimelb.edu.au
authors.forename: Susan A
authors.initials: SA
authors.lastname: Skull
authors.forename: Ross M
authors.initials: RM
authors.lastname: Andrews
authors.forename: Graham B
authors.initials: GB
authors.lastname: Byrnes
authors.forename: Heath A
authors.initials: HA
authors.lastname: Kelly
authors.forename: Terence M
authors.initials: TM
authors.lastname: Nolan
authors.forename: Graham V
authors.initials: GV
authors.lastname: Brown
authors.forename: Donald A
authors.initials: DA
authors.lastname: Campbell
mesh_terms: D000368:Aged; D001315:Australia; D015331:Cohort Studies; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007297:Inpatients / Q000706:statistics & numerical data; D022242:Pneumococcal Vaccines / Q000008:administration & dosage*; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines; D022242:Pneumococcal Vaccines