title: [Improvement of pneumococcal immunization coverage in older patients].
abstract: OBJECTIVE
  To study pneumococcal immunization coverage in older patients in hospital, and the impact of two actions aiming at improving this coverage.
  
  
  METHODS
  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.
  
  
  RESULTS
  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).
  
  
  CONCLUSIONS
  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.
authors: Département de médecine interne et de gériatrie, université Paris Est-Créteil, groupe hospitalier Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France. Electronic address: sebastien.krypciak@hmn.aphp.fr.
authors: S
authors: S
authors: Krypciak
authors: Département de médecine interne et de gériatrie, université Paris Est-Créteil, groupe hospitalier Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
authors: E
authors: E
authors: Liuu
authors: Département de médecine interne et de gériatrie, université Paris Est-Créteil, groupe hospitalier Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
authors: M
authors: M
authors: Vincenot
authors: Unité de contrôle, épidémiologie et prévention de l'infection, groupe hospitalier Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
authors: C
authors: C
authors: Landelle
authors: Unité de contrôle, épidémiologie et prévention de l'infection, groupe hospitalier Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
authors: P
authors: P
authors: Lesprit
authors: Département de médecine interne et de gériatrie, université Paris Est-Créteil, groupe hospitalier Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
authors: M-A
authors: MA
authors: Cariot
authors: Soins de suite et de réadaptation, fondation d'Heur et Chemin Delatour, hôpital Charles-Foix, AP-HP, 7, avenue de la République, 94200 Ivry-sur-Seine, France.
authors: A
authors: A
authors: Mézière
authors: Département de médecine interne et de gériatrie, université Paris Est-Créteil, groupe hospitalier Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
authors: E
authors: E
authors: Taillandier-Hériche
authors: Caisse primaire d'assurance maladie du Val-de-Marne, 94031 Créteil cedex, France.
authors: J-L
authors: JL
authors: Leroux
authors: Département de santé publique, groupe hospitalier Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
authors: F
authors: F
authors: Canoui-Poitrine
authors: Département de médecine interne et de gériatrie, université Paris Est-Créteil, groupe hospitalier Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
authors: E
authors: E
authors: Paillaud
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006760:Hospitalization; D006801:Humans; D007114:Immunization / Q000592:standards*; D008297:Male; D022242:Pneumococcal Vaccines; D011446:Prospective Studies; D058996:Quality Improvement
chemical_list: D022242:Pneumococcal Vaccines
keywords: Older patient; Pneumococcal; Pneumocoque; Sujet âgé; Vaccin; Vaccine