GrippeEspagneV1, Main, Exploration, bibRecord, 000189

Coverage of and factors associated with pneumococcal vaccination in chronic obstructive pulmonary disease.

Identifieur interne : 000189 ( Main/Exploration ); précédent : 000188; suivant : 000190

Coverage of and factors associated with pneumococcal vaccination in chronic obstructive pulmonary disease.

Auteurs : L V Carre O-Ibá Ez [Espagne] ; M D Esteban-Vasallo [Espagne] ; M F Domínguez-Berj N [Espagne] ; J. Astray-Mochales [Espagne] ; C. González Del Yerro [Espagne] ; D. Iniesta-Fornies [Espagne] ; M J Gasc N-Sancho [Espagne] ; R. Jiménez-García [Espagne]

Source :

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease [ 1815-7920 ] ; 2015.

RBID : pubmed:25946369

Descripteurs français

KwdFr :
- Adhésion aux directives (tendances), Adulte (MeSH), Adulte d'âge moyen (MeSH), Broncho-pneumopathie chronique obstructive (diagnostic), Broncho-pneumopathie chronique obstructive (thérapie), Broncho-pneumopathie chronique obstructive (épidémiologie), Calendrier vaccinal (MeSH), Comorbidité (MeSH), Enquêtes sur les soins de santé (MeSH), Enregistrements (MeSH), Espagne (épidémiologie), Facteurs sexuels (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Infections à pneumocoques (diagnostic), Infections à pneumocoques (prévention et contrôle), Infections à pneumocoques (épidémiologie), Mâle (MeSH), Soins de santé primaires (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Types de pratiques des médecins (tendances), Vaccination (tendances), Vaccins antipneumococciques (administration et posologie), Études transversales (MeSH).
MESH :
- administration et posologie : Vaccins antipneumococciques.
- diagnostic : Broncho-pneumopathie chronique obstructive, Infections à pneumocoques.
- prévention et contrôle : Infections à pneumocoques.
- tendances : Adhésion aux directives, Types de pratiques des médecins, Vaccination.
- thérapie : Broncho-pneumopathie chronique obstructive.
- épidémiologie : Broncho-pneumopathie chronique obstructive, Espagne, Infections à pneumocoques.
- Adulte, Adulte d'âge moyen, Calendrier vaccinal, Comorbidité, Enquêtes sur les soins de santé, Enregistrements, Facteurs sexuels, Facteurs âges, Femelle, Guides de bonnes pratiques cliniques comme sujet, Humains, Mâle, Soins de santé primaires, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
Wicri :
- geographic : Espagne.

English descriptors

KwdEn :
- Adult (MeSH), Age Factors (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Comorbidity (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Guideline Adherence (trends), Health Care Surveys (MeSH), Humans (MeSH), Immunization Schedule (MeSH), Male (MeSH), Middle Aged (MeSH), Pneumococcal Infections (diagnosis), Pneumococcal Infections (epidemiology), Pneumococcal Infections (prevention & control), Pneumococcal Vaccines (administration & dosage), Practice Guidelines as Topic (MeSH), Practice Patterns, Physicians' (trends), Primary Health Care (MeSH), Pulmonary Disease, Chronic Obstructive (diagnosis), Pulmonary Disease, Chronic Obstructive (epidemiology), Pulmonary Disease, Chronic Obstructive (therapy), Registries (MeSH), Sex Factors (MeSH), Spain (epidemiology), Vaccination (trends).
MESH :
- chemical , administration & dosage : Pneumococcal Vaccines.
- geographic , epidemiology : Spain.
- diagnosis : Pneumococcal Infections, Pulmonary Disease, Chronic Obstructive.
- epidemiology : Pneumococcal Infections, Pulmonary Disease, Chronic Obstructive.
- prevention & control : Pneumococcal Infections.
- therapy : Pulmonary Disease, Chronic Obstructive.
- trends : Guideline Adherence, Practice Patterns, Physicians', Vaccination.
- Adult, Age Factors, Aged, Aged, 80 and over, Comorbidity, Cross-Sectional Studies, Female, Health Care Surveys, Humans, Immunization Schedule, Male, Middle Aged, Practice Guidelines as Topic, Primary Health Care, Registries, Sex Factors.

