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Transpl Infect Dis . The Coverage of Influenza and Pneumococcal Vaccination among Kidney Transplant Recipients and Waiting List Patients: A Cross S

tetano

Editor, Senior Moderator
Transpl Infect Dis


. 2020 Nov 30;e13537.
doi: 10.1111/tid.13537. Online ahead of print.
The Coverage of Influenza and Pneumococcal Vaccination among Kidney Transplant Recipients and Waiting List Patients: A Cross Sectional Survey in Denmark


Lykke Larsen[SUP] 1 2 3 [/SUP], Claus Bistrup[SUP] 4 5 [/SUP], S?ren Schwartz S?rensen[SUP] 6 7 [/SUP], Lene Boesby[SUP] 8 [/SUP], Mai Thanh Thuy Nguyen[SUP] 1 [/SUP], Isik Somuncu Johansen[SUP] 1 2 [/SUP]



Affiliations

Abstract

Background: To characterize level and predictors of influenza and pneumococcal vaccine uptake among Danish kidney transplant recipients (KTR) and kidney transplant waiting list patients (WLP).
Methods: A cross-sectional survey based on self-reported vaccine uptake including WLP and KTR ≤ 1? years post transplantation. Descriptive statistics and logistic regression analyses identifying factors associated with influenza vaccine uptake in the latest season were performed.
Results: A total of 220 participants were included in the study, 54% KTR and 46% WLP. Self-reported influenza vaccine uptake in the latest season was overall 41.8%. Uptake of influenza vaccine any prior season apart from the latest season was 53.2% and significantly higher among WLP than KTR (p=0.007). Pneumococcal vaccine uptake was only 4% overall. The only factor positively associated with influenza vaccine uptake in the latest season was any prior influenza vaccine uptake (OR 5.79, CI95 2.44-13.76) (p<0.001). Recommendations given by other persons (non-physician) were negatively associated with receiving the influenza vaccination in the latest season (OR 0.34, CI95 0.13-0.92) (p=0.03). Reasons for not being vaccinated were primarily lack of information, perception of own good health and fear of adverse reactions.
Conclusions: Influenza and pneumococcal vaccine uptakes were suboptimal among Danish WLP and KTR. Increased awareness about guidelines and physicians? education are warranted.

Keywords: Immunization; Influenza vaccination; Kidney transplant recipients; Pneumococcal vaccination; Vaccination coverage.
 
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