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A hospital-based pharmacy intervention program for pneumococcal vaccination

T G Vondracek1, T P Pham, M M Huycke

  • 1Department of Pharmacy Practice, University of Oklahoma Health Sciences Center, Oklahoma City, USA.

Archives of Internal Medicine
|July 29, 1998
PubMed
Summary
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Hospital pharmacy programs using chart reminders significantly boosted pneumococcal vaccination rates in eligible inpatients. This simple intervention increased vaccinations by 10-fold in some services, helping meet national immunization goals.

Area of Science:

  • Infectious Disease
  • Hospital Pharmacy
  • Public Health

Background:

  • Pneumococcal vaccination rates in the US are below national targets.
  • Invasive pneumococcal disease remains a significant public health concern, particularly among hospitalized patients.
  • Effective strategies are needed to improve vaccine uptake in at-risk populations.

Purpose of the Study:

  • To evaluate the impact of a hospital pharmacy-based intervention on pneumococcal vaccination rates.
  • To determine if simple chart reminders could increase vaccine administration among eligible inpatients.
  • To assess the feasibility of integrating vaccination reminders into routine hospital workflows.

Main Methods:

  • A prospective study was conducted in an academic medical center.

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  • Inpatient records were reviewed daily to identify patients eligible for pneumococcal vaccine.
  • A chart reminder system was implemented for eligible, unvaccinated patients.

    • Main Results:

    • Of 447 inpatients, 224 (50.1%) were eligible for pneumococcal vaccine; only 64 (28.6%) had been previously vaccinated.
    • During the intervention, 28.8% of eligible inpatients received the vaccine after chart reminders, compared to 0% in the observational period (P<.001).
    • Vaccination rates were 10-fold higher on general medicine services than cardiology services during the intervention.

    Conclusions:

    • A hospital pharmacy program utilizing chart reminders is an effective strategy to increase pneumococcal vaccination rates.
    • Simple interventions can significantly improve vaccine uptake in hospitalized patients at risk for invasive pneumococcal disease.
    • This approach demonstrates the potential for hospital pharmacies to play a key role in public health immunization efforts.