Implementation of vaccination in patients with cirrhosis

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

Research output: Contribution to journalArticle

32 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)384-387
Number of pages4
JournalDigestive Diseases and Sciences
Volume47
Issue number2
DOIs
StatePublished - Feb 14 2002
Externally publishedYes

Fingerprint

Vaccination
Fibrosis
Human Influenza
Hepatitis A
Streptococcus pneumoniae
Hepatitis B
Liver Transplantation
Vaccines
Innate Immunity
Hepatitis
Medical Records
Liver Diseases
Chronic Disease
Public Health
Interviews

Keywords

  • Cirrhosis
  • Hepatitis A vaccine
  • Hepatitis B vaccine
  • Influenza vaccine
  • Pneumococcal vaccine

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

Cite this

Implementation of vaccination in patients with cirrhosis. / Arguedas, Miguel R.; McGuire, Brendan M.; Fallon, Michael B.

In: Digestive Diseases and Sciences, Vol. 47, No. 2, 14.02.2002, p. 384-387.

Research output: Contribution to journalArticle

Arguedas, Miguel R. ; McGuire, Brendan M. ; Fallon, Michael B. / Implementation of vaccination in patients with cirrhosis. In: Digestive Diseases and Sciences. 2002 ; Vol. 47, No. 2. pp. 384-387.
@article{2a3cba3a601146998a1557213123ce80,
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",
month = "2",
day = "14",
doi = "10.1023/A:1013734525348",
language = "English (US)",
volume = "47",
pages = "384--387",
journal = "Digestive Diseases and Sciences",
issn = "0163-2116",
publisher = "Plenum Publishers",
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 - 2002/2/14

Y1 - 2002/2/14

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

AN - SCOPUS:0036162135

VL - 47

SP - 384

EP - 387

JO - Digestive Diseases and Sciences

JF - Digestive Diseases and Sciences

SN - 0163-2116

IS - 2

ER -