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Year : 2014  |  Volume : 5  |  Issue : 2  |  Page : 6

Influenza and Pneumococcal vaccination in patients with diabetes

1 Department of Internal Medicine and CDC/ICMR Multisite Influenza Surveillance Program for Influenza, SKIMS, Srinagar - India
2 Department of Endocrinology SKIMS, Srinagar - India

Correspondence Address:
P A Koul
Department of Internal & Pulmonary Medicine Sher- i-Kashmir Institute of Medical Sciences Soura, Srinagar - India

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Source of Support: None, Conflict of Interest: None

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Data for uptake of the recommended influenza and pneumococcal vaccination in patients with diabetes from developing countries are scarce. The aim of the study was to assess the uptake of influenza and pneumococcal vaccination in patients with diabetes. One thousand and five hundred patients with diabetes were approached; 1100 (685 female, age 5-90 years, median 50 years) consented for participation. Information regarding knowledge, beliefs and practices regarding vaccination was recorded by administering a predefined questionnaire. Only 99 (9%) and 97 (8.8%) of the 1100 patients had received influenza and pneumococcal vaccination respectively in the past 1-5 years. Vaccination rates were higher in males (15.9% versus 4.8% for influenza, p = 0.000 and 16.1% versus 4.5% ; p = 0.000 for Pneumococcus); and in those aged > 65 years (13.1% versus 7.96% , p = 0.017 for influenza; and 13.6% versus 7.6% , p = 0.012 for Pneumococcus). Reasons cited for non-participation included misperceptions about personal risk, vaccine efficacy and safety. Only 4 of the 28 physicians caring for the patients prescribed the vaccines regularly and the vaccination rates in their patients were significantly higher (p = 0.000). Poor vaccination rates in Northern Indian patients with diabetes call for intensive efforts to improve uptake.

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