title: An audit of pneumococcal and hepatitis vaccination in an outpatient HIV clinic.
abstract: BACKGROUND
  HIV-positive adults are at risk of vaccine preventable infections including Streptococcus pneumoniae, hepatitis A virus (HAV) and hepatitis B virus (HBV). Uptake of immunisations in HIV patients is suboptimal despite evidence of efficacy.
  
  
  METHODS
  An audit was made of the vaccination records in 200 adult HIV-positive regular clinic attendees, with a CD4+ count >200 cells μL(-1).
  
  
  RESULTS
  Medical records or laboratory data revealed that 10% had been vaccinated against S. pneumoniae; 74% were immune or immunised against HAV; 40% had evidence of natural infection with HBV and 84% of nonimmune patients had been vaccinated.
  
  
  CONCLUSIONS
  Strategies to improve vaccine uptake are required.
authors.forename: Michael G
authors.initials: MG
authors.lastname: Hunter
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Post
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000453:epidemiology / Q000517:prevention & control*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D005260:Female; D006506:Hepatitis A / Q000517:prevention & control*; D022362:Hepatitis A Vaccines / Q000008:administration & dosage*; D006509:Hepatitis B / Q000517:prevention & control*; D017325:Hepatitis B Vaccines / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D009517:New South Wales; D011008:Pneumococcal Infections / Q000517:prevention & control*; D022242:Pneumococcal Vaccines / Q000008:administration & dosage*; D017778:Vaccines, Combined / Q000008:administration & dosage; D055815:Young Adult
chemical_list: D022362:Hepatitis A Vaccines; D017325:Hepatitis B Vaccines; D022242:Pneumococcal Vaccines; D017778:Vaccines, Combined; C433226:twinrix