Abstract

SETTING

Patients aged ⩾ 40 years with a diagnosis of chronic obstructive pulmonary disease (COPD; codes R95, R79 and R91 in the International Classification for Primary Care) registered in primary care clinical records in the Autonomous Community of Madrid, Spain.

OBJECTIVE

To assess pneumococcal vaccination coverage in patients with COPD and to analyse factors associated with vaccination uptake.

DESIGN

Population-based cross-sectional study in which data were collected in September 2010.

RESULTS

We found that 93,797 patients (72.0% men and 28.0% women) had COPD. Overall coverage was 65.5% (67.5% men vs. 60.4% women, P < 0.001). In patients aged 40-59 years, coverage was 19.5%, reaching 75.8% in those aged ⩾ 60 years. In patients aged <60 years, uptake was associated with a higher number of comorbidities and appropriate adherence to seasonal influenza and pandemic vaccination schedules. In patients aged ⩾ 60 years, factors associated with uptake in both sexes were older age and appropriate adherence to seasonal influenza vaccination schedules. Factors associated with uptake in men were concomitant comorbidities and pandemic vaccination.

CONCLUSION

Vaccination coverage in individuals aged <60 years with COPD is less than acceptable in Madrid. Coverage was higher in men and in patients with another chronic condition.

DOI: 10.5588/ijtld.14.0480
PubMed: 25946369

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 00172
to stream Main, to step Curation: 000172

