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The workup process of vaccination in IBD patients needs a change-Insights from a multinational survey
Candida Abreu1, Carolina Monteiro2, Mafalda Santiago3
1Department of Infectious Diseases, São João Hospital University Center, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal; Instituto de Inovação e Investigação em Saúde (I3S), R. Alfredo Allen, 208 4200-135, Porto, Portugal; Instituto Nacional de Engenharia Biomédica (INEB), Rua do Campo Alegre, 823 4150-177, Porto, Portugal; Department of Medicine, Faculty of Medicine, University of Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.
Background:
Immunosuppressive medications play a crucial role in inflammatory bowel disease (IBD) but increase susceptibility to infections, underlining the importance of vaccination. Nevertheless, vaccination rates are often low.
Aims:
This study assessed the perspective of gastroenterologists (GEs) on vaccination of IBD patients.
Methods:
An online survey was applied to GEs worldwide, from 10/2022 to 06/2023.
Results:
The 271 respondents considered vaccination important, however, 26 % never/rarely prescribed vaccines and 60 % admitted having limited or no confidence on managing their side effects - GEs practicing in Europe, male and older more often felt capable of this. Female and younger participants were more aware of the need to alter the current workflow in vaccination. Some respondents proposed to delegate the responsibility of vaccination to general practitioners, nurses in gastroenterology units, or infectious diseases specialists, but 19 % considered that no change was needed.
Conclusion:
Overall, the importance of addressing vaccine hesitancy, providing flyers to patients, and implementing vaccine guidelines were consensually recognized. The data indicated that the vaccination process needs reformulation and that different opinions/attitudes toward vaccines are influenced by demographic factors, workplace characteristics, affiliation, and teaching activities. Delegating the responsibility of vaccination and adopting a multidisciplinary approach seem like effective strategies to increase vaccination coverage among IBD patients.
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