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Identifier

000377924

Title

Μελέτη εμβολιαστικής κάλυψης για τον πνευμονιόκκοκο και τη γρίπη σε ασθενείς με σακχαρώδη διαβήτη σε επιλεγμένα ιατρεία γενικής ιατρικής και πρωτοβάθμιας φροντίδας υγείας στην Κρήτη

Alternative Title

Study of pneumococcal and influenza vaccination coverage in patients with diabetes mellitus in selected practices in general practice and in primary health care in Crete

Author

Μακρή, Κορνηλία

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Λιονής, Χρήστος

Abstract

Introduction Diabetes is one of the biggest problems of public health globally. Pneumococcal and Influenza Vaccination is one of the most important interventions in Primary Health Care for reducing morbidity and mortality from influenza and pneumococcal disease in diabetic patients. In Greece it seems that vaccination rates for influenza and especially for pneumococcal are unsatisfactory. Aim Our aim is to estimate the prevalence of influenza and pneumococcal vaccination among diabetic patients attending selected practices in General Practice and Primary Health Care, in Crete. Methods A descriptive cross-sectional study was conducted into selected practices in general practice and primary health care in Crete, from September 2009 to June 2010. A total of 270 patients with diabetic mellitus type 2 participated in the study. They were questioned, about whether they had received pneumococcal or influenza 11 vaccinations. Additional data were collected about where they are staying, co morbidity and demographic data, using a questionnaire. Results The vaccination coverage for pneumococcal was 54, 07 % (146 persons) and for influenza was 77,7%(209 persons). The mean age of patients was +_71, 81 (range 32-97) years and the majority of them were over 65 years old. In rural areas the vaccination coverage for pneumococcal was 62,9%(134persons)OR1,1,p=0,001 and for influenza was79,8%(170 persons),in urban areas the percentages were 21,1%(21 persons) and 68,4%(39 persons)respectively. Only 51, 7% of diabetic patients had both vaccines. The co morbidity from lung disease was associated significantly with pneumococcal vaccination (OR=1,6 P=0,036) Of those who had had pneumococcal vaccination, 92, 86% had received advice about vaccination from a general practitioner and of those who had had influenza vaccination, 84, 44%respectively. Discussion: Vaccination coverage rates in these diabetic people are unsatisfactory. Older people were more likely to be vaccinated. Also, co morbidity was confirmed as an independent factor for vaccination, suggesting that patients and/or doctors may often ignore diabetes alone as indication for vaccination. In conclusion, the vaccination rate is less than ideal among patients with Diabetes Mellitus. The general practitioners should take the lead, taking into account the factors affecting compliance.

Language

Greek

Subject

Diabetes mellitus

Infuenza Vaccines

Pneumococcal vaccine

Primary Health Care

Vaccination

Εμβολιασμός

Εμβόλια γρίπης

Εμβόλια πνευμονιόκοκκου

Πρωτοβάθμια φροντίδα υγείας