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[Adherence to the H1N1 vaccination recommendation in patients with Crohn's disease or ulcerative colitis].

Identifieur interne : 000277 ( Main/Exploration ); précédent : 000276; suivant : 000278

[Adherence to the H1N1 vaccination recommendation in patients with Crohn's disease or ulcerative colitis].

Auteurs :

Source :

RBID : pubmed:21538294

Descripteurs français

English descriptors

Abstract

BACKGROUND AND OBJECTIVE

In September 2009, the German "Standing Committee for Vaccination" (STIKO) recommended the H1N1 influenza vaccination to all patients with chronic diseases. We investigated the adherence to this recommendation in patients with the inflammatory bowel diseases (IBD) Crohn's disease or ulcerative colitis. Special attention was paid to arguments for vaccination refusal.

METHODS

In an explorative multicenter study we asked adult patients to answer a questionnaire about their participation in the H1N1 vaccination campaign, their arguments for and against this vaccination and disease specific parameters.

RESULTS

Out of 1389 participating patients, 226 (16 %) received the H1N1 vaccination. Among patients who were vaccinated against the seasonal flu as well as patients who were treated with anti-TNF-treatment and members of the German Crohn's and Colitis Association, the participation rates were significantly higher (32 %, 26 %, 25 %, respectively). The main argument against the H1N1 vaccination was fear of side effects (59 %). However, 77 % of all vaccinated patients judged the vaccine as very well tolerated. The non-adherence to general vaccination recommendations against tetanus and seasonal flu was also high (25 % and 66 %, respectively).

CONCLUSION

Only a minority of patients with Crohn's disease or ulcerative colitis had adhered to the official recommendation concerning vaccination against H1N1. In order to reach higher acceptance, further vaccination campaigns must focus on the safety of the recommended vaccine.


DOI: 10.1055/s-0031-1275829
PubMed: 21538294


Affiliations:


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Le document en format XML

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<title xml:lang="en">[Adherence to the H1N1 vaccination recommendation in patients with Crohn's disease or ulcerative colitis].</title>
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<term>Colitis, Ulcerative (immunology)</term>
<term>Contraindications (MeSH)</term>
<term>Crohn Disease (immunology)</term>
<term>Germany (MeSH)</term>
<term>Health Surveys (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (immunology)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Influenza Vaccines (adverse effects)</term>
<term>Influenza Vaccines (immunology)</term>
<term>Influenza, Human (immunology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Patient Compliance (MeSH)</term>
<term>Patient Education as Topic (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Allemagne (MeSH)</term>
<term>Contre-indications (MeSH)</term>
<term>Enquêtes de santé (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Grippe humaine (immunologie)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Humains (MeSH)</term>
<term>Maladie de Crohn (immunologie)</term>
<term>Observance par le patient (MeSH)</term>
<term>Rectocolite hémorragique (immunologie)</term>
<term>Sous-type H1N1 du virus de la grippe A (immunologie)</term>
<term>Vaccins antigrippaux (administration et posologie)</term>
<term>Vaccins antigrippaux (effets indésirables)</term>
<term>Vaccins antigrippaux (immunologie)</term>
<term>Éducation du patient comme sujet (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
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<term>Influenza Vaccines</term>
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<term>Influenza Vaccines</term>
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<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr">
<term>Vaccins antigrippaux</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Vaccins antigrippaux</term>
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<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr">
<term>Grippe humaine</term>
<term>Maladie de Crohn</term>
<term>Rectocolite hémorragique</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Vaccins antigrippaux</term>
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<term>Colitis, Ulcerative</term>
<term>Crohn Disease</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Influenza Vaccines</term>
<term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr">
<term>Grippe humaine</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Contraindications</term>
<term>Germany</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Patient Compliance</term>
<term>Patient Education as Topic</term>
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<term>Contre-indications</term>
<term>Enquêtes de santé</term>
<term>Enquêtes et questionnaires</term>
<term>Humains</term>
<term>Observance par le patient</term>
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<b>BACKGROUND AND OBJECTIVE</b>
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<p>In September 2009, the German "Standing Committee for Vaccination" (STIKO) recommended the H1N1 influenza vaccination to all patients with chronic diseases. We investigated the adherence to this recommendation in patients with the inflammatory bowel diseases (IBD) Crohn's disease or ulcerative colitis. Special attention was paid to arguments for vaccination refusal.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
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<p>In an explorative multicenter study we asked adult patients to answer a questionnaire about their participation in the H1N1 vaccination campaign, their arguments for and against this vaccination and disease specific parameters.</p>
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<p>
<b>RESULTS</b>
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<p>Out of 1389 participating patients, 226 (16 %) received the H1N1 vaccination. Among patients who were vaccinated against the seasonal flu as well as patients who were treated with anti-TNF-treatment and members of the German Crohn's and Colitis Association, the participation rates were significantly higher (32 %, 26 %, 25 %, respectively). The main argument against the H1N1 vaccination was fear of side effects (59 %). However, 77 % of all vaccinated patients judged the vaccine as very well tolerated. The non-adherence to general vaccination recommendations against tetanus and seasonal flu was also high (25 % and 66 %, respectively).</p>
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<p>
<b>CONCLUSION</b>
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<p>Only a minority of patients with Crohn's disease or ulcerative colitis had adhered to the official recommendation concerning vaccination against H1N1. In order to reach higher acceptance, further vaccination campaigns must focus on the safety of the recommended vaccine.</p>
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<CopyrightInformation>© Georg Thieme Verlag KG Stuttgart · New York.</CopyrightInformation>
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