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Comorbidity (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Guideline Adherence (trends)</term>
<term>Health Care Surveys (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Immunization Schedule (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pneumococcal Infections (diagnosis)</term>
<term>Pneumococcal Infections (epidemiology)</term>
<term>Pneumococcal Infections (prevention & control)</term>
<term>Pneumococcal Vaccines (administration & dosage)</term>
<term>Practice Guidelines as Topic (MeSH)</term>
<term>Practice Patterns, Physicians' (trends)</term>
<term>Primary Health Care (MeSH)</term>
<term>Pulmonary Disease, Chronic Obstructive (diagnosis)</term>
<term>Pulmonary Disease, Chronic Obstructive (epidemiology)</term>
<term>Pulmonary Disease, Chronic Obstructive (therapy)</term>
<term>Registries (MeSH)</term>
<term>Sex Factors (MeSH)</term>
<term>Spain (epidemiology)</term>
<term>Vaccination (trends)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adhésion aux directives (tendances)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Broncho-pneumopathie chronique obstructive (diagnostic)</term>
<term>Broncho-pneumopathie chronique obstructive (thérapie)</term>
<term>Broncho-pneumopathie chronique obstructive (épidémiologie)</term>
<term>Calendrier vaccinal (MeSH)</term>
<term>Comorbidité (MeSH)</term>
<term>Enquêtes sur les soins de santé (MeSH)</term>
<term>Enregistrements (MeSH)</term>
<term>Espagne (épidémiologie)</term>
<term>Facteurs sexuels (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à pneumocoques (diagnostic)</term>
<term>Infections à pneumocoques (prévention et contrôle)</term>
<term>Infections à pneumocoques (épidémiologie)</term>
<term>Mâle (MeSH)</term>
<term>Soins de santé primaires (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Types de pratiques des médecins (tendances)</term>
<term>Vaccination (tendances)</term>
<term>Vaccins antipneumococciques (administration et posologie)</term>
<term>Études transversales (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Pneumococcal Vaccines</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term>
</keywords>
<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antipneumococciques</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Pneumococcal Infections</term>
<term>Pulmonary Disease, Chronic Obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Broncho-pneumopathie chronique obstructive</term>
<term>Infections à pneumocoques</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Pneumococcal Infections</term>
<term>Pulmonary Disease, Chronic Obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Pneumococcal Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à pneumocoques</term>
</keywords>
<keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Adhésion aux directives</term>
<term>Types de pratiques des médecins</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Pulmonary Disease, Chronic Obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Broncho-pneumopathie chronique obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Guideline Adherence</term>
<term>Practice Patterns, Physicians'</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Broncho-pneumopathie chronique obstructive</term>
<term>Espagne</term>
<term>Infections à pneumocoques</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Comorbidity</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Health Care Surveys</term>
<term>Humans</term>
<term>Immunization Schedule</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Practice Guidelines as Topic</term>
<term>Primary Health Care</term>
<term>Registries</term>
<term>Sex Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Calendrier vaccinal</term>
<term>Comorbidité</term>
<term>Enquêtes sur les soins de santé</term>
<term>Enregistrements</term>
<term>Facteurs sexuels</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Mâle</term>
<term>Soins de santé primaires</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Patients aged ⩾ 40 years with a diagnosis of chronic obstructive pulmonary disease (COPD; codes R95, R79 and R91 in the International Classification for Primary Care) registered in primary care clinical records in the Autonomous Community of Madrid, Spain.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To assess pneumococcal vaccination coverage in patients with COPD and to analyse factors associated with vaccination uptake.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Population-based cross-sectional study in which data were collected in September 2010.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>We found that 93,797 patients (72.0% men and 28.0% women) had COPD. Overall coverage was 65.5% (67.5% men vs. 60.4% women, P < 0.001). In patients aged 40-59 years, coverage was 19.5%, reaching 75.8% in those aged ⩾ 60 years. In patients aged <60 years, uptake was associated with a higher number of comorbidities and appropriate adherence to seasonal influenza and pandemic vaccination schedules. In patients aged ⩾ 60 years, factors associated with uptake in both sexes were older age and appropriate adherence to seasonal influenza vaccination schedules. Factors associated with uptake in men were concomitant comorbidities and pandemic vaccination.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Vaccination coverage in individuals aged <60 years with COPD is less than acceptable in Madrid. Coverage was higher in men and in patients with another chronic condition.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25946369</PMID>
<DateCompleted><Year>2016</Year>
<Month>02</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>05</Month>
<Day>07</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1815-7920</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>19</Volume>
<Issue>6</Issue>
<PubDate><Year>2015</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease</Title>
<ISOAbbreviation>Int. J. Tuberc. Lung Dis.</ISOAbbreviation>
</Journal>
<ArticleTitle>Coverage of and factors associated with pneumococcal vaccination in chronic obstructive pulmonary disease.</ArticleTitle>
