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首页> 外文期刊>Medecine et maladies infectieuses >Streptococcus pneumoniae vaccinal coverage in hospitalized elderly patients in France
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Streptococcus pneumoniae vaccinal coverage in hospitalized elderly patients in France

机译：法国住院老年患者的肺炎链球菌疫苗覆盖率

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Background: In France, there is little data on vaccinal coverage in elderly people at risk for invasive pneumococcal infections (IPI). Objective: The study objective was to assess the pneumococcal vaccination coverage and traceability in hospitalized elderly people (>75 years of age). Method: A multicentric point prevalence survey was made on volunteers over 75 years of age, hospitalized in internal medicine, geriatrics, and infectious diseases units. Results: Nine hundred and three patients in 63 units of 28 hospitals were included (mean 85 years of age) in the study between April and May 2011. Ten percent (93/903) were vaccinated against the pneumococcus. Thirty-eight percent of the patients had at least one risk factor for IPI and 20.5% of these had been vaccinated. There was a traceability back-up in 59% of the cases. Vaccination was not considered by the hospital for 83% of patients with IPI risk factor but not vaccinated (task delegated to the family physician in 50% of the cases). Conclusion: Vaccination coverage against the pneumococcus in France is very low in hospitalized patients over 75 years of age even though more than one out of three presents at least one risk factor for IPI. The rate of traceability is also poor. Hospitalization should be an opportunity to offer pneumococcal vaccination to elderly patients at risk for IPI in France because of unclear recommendations for elderly individuals and lack of political will to improve vaccination coverage.
机译：背景：在法国，几乎没有关于侵入性肺炎球菌感染（IPI）风险的老年人的疫苗覆盖率的数据。目的：研究目的是评估住院的老年人（> 75岁）的肺炎球菌疫苗接种覆盖率和可追溯性。方法：对在中心内科，老年医学和传染病科住院的75岁以上志愿者进行了多中心点患病率调查。结果：在2011年4月至2011年5月之间，研究纳入了28家医院的63个单位中的903名患者（平均年龄85岁）。针对肺炎球菌的疫苗接种率为10％（93/903）。 38％的患者至少有一种IPI危险因素，其中20.5％的患者已经接种了疫苗。在59％的案例中有可追溯性支持。医院未考虑对83％具有IPI危险因素的患者进行疫苗接种，但未进行疫苗接种（在50％的病例中，任务由家庭医生完成）。结论：在法国，对于75岁以上住院的肺炎球菌疫苗接种率很低，即使三分之二以上的人至少有一个IPI危险因素。可追踪性也很差。在法国，住院治疗应该是向有IPI风险的老年患者提供肺炎球菌疫苗接种的机会，因为对老年患者的建议不明确，并且缺乏提高疫苗接种覆盖率的政治意愿。

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