Implementation of vaccination in patients with cirrhosis

Miguel R. Arguedas; Brendan M. McGuire; Michael B. Fallon

doi:10.1023/A:1013734525348

Implementation of vaccination in patients with cirrhosis

Miguel R. Arguedas, Brendan M. McGuire, Michael B. Fallon

Internal Medicine, Phoenix

Research output: Contribution to journal › Article › peer-review

35 Scopus citations

Abstract

Vaccination for hepatitis A, hepatitis B, pneumococcus, and influenza in patients with chronic liver disease is recommended. Our purpose was to determine the degree of adherence to these recommendations in cirrhotics presenting for liver transplantation evaluation. Our sample consisted of 105 patients presenting for evaluation for liver transplantation. Data were obtained by medical record review and patient interview. The age of the patients was 52 ± 9 years (mean ± SD) and the Child-Pugh score was 9 ± 2. Twenty-nine patients had natural immunity for hepatitis A. Of the remaining 76, 20 (26.3%) received vaccine. Of the 89 patients without evidence of prior exposure to hepatitis B, 23 (25.8%) received vaccine. Pneumococcal and influenza vaccination was performed in 36 (34%) and 58 (55%) respectively. In conclusion, vaccination for viral hepatitis, pneumococcus, and influenza not being consistently performed. Public health efforts aimed at raising awareness about implementing vaccination in these patients are strongly encouraged.

Original language	English (US)
Pages (from-to)	384-387
Number of pages	4
Journal	Digestive diseases and sciences
Volume	47
Issue number	2
DOIs	https://doi.org/10.1023/A:1013734525348
State	Published - 2002

Keywords

Cirrhosis
Hepatitis A vaccine
Hepatitis B vaccine
Influenza vaccine
Pneumococcal vaccine

ASJC Scopus subject areas

Physiology
Gastroenterology

Access to Document

10.1023/A:1013734525348

Cite this

@article{ff120e966cc449e5a2966f57ad3e5944,

title = "Implementation of vaccination in patients with cirrhosis",

abstract = "Vaccination for hepatitis A, hepatitis B, pneumococcus, and influenza in patients with chronic liver disease is recommended. Our purpose was to determine the degree of adherence to these recommendations in cirrhotics presenting for liver transplantation evaluation. Our sample consisted of 105 patients presenting for evaluation for liver transplantation. Data were obtained by medical record review and patient interview. The age of the patients was 52 ± 9 years (mean ± SD) and the Child-Pugh score was 9 ± 2. Twenty-nine patients had natural immunity for hepatitis A. Of the remaining 76, 20 (26.3%) received vaccine. Of the 89 patients without evidence of prior exposure to hepatitis B, 23 (25.8%) received vaccine. Pneumococcal and influenza vaccination was performed in 36 (34%) and 58 (55%) respectively. In conclusion, vaccination for viral hepatitis, pneumococcus, and influenza not being consistently performed. Public health efforts aimed at raising awareness about implementing vaccination in these patients are strongly encouraged.",

keywords = "Cirrhosis, Hepatitis A vaccine, Hepatitis B vaccine, Influenza vaccine, Pneumococcal vaccine",

author = "Arguedas, {Miguel R.} and McGuire, {Brendan M.} and Fallon, {Michael B.}",

year = "2002",

doi = "10.1023/A:1013734525348",

language = "English (US)",

volume = "47",

pages = "384--387",

journal = "Digestive diseases and sciences",

issn = "0163-2116",

publisher = "Springer New York",

number = "2",

}

TY - JOUR

T1 - Implementation of vaccination in patients with cirrhosis

AU - Arguedas, Miguel R.

AU - McGuire, Brendan M.

AU - Fallon, Michael B.

PY - 2002

Y1 - 2002

N2 - Vaccination for hepatitis A, hepatitis B, pneumococcus, and influenza in patients with chronic liver disease is recommended. Our purpose was to determine the degree of adherence to these recommendations in cirrhotics presenting for liver transplantation evaluation. Our sample consisted of 105 patients presenting for evaluation for liver transplantation. Data were obtained by medical record review and patient interview. The age of the patients was 52 ± 9 years (mean ± SD) and the Child-Pugh score was 9 ± 2. Twenty-nine patients had natural immunity for hepatitis A. Of the remaining 76, 20 (26.3%) received vaccine. Of the 89 patients without evidence of prior exposure to hepatitis B, 23 (25.8%) received vaccine. Pneumococcal and influenza vaccination was performed in 36 (34%) and 58 (55%) respectively. In conclusion, vaccination for viral hepatitis, pneumococcus, and influenza not being consistently performed. Public health efforts aimed at raising awareness about implementing vaccination in these patients are strongly encouraged.

AB - Vaccination for hepatitis A, hepatitis B, pneumococcus, and influenza in patients with chronic liver disease is recommended. Our purpose was to determine the degree of adherence to these recommendations in cirrhotics presenting for liver transplantation evaluation. Our sample consisted of 105 patients presenting for evaluation for liver transplantation. Data were obtained by medical record review and patient interview. The age of the patients was 52 ± 9 years (mean ± SD) and the Child-Pugh score was 9 ± 2. Twenty-nine patients had natural immunity for hepatitis A. Of the remaining 76, 20 (26.3%) received vaccine. Of the 89 patients without evidence of prior exposure to hepatitis B, 23 (25.8%) received vaccine. Pneumococcal and influenza vaccination was performed in 36 (34%) and 58 (55%) respectively. In conclusion, vaccination for viral hepatitis, pneumococcus, and influenza not being consistently performed. Public health efforts aimed at raising awareness about implementing vaccination in these patients are strongly encouraged.

KW - Cirrhosis

KW - Hepatitis A vaccine

KW - Hepatitis B vaccine

KW - Influenza vaccine

KW - Pneumococcal vaccine

UR - http://www.scopus.com/inward/record.url?scp=0036162135&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036162135&partnerID=8YFLogxK

U2 - 10.1023/A:1013734525348

DO - 10.1023/A:1013734525348

M3 - Article

C2 - 11855555

SN - 0163-2116

VL - 47

SP - 384

EP - 387

JO - Digestive diseases and sciences

JF - Digestive diseases and sciences

IS - 2

ER -

Implementation of vaccination in patients with cirrhosis

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this