EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

PNEUMOCOCCAL VACCINATION IN PULMONARY OUT-PATIENT PRACTICE – HOW FAR IS THE ADHERENCE AND WHAT ARE THE CHALLENGES?

Amit S. Gupta*, Rajesh V., Jolsana Augustine, Divya R. and Melcy Cleetus

 

ABSTRACT

Introduction: Invasive pneumococcal disease is cited as the commonest vaccine preventable cause of mortality and accounts for major morbidity globally. Recommendations for pneumococcal vaccination is well adhered in paediatric population as opposed totheir adult counterparts, where the stress placed is much less. Global bodies like CDC propose pneumococcal vaccination as a mandatory strategy in all subjects aged above 65 years. In subjects less than 65 years, those withcertain medical comorbidities are targets to pneumococcal vaccination strategy. Aim: The aim of the current study was to evaluate the indications for pneumococcal vaccination in adult subjects attending the pulmonary medicineoutpatient clinic of a tertiary care facility and to examine the vaccine adherence rate. In those subjects who were not vaccinated as per guidelines, the reasons for non-compliance to vaccination guidelines were also studied. Materials and methods: The present study was carried out in the pulmonary medicine unit of Geetanjali Medical College and hospital, Udaipur which is a tertiary care hospital in the state of Rajasthan, India. Patients attending the pulmonary medicine outpatient clinic with various diseases over a 2 month period (July1st, 2019 to August 31st 2019) were included in the study. The demographic details of patients, primary respiratory disease and other medical comorbidities were noted. The indications to pneumococcal vaccination as per the CDC recommendations were systematically studied. Among those with indications, the actual number of subjects who underwent vaccine administration was taken down and reasons for non-compliance were recorded. Results: A total of 215 patients attended the pulmonary medicine outpatient clinic in the study period due to varying primary respiratory diseases and comorbidities. The vast majority of them had asthma, COPD or interstitial lung disease as a primary diagnosis. Of these 190 patients had one or more indications for pneumococcal vaccination as per CDC criteria. Among those who required, the vaccine was administered only in 77 subjects. The reasons for non-adherence to vaccination in these patients were variable. Lack of recommendation by the treating doctor, concerns about cost, adverse effects of vaccine and suspicion on the efficacy were identified as the major stumbling blocks. Active counselling and vaccine recommendation was found to be missing in the case records of 11 patients, probably due to overlooking on the part of medical team. Conclusions: A pneumococcal vaccination adherence rate of 41% was noted in the present study. Indications for pneumococcal vaccination were overlooked in a substantial number of patients. In a health care setting where patient has to pay out of his pocket for health expenses, concerns of cost proves to be a hindrance in implementing a successful pneumococcal vaccination protocol. Vaccine phobia and concerns about side effects also prove to be stumbling blocks.

Keywords: Pneumococcal vaccine, chronic lung diseases, adherence rate.


[Full Text Article]

INDEXING

NEWS & UPDATION

  • New Issue Published

    Its Our pleasure to inform you that, EJPMR 1 November 2021 Issue has been Published, Kindly check it on http://www.ejpmr.com/home/current_issues

  • EJPMR: NOVEMBER ISSUE PUBLISHED

    NOVEMBER Issue has been successfully launched on 1 November 2021.

  • EJPMR New Impact Factor

    Its our Pleasure to Inform you that EJPMR Impact Factor has been increased from  5.804 to 6.222, due to high quality Publication at International Level

  • Index Copernicus Value

    EJPMR Received Index Copernicus Value 79.57, due to High Quality Publication in EJPMR at International Level

  • Journal web site support Internet Explorer, Google Chrome, Mozilla Firefox, Opera, Saffari for easy download of article without any trouble.

    .

  • Article Invited for Publication

    Article are invited for publication in EJPMR Coming Issue

Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )