Influenza and pneumococcal vaccination and varicella status in inflammatory arthritis patients.

Hdl Handle:
http://hdl.handle.net/10147/189666
Title:
Influenza and pneumococcal vaccination and varicella status in inflammatory arthritis patients.
Authors:
McCarthy, E M; de Barra, E; Bergin, C; Cunnane, G; Doran, M
Affiliation:
Department of Rheumatology, St James Hospital, Dublin 8. eoghanmccarthy@yahoo.com
Citation:
Influenza and pneumococcal vaccination and varicella status in inflammatory arthritis patients., 104 (7):208-11 Ir Med J
Journal:
Irish medical journal
Issue Date:
15-Nov-2011
URI:
http://hdl.handle.net/10147/189666
PubMed ID:
21957688
Abstract:
Patients with inflammatory arthritis are at increased risk of vaccine preventable infections. This risk is increased by immunomodulatory therapies. Vaccination for influenza and pneumococcal disease reduces the risk. Severe cases of varicella infection have occurred in patients on biologic therapies. We sought to identify vaccination rates for commonly acquired infections and to ascertain varicella immune status in patients with inflammatory arthritis. 100 patients with inflammatory arthritis were administered a standardised questionnaire. Data collected included age, diagnosis, vaccination history, history of varicella, treatment and the presence of other indications for vaccination. 58 patients (58%) had not received the influenza vaccine in the past year. Only 19 patients (19%) had ever received pneumococcal vaccine. Anti TNF use did not predict vaccination (p = .46). An increasing number of co morbid conditions predicted both pneumococcal (p < 0.003) and influenza vaccine (p < 0.03) administration. Nineteen patients (19%) gave no history of varicella infection, none having had varicella titres checked pre treatment. Immunisation rates in patients with inflammatory arthritis on immunosuppressive therapies are low. Immunisation schedules should be available for each patient during rheumatology and general practice consultations.
Item Type:
Article
Language:
en
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Arthritis, Rheumatoid; Chickenpox; Comorbidity; Female; Humans; Influenza Vaccines; Influenza, Human; Ireland; Male; Middle Aged; Pneumococcal Infections; Pneumococcal Vaccines; Questionnaires
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorMcCarthy, E Men
dc.contributor.authorde Barra, Een
dc.contributor.authorBergin, Cen
dc.contributor.authorCunnane, Gen
dc.contributor.authorDoran, Men
dc.date.accessioned2011-11-15T16:03:56Z-
dc.date.available2011-11-15T16:03:56Z-
dc.date.issued2011-11-15T16:03:56Z-
dc.identifier.citationInfluenza and pneumococcal vaccination and varicella status in inflammatory arthritis patients., 104 (7):208-11 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid21957688-
dc.identifier.urihttp://hdl.handle.net/10147/189666-
dc.description.abstractPatients with inflammatory arthritis are at increased risk of vaccine preventable infections. This risk is increased by immunomodulatory therapies. Vaccination for influenza and pneumococcal disease reduces the risk. Severe cases of varicella infection have occurred in patients on biologic therapies. We sought to identify vaccination rates for commonly acquired infections and to ascertain varicella immune status in patients with inflammatory arthritis. 100 patients with inflammatory arthritis were administered a standardised questionnaire. Data collected included age, diagnosis, vaccination history, history of varicella, treatment and the presence of other indications for vaccination. 58 patients (58%) had not received the influenza vaccine in the past year. Only 19 patients (19%) had ever received pneumococcal vaccine. Anti TNF use did not predict vaccination (p = .46). An increasing number of co morbid conditions predicted both pneumococcal (p < 0.003) and influenza vaccine (p < 0.03) administration. Nineteen patients (19%) gave no history of varicella infection, none having had varicella titres checked pre treatment. Immunisation rates in patients with inflammatory arthritis on immunosuppressive therapies are low. Immunisation schedules should be available for each patient during rheumatology and general practice consultations.-
dc.language.isoenen
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshArthritis, Rheumatoid-
dc.subject.meshChickenpox-
dc.subject.meshComorbidity-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshInfluenza Vaccines-
dc.subject.meshInfluenza, Human-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPneumococcal Infections-
dc.subject.meshPneumococcal Vaccines-
dc.subject.meshQuestionnaires-
dc.titleInfluenza and pneumococcal vaccination and varicella status in inflammatory arthritis patients.en
dc.typeArticleen
dc.contributor.departmentDepartment of Rheumatology, St James Hospital, Dublin 8. eoghanmccarthy@yahoo.comen
dc.identifier.journalIrish medical journalen
dc.description.provinceLeinster-

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