In France, diphtheria tetanus and inactivated polio vaccine (DT-IPV) coverage and immunization are insufficient in the elderly and decrease with age. The principal objective of this study was to assess the impact of a strategy of catch-up DT-IPV vaccination during hospitalization in people over the age of 65 years in central France (the Sarthe region). We performed a prospective, single-center, cluster-randomized study (four hospital wards). We included patients aged ≥65 years, without mental impairment, contraindication and who accepted to participate, hospitalized in the internal medicine wards in Le Mans Hospital from 28 May 2018 to 27 May 2019. The DT-IPV vaccination status of the patients was determined at inclusion and the wards were randomized (intervention and control). In the intervention group, vaccination was up-dated during hospitalization. In case of temporary contraindication, vaccination was prescribed at hospital discharge. Patients hospitalized in the control wards received oral information only. Final immunization status was determined by calling the patient’s general practitioner two months after hospital discharge. One hundred and fifty seven patients were included: 73 in the intervention and 84 in the control arm. Baseline immunization coverage was 46.5%. Vaccination coverage increased from 56.2% to 80.8% in the intervention group and from 38.1% to 40.5% in the control group (p < 0.001). Having received sufficient information from the general practitioner was the only factor associated with vaccination being up-to-date in uni- and multivariate analysis: OR = 5.07 [2.45–10.51]. In a setting of low vaccination coverage DT-IPV vaccination during hospitalization is an effective catch-up strategy.

-Contexte et problématique : Tous les médecins, quels que soient leur niveau d'expérience ou leurs statuts, internes, médecins hospitaliers, universitaires ou non, ont besoin d'informations et de documentation. Or, dans beaucoup de milieux et notamment en France, peu maîtrisent la recherche documentaire. Passé le premier essai de recherche sur Google et PubMed, beaucoup se découragent en raison du manque de temps et des difficultés qu'ils rencontrent. Exégèse : Des études menées à l'étranger montrent que l'implication active des bibliothécaires au sein même des équipes médicales (réunions matinales de service, revues de morbi-mortalité, etc.) a un effet mesurable et positif : gain de temps, réduction de la durée d'hospitalisation, économies financières. Dans ce but, les bibliothécaires de santé en France ont mis en place des services de renseignement à distance, des formations, des moyens d'accéder facilement à la documentation. Conclusion : Les bibliothécaires et les médecins pourraient trouver de multiples bénéfices en apprenant à travailler ensemble, au bénéfice du patient.

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