心力衰竭患者肺炎球菌和流感疫苗接种覆盖范围:系统性审查
Dimitrios Papagiannis1, Christos Kourek2, Alexandros Briasoulis3
1Public Health & Adults Immunization Lab, Department of Nursing, School of Health Sciences, University of Thessaly, 41110 Larissa, Greece.
Journal of clinical medicine
|June 19, 2024
概括
心力衰竭患者需要更好的肺炎球菌和流感疫苗接种覆盖. 这次审查发现覆盖率各不相同,但对接种疫苗的人的生存和减少住院治疗的积极影响普遍存在.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 心力衰竭患者非常容易感染呼吸道感染.
- 这些感染可能会恶化心血管疾病,导致严重并发症或死亡.
- 优化肺炎球菌和流感疫苗接种对于这个脆弱群体至关重要.
研究的目的:
- 在2005年至2023年期间,系统审查心力衰竭患者流感和肺炎球菌疫苗接种覆盖率.
- 评估这些疫苗对生存率和住院率的影响.
主要方法:
- 按照PRISMA指南进行的系统审查.
- 在PubMed和Scopus数据库中进行的搜索.
- 分析了23项涉及600多万参与者的研究.
主要成果:
- 接种流感疫苗的覆盖率差异很大 (2.5%97%).
- 肺炎球菌疫苗接种覆盖率在20%至84.6%之间.
- 大多数研究表明,疫苗接种改善了生存率,减少了住院治疗.
结论:
- 在心力衰竭患者中,肺炎球菌和流感疫苗接种覆盖率存在显著的变化.
- 疫苗接种似乎有利于改善这一群体的结果.
- 需要进一步努力,以增加心力衰竭患者的接种率.
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