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Self-report of influenza and pneumococcal vaccinations trustworthy.

Vaccine Weekly

| June 04, 2003 | COPYRIGHT 2003 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2003 JUN 4 - (NewsRx.com & NewsRx.net) -- Patients rarely tell a healthcare provider that they did not receive an influenza or pneumococcal polysaccharide vaccination when they actually did receive it.

"National surveys of adult vaccination indicate moderate self-reported immunization rates in the United States, with limited validity data. We compared self-report with medical record abstraction for 820 persons aged at least 66 years from inner-city health centers, Veterans Affairs (VA) outpatient clinics, rural and suburban practices," scientists in the United States report.

"For influenza vaccine, sensitivity was 98% (95% CI: 96-99%); specificity was 38% (95% CI: 33-43%)," stated Richard Kent Zimmerman and colleagues at the University of Pittsburgh. "For pneumococcal polysaccharide vaccine, sensitivity was 85% (95% CI: 82-89%) and specificity was 46% (95% CI: 42-50%). The Veteran's Administration had the highest sensitivity and lowest specificity for both vaccines while the converse was true in inner-city centers."

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