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2002 JUL 3 - (NewsRx.com & NewsRx.net) -- by Maria G. Essig, MS, ELS, senior medical writer - Improvement in influenza vaccination coverage is needed for vulnerable populations such as cystic fibrosis (CF) patients, according to researchers in Utah.
"Influenza causes substantial morbidity and mortality, particularly in vulnerable populations," said Bruce C. Marshall and colleagues at the Intermountain Cystic Fibrosis Center in Salt Lake City. "Annual vaccination is the most effective means to prevent or attenuate this illness."
Marshall and his associates assessed the influenza vaccination coverage level for a population of CF patients and attempted to determine factors preventing adherence with vaccination recommendations. An annual influenza vaccination is recommended for CF patients over the age of 6 months.
The study involved cystic fibrosis patients whose care took place at an Intermountain Cystic Fibrosis Center located in Salt Lake City or southern Idaho.
The investigators collected data on 335 patients through medical records, written questionnaires, and telephone interviews. Of the 335 subjects, 256 (76.4%) became vaccinated prior to the 1997-1998 flu season, 79.4% of those patients younger than 18 and 70.1% of those 18 or older. No significant differences in compliance rates existed among the centers of care.
Major reasons for neglecting to obtain the vaccination included: "forgot," "too healthy," "too busy," "worried about the side effects," and "too sick at the time." Not surprisingly, the patients who lived farther from the care center, experienced fewer hospitalizations, and had fewer clinic appointments were more likely to be unvaccinated (Influenza vaccination coverage level at a cystic fibrosis center Pediatrics, 2002;109(5):E80).
Of the 281 patients who ...