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Clinical Trial
. 2005 Oct 14:5:110.
doi: 10.1186/1471-2458-5-110.

Improving rates of pneumococcal vaccination on discharge from a tertiary center medical teaching unit: a prospective intervention

Chandra M Thomas  1 , Andrea Loewen, Carla Coffin, Norman R C Campbell
Affiliations
Clinical Trial

Improving rates of pneumococcal vaccination on discharge from a tertiary center medical teaching unit: a prospective intervention

Chandra M Thomas et al. BMC Public Health. .

Abstract

Background: Pneumococcal disease causes significant morbidity and mortality in at-risk individuals, and is complicated by emerging antibiotic resistance. An effective, safe and cost-effective vaccine is available, but despite this many patients who would benefit from pneumococcal vaccination remain unvaccinated. The purpose of this study was to determine the rates of missed opportunities to provide pneumococcal vaccination to patients being discharged from a tertiary center medical teaching unit and to determine if a nurse coordinator-based intervention would increase rates of pneumococcal vaccination prior to discharge home.

Methods: We conducted a prospective, controlled study in the setting of a Medical Teaching Unit at a tertiary care centre to assess the impact of a nurse coordinator based intervention on the rates of vaccination of eligible patients on discharge home. The rates of vaccination during an eight-week usual-care period (February 20 to April 16, 2002) and an eight-week intervention period (April 22 to June 16, 2002) were compared.

Results: Prior to the intervention none of thirty-eight eligible patients were vaccinated prior to discharge home from the Medical Teaching Unit. After the intervention 27 (54%) of fifty eligible patients were vaccinated prior to discharge.

Conclusion: There are significant missed opportunities to provide pneumococcal vaccination to inpatients who are discharged home from a medical unit. Using a patient care coordinator we were able to significantly improve the rates of vaccination on discharge.

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Figures

Figure 1
Figure 1
The study algorithm for vaccinating patients discharged during the usual-care and intervention periods.
Figure 2
Figure 2
The flow of patients in the intervention and usual care periods of the study.
Figure 3
Figure 3
Pneumococcal vaccination use in Foothills Hospital*. * The number of vaccinations administered in the Foothills Hospital prior to and following the study. The time periods were chosen to correspond with the study periods in 2002 – usual-care period from Feb. 20 to April 16 and the intervention period from April 22 to June 16. The bar graph shows an increase in administration of pneumococcal vaccinations after the intervention and indicating there were significant effects outside of the unit where the intervention occurred and that the effect was sustained after the study was terminated.
See this image and copyright information in PMC

References

    1. Robinson KA, Baughman W, Rothrock G, Barrett NL, Pass M, Lexau C, Damaske B, Stefonek K, Barnes B, Patterson J, Zell ER, Schuchat A, Whitney CG. Epidemiology of invasive Streptococcus pneumoniae infections in the United States, 1995–1998: Opportunities for prevention in the conjugate vaccine era. JAMA. 2001;285:1729–35. doi: 10.1001/jama.285.13.1729. - DOI - PubMed
    1. Preventing pneumococcal disease: a Canadian consensus conference. 16–18 February 1998. Can Commun Dis Rep. 1999;25:25–35. - PubMed
    1. Hyde TB, Gay K, Stephens DC, Vugia DJ, Pass M, Johnson S, Barrett N, Schaffner W, Cieslak PR, Maupin PS, Zell ER, Jorgensen JH, Facklam RR, Whitney CG. Macrolide resistance among invasive Streptococcus pneumoniae isolates. JAMA. 2001;286:1857–62. doi: 10.1001/jama.286.15.1857. - DOI - PubMed
    1. Fedson DS. The clinical effectiveness of pneumococcal vaccination: a brief review. Vaccine. 1999;17:S85–90. doi: 10.1016/S0264-410X(99)00113-9. - DOI - PubMed
    1. Sisk JE, Moskowitz AJ, Whang W, Lin DL, Fedson DS, McBean AM, Plouffe JF, Cetron MS, Butler JC. Cost-effectiveness of vaccination against pneumococcal bacteremia among elderly people. JAMA. 1997;278:1333–9. doi: 10.1001/jama.278.16.1333. - DOI - PubMed

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