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Audit of influenza and pneumococcal vaccination uptake in diabetic patients attending secondary care in the Northern Region
Author(s) -
Wahid S. T.,
Nag S.,
Bilous R. W.,
Marshall S. M.,
Robinson A. C. J.
Publication year - 2001
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1046/j.1464-5491.2001.00549.x
Subject(s) - medicine , vaccination , odds ratio , pneumococcal vaccine , pneumococcal infections , confidence interval , diabetes mellitus , logistic regression , pediatrics , influenza vaccine , pneumococcal disease , immunology , streptococcus pneumoniae , biology , bacteria , genetics , endocrinology
Aims To document uptake of influenza and pneumococcal vaccination in diabetic patients attending secondary care in the Northern Region, and to explore influencing factors. Methods Diabetic patients attending out‐patients in Middlesbrough, Gateshead and Newcastle were questioned from October 1999 to March 2000. Physicians enquired about influenza and pneumococcal vaccination status using a standardized questionnaire. Data collected included age, year of diagnosis, duration of diabetes, type of diabetes, and the presence of other recognized indications for vaccination. Results Two hundred and sixty‐eight diabetic patients, 42% (113/268) with Type 1 diabetes, 34% (91/268) with ischaemic heart disease, 10% (26/268) with chronic pulmonary disease (CPD) and 10% (27/268) with chronic renal disease, were questioned. Thirty‐five percent (93/268) of patients received both influenza and pneumococcal vaccines, 24% (64/268) received only influenza vaccine, and none received pneumococcus vaccine alone. Most vaccinees received advice about influenza and pneumococcal vaccination from their general practitioner (90% (142/157) and 87% (81/93), respectively). A large number of non‐vaccinees were unaware of the need for influenza and pneumococcal vaccination (69% (76/111) and 91% (159/175), respectively). Using multiple logistic regression co‐existing CPD increased the odds of receiving influenza (odds ratio (OR) (95% confidence interval (CI)) = 1.99 (1.07–14.12)) or pneumococcal (OR = 3.77 (1.69–21.76)) vaccination. Furthermore, each 1‐year increase in age increased the chance of receiving influenza or pneumococcal vaccination by 22% (OR = 1.22 (1.09–1.67) and 29% (OR = 1.29 (1.07–1.72)), respectively. Conclusions Vaccination rates in these diabetic patients are unsatisfactory. Secondary care health professionals might increase rates by raising the topic in consultations. Diabet. Med. 18, 599–603 (2001)