Predictors of Pneumococcal Vaccination Uptake in Hospitalized Patients Aged 65 Years and Over Shortly Following the Commencement of a Publicly Funded National Pneumococcal Vaccination Program in Australia

Ridda, Iman; MacIntyre, C. Raina; Lindley, Richard I; McIntyre, Peter; Sullivan, John S.; Gilbert, Gwendolyn L.; Kovoor, Pramesh; Manolios, Nicholas; Fox, John P.

doi:10.4161/hv.3.3.3925

Cited by 23 publications

(16 citation statements)

References 18 publications

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“…Most national recommendations for elderly vaccination include influenza and pneumococcal vaccine, yet the frail elderly are less likely to be vaccinated than healthy elderly. It has been shown that demented frail elderly are significantly less likely to be vaccinated than non-demented, and patients >80 years are less likely to be vaccinated than those under 80 years [22]. Such subjective judgements by providers disregard the human suffering caused by infectious diseases as well as the fact that communicable diseases impact more than the individual and can cause outbreaks.…”

Section: Ageing and Prevention Of Infectionmentioning

confidence: 99%

Elderly vaccination—The glass is half full

MacIntyre¹

2013

Health

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The shifting global demography and ageing of populations worldwide brings with new challenges for the health care, and an imperative for healthy ageing and preventive health strategies for adults. Immunization is the low hanging fruit for healthy ageing, and yet under-utilized for various reasons, including waning immunity in the elderly, lack of RCT data in this age group, and lack of provider confidence in vaccines for the elderly. The elderly people have a higher incidence of infection and more severe and serious consequences of infection. Diseases such as influenza, pneumococcal disease and herpes zoster have long been recognized as causing a high burden in the elderly, but evidence is also emerging for other infections such as pertussis being a major cause of the morbidity in this age group. Now, there are several vaccines which can prevent major infectious diseases in the elderly. To improve uptake of these vaccines, elderly vaccination should be viewed through a different lens to pediatric vaccination, accepting that vaccines are less immunogenic in the elderly. The population health impact of vaccines in the elderly, despite of immunosenescence and lower immunogenicity, is still likely to be high given the increased disease incidence. Vaccination is an important and readily available means of prevention in the elderly.

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Section: Ageing and Prevention Of Infectionmentioning

confidence: 99%

Elderly vaccination—The glass is half full

MacIntyre¹

2013

Health

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“…14 As similar funding arrangements have now been introduced across the country, a matching improvement would be expected Australia-wide, and early research shows that this appears to be the case. 13 While this is a positive development, room remains for substantial further improvement.…”

Section: The Incidence Of Pneumococcal Diseasementioning

confidence: 99%

“…11,12 However, public funding for the pneumococcal polysaccharide vaccine at State and Federal level in Australia appears to be having a dramatic impact on vaccination rates. 13,14 In the state of Victoria, within two years of introducing public funding, pneumococcal vaccination rates in at-risk groups rose from 7% to 51%. 14 As similar funding arrangements have now been introduced across the country, a matching improvement would be expected Australia-wide, and early research shows that this appears to be the case.…”

Section: The Incidence Of Pneumococcal Diseasementioning

confidence: 99%

Pneumococcal polysaccharide vaccination in Australia: An examination of barriers and arguments in support of the hospital based approach

Motbey

2008

Human Vaccines

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“…However, pneumococcal vaccination has not been well embraced by hospital physicians as a whole as well as by patient. 7 Some studies indicated that even with a good understanding and acceptance by physicians, somehow that knowledge was not being translated into routine practice. 11,12 For a vaccination program to be able to succeed multiple components should be incorporated such as target group identification and recalls/reminders, standing orders, special clinics and provider feedback.…”

Section: Introductionmentioning

confidence: 99%

“…We have already shown that vaccination coverage are lower in people aged >80 and in demented people. 7 Providers recommendations to their patients for vaccination 8,9 and the implementation of organized vaccination programs 10 are important facilitators of vaccine delivery. However, pneumococcal vaccination has not been well embraced by hospital physicians as a whole as well as by patient.…”

Section: Introductionmentioning

confidence: 99%