title: [Insufficient pneumococcal vaccine coverage in adult inpatients at risk].
abstract: OBJECTIVE
  This study had for aim to assess pneumococcal vaccination rates in hospitalized patients.
  
  
  METHODS
  A prospective study was carried out in two medical wards of the Nice University Hospital, France. Patients were included from December 31, 2007 to February 12, 2008.
  
  
  RESULTS
  Hundred and thirty-seven patients, aged 62+/-20 years, were included. Pneumococcal vaccination was indicated for 62 patients (45 %). Among these 62 patients, 53 (85 %) had not been vaccinated in the previous 5 years, for the following reasons: no medical advice on vaccination (36 cases), no medical consultation in the past years (nine cases), patient opposed to vaccination (two cases), physician opposed to vaccination (one case), miscellaneous (five cases). Among the 53 patients, seven were vaccinated during their hospital stay and 13 were advised to be vaccinated by their general practitioner.
  
  
  CONCLUSIONS
  This study highlights a low rate of pneumococcal vaccination in hospitalized patients, mainly due to insufficient counseling from physicians, both in community or in hospital practice.
authors.affiliation: Service de pneumologie, oncologie thoracique et soins intensifs respiratoires, hôpital Pasteur, CHU de Nice, voie Romaine, Nice, France. karinerisso@orange.fr
authors.forename: K
authors.initials: K
authors.lastname: Risso
authors.forename: A
authors.initials: A
authors.lastname: Naqvi
authors.forename: S
authors.initials: S
authors.lastname: Pillet
authors.forename: A
authors.initials: A
authors.lastname: Leplatois
authors.forename: C
authors.initials: C
authors.lastname: Pulcini
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003953:Diagnosis-Related Groups; D005260:Female; D005602:France; D006757:Hospital Units; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010353:Patient Education as Topic; D022242:Pneumococcal Vaccines; D011446:Prospective Studies; D012306:Risk; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D022242:Pneumococcal Vaccines