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Infectious Disease Screening and Vaccinations Guidelines for Patients Initiating Immunosuppression for Dermatologic
Ruby S Gibson1, Diana S Kim2, Min Ji Her3
1Clinical Laboratory for Epidemiology and Applied Research in Skin (CLEARS), Department of Dermatology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
A new Pre-Immunosuppression (Pre-IS) Clinic improves vaccination and infectious disease screening for patients on immunosuppressive medications. This initiative established clear guidelines and optimized workflows for better patient care.
Area of Science:
- Quality Improvement
- Infectious Diseases
- Immunology
Background:
- Patients on immunosuppressive medications require specialized screening and vaccination.
- Existing protocols may not adequately address the complex needs of this population.
Purpose of the Study:
- To establish a multidisciplinary Pre-Immunosuppression (Pre-IS) Clinic.
- To develop consensus guidelines for infectious disease screening and immunizations for immunosuppressed patients.
- To optimize the clinical workflow for the Pre-IS Clinic.
Main Methods:
- A multidisciplinary committee developed consensus guidelines.
- Guidelines covered chronic/latent infections, immunizations, and household contacts.
- Workflow processes for the Pre-IS Clinic were streamlined.
Main Results:
- A Pre-IS Clinic was successfully implemented.
- Comprehensive guidelines were created and adopted.
- Optimized workflow enhanced service delivery.
Conclusions:
- Multidisciplinary quality improvement initiatives can effectively establish specialized clinics.
- The Pre-IS Clinic model ensures appropriate screening and vaccination for immunosuppressed patients.
- This approach serves as a model for improving care for vulnerable patient populations.
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