<Pagination><MedlinePgn>735-41</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.5588/ijtld.14.0480</ELocationID>
<Abstract><AbstractText Label="SETTING" NlmCategory="METHODS">Patients aged ⩾ 40 years with a diagnosis of chronic obstructive pulmonary disease (COPD; codes R95, R79 and R91 in the International Classification for Primary Care) registered in primary care clinical records in the Autonomous Community of Madrid, Spain.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess pneumococcal vaccination coverage in patients with COPD and to analyse factors associated with vaccination uptake.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Population-based cross-sectional study in which data were collected in September 2010.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We found that 93,797 patients (72.0% men and 28.0% women) had COPD. Overall coverage was 65.5% (67.5% men vs. 60.4% women, P < 0.001). In patients aged 40-59 years, coverage was 19.5%, reaching 75.8% in those aged ⩾ 60 years. In patients aged <60 years, uptake was associated with a higher number of comorbidities and appropriate adherence to seasonal influenza and pandemic vaccination schedules. In patients aged ⩾ 60 years, factors associated with uptake in both sexes were older age and appropriate adherence to seasonal influenza vaccination schedules. Factors associated with uptake in men were concomitant comorbidities and pandemic vaccination.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Vaccination coverage in individuals aged <60 years with COPD is less than acceptable in Madrid. Coverage was higher in men and in patients with another chronic condition.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Carreño-Ibáñez</LastName>
<ForeName>L V</ForeName>
<Initials>LV</Initials>
<AffiliationInfo><Affiliation>Servicio de Medina Preventiva, Hospital Clinico Universitario San Carlos, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Esteban-Vasallo</LastName>
<ForeName>M D</ForeName>
<Initials>MD</Initials>
<AffiliationInfo><Affiliation>Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Domínguez-Berjón</LastName>
<ForeName>M F</ForeName>
<Initials>MF</Initials>
<AffiliationInfo><Affiliation>Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Astray-Mochales</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>González Del Yerro</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Iniesta-Fornies</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gascón-Sancho</LastName>
<ForeName>M J</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo><Affiliation>Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jiménez-García</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Preventive Medicine Unit, Rey Juan Carlos University, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>France</Country>
<MedlineTA>Int J Tuberc Lung Dis</MedlineTA>
<NlmUniqueID>9706389</NlmUniqueID>
<ISSNLinking>1027-3719</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D022242">Pneumococcal Vaccines</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019983" MajorTopicYN="N">Guideline Adherence</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019538" MajorTopicYN="N">Health Care Surveys</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007115" MajorTopicYN="N">Immunization Schedule</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011008" MajorTopicYN="N">Pneumococcal Infections</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D022242" MajorTopicYN="N">Pneumococcal Vaccines</DescriptorName>
<QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017410" MajorTopicYN="N">Practice Guidelines as Topic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010818" MajorTopicYN="N">Practice Patterns, Physicians'</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011320" MajorTopicYN="N">Primary Health Care</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D029424" MajorTopicYN="N">Pulmonary Disease, Chronic Obstructive</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012042" MajorTopicYN="N">Registries</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year>
<Month>5</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2015</Year>
<Month>5</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2016</Year>
<Month>2</Month>
<Day>5</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">25946369</ArticleId>
<ArticleId IdType="doi">10.5588/ijtld.14.0480</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Espagne</li>
</country>
<region><li>Communauté de Madrid</li>
</region>
<settlement><li>Madrid</li>
</settlement>
</list>
<tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Carre O Iba Ez, L V" sort="Carre O Iba Ez, L V" uniqKey="Carre O Iba Ez L" first="L V" last="Carre O-Ibá Ez">L V Carre O-Ibá Ez</name>
</region>
<name sortKey="Astray Mochales, J" sort="Astray Mochales, J" uniqKey="Astray Mochales J" first="J" last="Astray-Mochales">J. Astray-Mochales</name>
<name sortKey="Dominguez Berj N, M F" sort="Dominguez Berj N, M F" uniqKey="Dominguez Berj N M" first="M F" last="Domínguez-Berj N">M F Domínguez-Berj N</name>
<name sortKey="Esteban Vasallo, M D" sort="Esteban Vasallo, M D" uniqKey="Esteban Vasallo M" first="M D" last="Esteban-Vasallo">M D Esteban-Vasallo</name>
<name sortKey="Gasc N Sancho, M J" sort="Gasc N Sancho, M J" uniqKey="Gasc N Sancho M" first="M J" last="Gasc N-Sancho">M J Gasc N-Sancho</name>
<name sortKey="Gonzalez Del Yerro, C" sort="Gonzalez Del Yerro, C" uniqKey="Gonzalez Del Yerro C" first="C" last="González Del Yerro">C. González Del Yerro</name>
<name sortKey="Iniesta Fornies, D" sort="Iniesta Fornies, D" uniqKey="Iniesta Fornies D" first="D" last="Iniesta-Fornies">D. Iniesta-Fornies</name>
<name sortKey="Jimenez Garcia, R" sort="Jimenez Garcia, R" uniqKey="Jimenez Garcia R" first="R" last="Jiménez-García">R. Jiménez-García</name>
</country>
</tree>
</affiliations>
</record>

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Coverage of and factors associated with pneumococcal vaccination in chronic obstructive pulmonary disease.

Coverage of and factors associated with pneumococcal vaccination in chronic obstructive pulmonary disease.

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