Pneumococcal and influenza vaccination levels among HIV-infected adolescents and adults receiving medical care in the United States. Adult and Adolescent Spectrum of HIV Disease Project Group.
AIDS
; 8(7): 941-4, 1994 Jul.
Article
em En
| MEDLINE
| ID: mdl-7946103
ABSTRACT
OBJECTIVE:
To assess pneumococcal and influenza vaccination coverage among HIV-infected adolescents and adults receiving medical care in the United States.DESIGN:
Periodic medical record reviews.SETTING:
More than 90 clinics, hospitals, and private medical practices in nine cities. PATIENTS HIV-infected individuals aged > or = 13 years were included in the analyses of pneumococcal (n = 9737) and influenza (n = 6161) vaccination coverage. MAIN OUTCOMEMEASURES:
Documentation of receipt of pneumococcal and influenza vaccines in medical records during 6-18-month and 12-month periods, respectively.RESULTS:
Overall, 37 and 33% of individuals received pneumococcal and influenza vaccines, respectively. In general, vaccination levels varied little by age group, race/ethnicity, or mode of HIV exposure. Having had at least five medical visits was significantly associated with having received pneumococcal and influenza vaccines [adjusted odds ratio (OR), 1.7 for each]. Having a CD4+ T-lymphocyte count < 200 x 10(6)/l (adjusted OR, 0.8) and being female (adjusted OR, 0.7) were associated with non-receipt of pneumococcal vaccine. Lower pneumococcal vaccination coverage among women was mostly accounted for by pregnancy.CONCLUSION:
Until new, more effective means of preventing pneumococcal disease and influenza become available, efforts should be directed towards improving vaccination levels among HIV-infected individuals.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Vacinas Bacterianas
/
Vacinas contra Influenza
/
Infecções por HIV
/
Vacinação
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
AIDS
Assunto da revista:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Ano de publicação:
1994
Tipo de documento:
Article