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Published on: April 21, 2015
Adherence to a predefined vaccination program in patients with inflammatory bowel disease
Patricia Ruiz-Cuesta1, Carlos González-Alayón1, Juan Jurado-García1
1Department of Gastroenterology of Reina Sofía University Hospital, Córdoba, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Reina Sofía University Hospital, Córdoba, Spain.
Vaccination adherence in inflammatory bowel disease (IBD) patients is 84.3%. Factors like IBD medication, treatment adherence, and marital status influence vaccination rates, highlighting the need for improved patient education and vaccination emphasis.
Area of Science:
- Immunology
- Gastroenterology
- Public Health
Background:
- Vaccination programs are inconsistently applied in inflammatory bowel disease (IBD) patient care.
- Adherence to recommended vaccination schedules in IBD patients is not well-established.
- This study aimed to assess vaccination adherence and identify predictors of non-adherence in IBD patients.
Purpose of the Study:
- To determine the adherence rate to a predefined vaccination program in patients with IBD.
- To identify factors associated with poor adherence to vaccination in this population.
Main Methods:
- A cohort of 153 IBD patients (ulcerative colitis and Crohn's disease) underwent immune status evaluation and vaccination between January and March 2012.
- Adherence to vaccination was calculated based on serological testing and vaccination history.
- Statistical analysis identified factors linked to low vaccination adherence.
Main Results:
- The overall adherence rate to the vaccination program was 84.3%.
- Poor adherence was associated with not receiving immunosuppressants/biological agents (p=0.021), non-adherence to medical treatment (p=0.016), and single/divorced/separated marital status (p=0.015).
Conclusions:
- Vaccination adherence among IBD patients is considered acceptable.
- Enhancing patient information regarding IBD and the importance of vaccination is crucial for improving adherence rates.
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