Evaluation of Influenza, Pneumococcus, Zoster, Measles, Diphtheria, and Pertussis Vaccination Rates in Patients with Type 1 and Type 2 Diabetes Mellitus; a Single-Center Experience From Turkey

IF 0.2 Q4 ENDOCRINOLOGY & METABOLISM Turkish Journal of Endocrinology and Metabolism Pub Date : 2021-01-01 DOI:10.25179/TJEM.2020-79458
A. Yeşilova, M. Bilge, N. Özsoy, M. Adaş
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引用次数: 2

Abstract

Objective: Several vaccines have been recommended for adults with diabetes. This study aimed to determine the rates of uptake of recommended vaccines in diabetic adults and estimate their association with sociodemographic and clinical factors. Material and Methods: This was a cross-sectional study conducted on patients with either type 1 or type 2 diabetes, who had attended the outpatient clinics of internal medicine and endocrinology. The patients were inquired about their immunization status against influenza, pneumococcus, zoster, measles, pertussis, and diphtheria. Results: Among the 350 diabetic patients, 38 (10.8%) had received a vaccine against pneumococcus, 90 (26%) against seasonal influenza, and only one patient had been administered the zoster vaccine. None of the patients had been vaccinated against measles, diphtheria, and pertussis. The rate of pneumococcal vaccination (PV) increased with age (65.5±9.7 vs. 57±9.1 [OR 2.9 (95% CI=14.32.67], p=0.005), although there was no such association between influenza vaccination (IV) and age (p=0.456). The rate of PV increased with the number of routine follow-up visits per year (10/38 vs. 28/38 [OR 4 (95% CI=0.994-16.096], (p=0.039). The rates of PV and IV were significantly higher in diabetic patients with chronic pulmonary disease (21/38 vs. 14/312 [OR 52.80 (95% CI 8.4333.1], p=0.005 and 31/90 vs. 4/260 [OR 29.15 (95% CI 3.37252.28], p=0.001) respectively. The rates of IV in diabetic patients with chronic renal failure were also significantly different from those without (27/90 vs. 8/260, [OR 14.28 95% CI 1.51-133.74], p=0.013). Conclusion: We observed low rates of vaccination against influenza, pneumococcus, and zoster in patients with diabetes, which were below the targets recommended by the World Health Organization.
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1型和2型糖尿病患者流感、肺炎球菌、带状疱疹、麻疹、白喉和百日咳疫苗接种率的评价来自土耳其的单中心体验
目的:几种疫苗已被推荐用于成人糖尿病患者。本研究旨在确定糖尿病成人推荐疫苗的接种率,并估计其与社会人口统计学和临床因素的关系。材料和方法:这是一项横断面研究,研究对象为1型或2型糖尿病患者,这些患者曾在内科和内分泌科门诊就诊。调查患者的流感、肺炎球菌、带状疱疹、麻疹、百日咳和白喉免疫接种情况。结果:350例糖尿病患者中,38例(10.8%)接种了肺炎球菌疫苗,90例(26%)接种了季节性流感疫苗,仅有1例接种了带状疱疹疫苗。没有患者接种过麻疹、白喉和百日咳疫苗。肺炎球菌疫苗接种率(PV)随年龄的增加而增加(65.5±9.7比57±9.1 [OR = 2.9 (95% CI=14.32.67], p=0.005),但流感疫苗接种率(IV)与年龄没有相关性(p=0.456)。PV率随着每年常规随访次数的增加而增加(10/38 vs 28/38) [OR 4 (95% CI=0.994-16.096], (p=0.039)。糖尿病合并慢性肺部疾病患者PV和IV的发生率显著高于前者(21/38 vs. 14/312 [OR 52.80 (95% CI 8.4333.1), p=0.005)和后者(31/90 vs. 4/260 [OR 29.15 (95% CI 3.37252.28), p=0.001)。糖尿病合并慢性肾功能衰竭患者的静脉滴注率与未合并慢性肾功能衰竭患者也有显著差异(27/90 vs. 8/260, OR 14.28 95% CI 1.51-133.74, p=0.013)。结论:我们观察到糖尿病患者流感、肺炎球菌和带状疱疹疫苗接种率较低,低于世界卫生组织推荐的目标。
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CiteScore
0.50
自引率
0.00%
发文量
7
审稿时长
8 weeks
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