Evaluation of inpatient pneumococcal vaccination rate among adult patients with diabetes in a tertiary care teaching hospital in Saudi Arabia

M. Al Rasheed, M. Khobrani, J. Gramish
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Abstract

Background: Diabetes mellitus was found to be one of the most common comorbidities for pneumococcal diseases. Pneumococcal vaccinations can reduce morbidity and mortality in this patient population. The purpose of this study was to estimate pneumococcal vaccination rate of these populations in inpatient hospital setting. Materials and methods: We performed a retrospective chart review involving adult patients with diabetes who were admitted to King Abdulaziz Medical City (KAMC) in Riyadh, Saudi Arabia between the period of March 2016 and March 2017. Results: A total of 1087 eligible patients were included. The overall vaccination rate for pneumococcus was 1.6% among the vaccine-eligible subjects. The most common risk factors were older age (65 years old or over – 53.9%), chronic renal failure (28.2%) and chronic heart failure (27%), respectively. The majority of the patients in this study were eligible for pneumococcal vaccine (77.6%) due to one or more risk factor other than diabetes mellitus. The mean number of other risk factors other than diabetes mellitus was 1.5 (SD 1.1, 95% CI 1.39–1.53). None of the included patients had documentation on pneumococcal vaccination status. Conclusion: The pneumococcal vaccine coverage rates among hospitalised patients with diabetes were low in a tertiary care teaching hospital in Saudi Arabia. Further studies are needed to assess the impact of electronic interventions in promoting vaccination assessment and administration among patients with diabetes.
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沙特阿拉伯三级保健教学医院成年糖尿病患者住院肺炎球菌疫苗接种率评价
背景:糖尿病是肺炎球菌病最常见的合并症之一。肺炎球菌疫苗接种可降低这类患者的发病率和死亡率。本研究的目的是估计这些住院人群的肺炎球菌接种率。材料和方法:我们对2016年3月至2017年3月期间入住沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城(KAMC)的成年糖尿病患者进行回顾性图表回顾。结果:共纳入1087例符合条件的患者。在符合疫苗条件的受试者中,肺炎球菌的总接种率为1.6%。最常见的危险因素分别是年龄较大(65岁或以上)、慢性肾衰竭(28.2%)和慢性心力衰竭(27%)。由于糖尿病以外的一个或多个危险因素,本研究中大多数患者(77.6%)符合肺炎球菌疫苗接种条件。除糖尿病外的其他危险因素平均为1.5个(SD 1.1, 95% CI 1.39 ~ 1.53)。纳入的患者均无肺炎球菌疫苗接种记录。结论:沙特阿拉伯某三级教学医院住院糖尿病患者肺炎球菌疫苗接种率较低。需要进一步的研究来评估电子干预在促进糖尿病患者疫苗接种评估和管理方面的影响。
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