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Adherence to Current Vaccination Recommendations for Patients With Rheumatoid Arthritis in Mexico

Andrea Sofia Cepeda-Perez1, Nina Tello Winniczuk2, Alejandro Diaz-Borjon2

  • 1Reumatología, Instituto Nacional de Rehabilitación, Ciudad de México, México.

Reumatologia Clinica
|July 3, 2019
PubMed
Abstract

Insights

Rheumatologists in Mexico show poor adherence to recommended vaccination schedules for rheumatoid arthritis (RA) patients. This highlights potential misinformation regarding vaccine effectiveness, safety, and timing in this population.

Area of Science:

  • Rheumatology
  • Infectious Diseases
  • Public Health

Background:

  • Patients with rheumatoid arthritis (RA) face a significantly higher risk of infections.
  • Vaccination against influenza, pneumococcal disease, and shingles is recommended for RA patients, ideally before treatment initiation.
  • Prior studies indicate low vaccination rates and poor adherence to recommendations among rheumatologists globally.

Purpose of the Study:

  • To assess rheumatologists' knowledge and adherence to vaccination guidelines for RA patients in Mexico.
  • To identify barriers preventing the implementation of vaccination recommendations in this patient group.

Main Methods:

  • A cross-sectional survey was distributed to 577 rheumatologists affiliated with the Mexican College of Rheumatology (MCR).
  • Data collection occurred in January 2017, with a response rate of 21.14% (122 completed surveys).

Main Results:

  • Only 50% of surveyed rheumatologists routinely recommended influenza immunization to most of their RA patients.
  • Vaccination against pneumococcal disease was recommended by 36.07% of respondents for the majority of patients.
  • A significant majority (69.67%) did not routinely recommend shingles immunization to their RA patients.

Conclusions:

  • The study reveals inadequate adherence to recommended immunization schedules for patients with RA in Mexico.
  • Findings suggest a potential gap in understanding or awareness regarding the efficacy, safety, and optimal timing of vaccinations for RA patients.
Keywords:
ArthritisArtritisGuidelinesGuíasImmunizationInmunizaciónReumatoideRheumatoid

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