title: [Immunization guidelines regarding patients with a chronic disease].
abstract: Some chronic diseases--like renal failure, liver insufficiency, chronic lung disease, cardiac involvement, diabetes mellitus, asplenia--present limited defects of the immune system and/or a higher risk of infection; therefore, patients with such pathologies should get selective vaccinations. The efficacy of immunization decreases with disease progression; for this reason, these patients should be immunized as soon as possible. At the beginning of their disease, these patients do not need a specialized treatment and are followed by the general practitioner alone who is in charge of immunizing them as well as contact people of any immunocompromised patient. OFSP's regular vaccinations programme is recommended, as well as selective vaccinations against influenza, pneumococci and viral hepatitis, depending on the underlying chronic disease.
authors.affiliation: Université de Lausanne, 1015 Lausanne, Suisse. carole.aubert.3@unil.ch
authors.forename: Carole
authors.initials: C
authors.lastname: Aubert
authors.forename: Bernard
authors.initials: B
authors.lastname: Vaudaux
authors.forename: Pierre Alexandre
authors.initials: PA
authors.lastname: Bart
mesh_terms: D001428:Bacterial Vaccines / Q000008:administration & dosage; D002908:Chronic Disease; D018450:Disease Progression; D022362:Hepatitis A Vaccines / Q000008:administration & dosage; D017325:Hepatitis B Vaccines / Q000008:administration & dosage; D006801:Humans; D007114:Immunization / Q000592:standards*; D007115:Immunization Schedule; D016867:Immunocompromised Host; D017053:Infection Control / Q000379:methods*; D007252:Influenza Vaccines / Q000008:administration & dosage; D022242:Pneumococcal Vaccines / Q000008:administration & dosage; D013557:Switzerland; D014611:Vaccination / Q000379:methods*; D014765:Viral Vaccines / Q000008:administration & dosage
chemical_list: D001428:Bacterial Vaccines; D022362:Hepatitis A Vaccines; D017325:Hepatitis B Vaccines; D007252:Influenza Vaccines; D022242:Pneumococcal Vaccines; D014765:Viral Vaccines