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Prospects for an emergency department-based adult immunization program.

M A Polis1, J P Smith, D Sainer

  • 1National Institute of Allergy and Infectious Diseases, Bethesda, MD 20892.

Archives of Internal Medicine
|November 1, 1987
PubMed
Summary

Adult immunization rates for pneumococcal and influenza vaccines are low in the US. Offering vaccines in emergency rooms could significantly improve adult vaccination coverage for high-risk individuals.

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Vaccinology

Background:

  • Adult immunization rates in the United States remain suboptimal.
  • High-risk adults often lack awareness and uptake of crucial vaccines like pneumococcal and influenza.

Purpose of the Study:

  • To assess awareness and previous receipt of pneumococcal and influenza vaccines among high-risk adults.
  • To evaluate the potential of emergency room settings for improving adult vaccination rates.

Main Methods:

  • Interviews were conducted with 350 high-risk patients in an emergency room setting.
  • Data collected included vaccine awareness, prior vaccination history, and willingness to receive vaccines in the ER.

Main Results:

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  • Only 20.1% of patients had heard of pneumococcal vaccine vs. 82.7% for influenza vaccine.
  • Vaccine uptake was low: 8.6% for pneumococcal and 47.8% for influenza.
  • Patients with a primary care provider showed significantly higher vaccination rates.
  • Approximately 60% of unvaccinated patients expressed willingness to receive vaccines in the ER.
  • Conclusions:

    • There is a significant gap in adult immunization, particularly for pneumococcal vaccine.
    • Access to primary care is associated with higher vaccination rates.
    • Emergency departments represent a promising venue to increase adult immunization coverage.