Are patients with inflammatory bowel disease receiving adequate immunisation?

Rodrigo Quera, Daniela Simian, Paulina Núñez, Lilian Flores, Carolina Figueroa, Patricio Ibáñez, Udo Kronberg, Jaime Lubascher, Gonzalo Pizarro

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction: Inflammatory Bowel Disease (IBD) treatment may increase the risk of infections. Vaccines are part of the comprehensive IBD patient care. The aim of this study was to describe indications and adherence of immunizations in IBD and identify possible associated factors. Methods: A cross-sectional, analytic study was conducted in patients from an IBD Program of a tertiary center in Chile, between April – June 2019. Patients were asked to answer a vaccine survey and information also was obtained from the National Immunization Registry. Descriptive and association statistic were used (χ2; p < 0.05). Results: A total of 243 patients were included (148 ulcerative colitis (UC), 86 Crohn's disease (CD) and 9 non-classifiable IBD). Only six patients (2%) of IBD patients received a complete immunization schedule. The highest vaccine rates were against influenza (67%), hepatitis B virus (40%), 13-valent pneumococcal (34%) and 23-polysaccharide pneumococcal (16%). The influenza vaccine rate has significantly increased, reaching 67% in 2019. The survey showed that 23% of patients have not been immunized with any vaccine, mainly due to lack of time, lack of medical prescription and high cost. Conclusions: In this cohort, although vaccination rates are higher than previously reported, adherence to IBD immunization program would be improved, being considered since diagnosis by the multidisciplinary team.

Translated title of the contributionAre patients with inflammatory bowel disease receiving adequate immunisation?
Original languageSpanish
Pages (from-to)198-205
Number of pages8
JournalGastroenterologia y Hepatologia
Volume44
Issue number3
DOIs
StatePublished - Mar 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 Elsevier España, S.L.U.

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