Evaluación del esquema de vacunación y cuidados con relación al seguimiento y tratamiento de los pacientes con enfermedad inflamatoria intestinal

Abstract

These results are a red flag suggesting the need to reinforce the role of the primary healthcare providers in relation to vaccination follow-up and the need to improve the education of the patient in relation to inflammatory bowel disease.

Compliance with the guidelines on recommended immunization schedule in patients with inflammatory bowel disease: implications on public health policies

“…Sometimes, patients do not visit their primary care centre for vaccination, and in other cases, insufficient or confusing information regarding their health status or their treatment is provided: approximately 50% of patients with IBD do not know that they need to be vaccinated against certain diseases [25]. This lack of awareness, together with other barriers that complicate compliance such as vaccination costs and incorrect or inadequate vaccination recommendations by healthcare professionals, must be addressed [25,39].…”

Impact of an Intervention to Promote the Vaccination of Patients with Inflammatory Bowel Disease

“…The main problems causing the low vaccination rates in patients with IBD are a lack of knowledge of the vaccination protocol, contraindications, and side effects by the professionals; a mistrust of vaccines; and poor communication between the professionals [10,14,21,26]. Bianchi et al [27] carried out a systematic review of the COVID-19 immunization rates in IBD in which they described, as negative determinants towards vaccination, the fear of exacerbation of the disease after administering the COVID-19 vaccine or its adverse effects and the lack of information.…”

“…In particular, in the region of Lleida, most patients are treated in hospitals; however, vaccinations are carried out in PC centers and recorded in the medical record database. Many patients do not get vaccinated in hospitals and do not go to PC centers for vaccination [14,21]. Furthermore, in PC centers, there are no clear guidelines for vaccination.…”

“…To achieve health maintenance goals in IBD, it is necessary to coordinate between PC centers, gastroenterologists, public health experts, and other specialists [27,29]. Furthermore, Yamamoto et al indicated the need to strengthen the role of PC centers in the vaccination and follow-up of patients with IBD [21]. Therefore, addressing the barriers perceived by professionals and patients is already a priority, as observed in the implementation of professional information programs [10,30].…”

“…Up to half of the individuals with IBD may not have been aware of the need for certain vaccines [14]. Therefore, it is a priority to address patient-perceived barriers [14,17,21] and to improve the immunization rates by educating individuals and training professionals [3,11,14,17,[21][22][23]. In this context, we decided to carry out an intervention for healthcare professionals involved in diagnosing and following up on patients with IBD in the region of Lleida.…”