Awareness and Practice of Vaccination of Chronic Hemodialysis Patients by Specialist Nephrology Practitioners in Nigeria: A Cross-Sectional Survey

Akinbodewa, Akinwumi Ayodeji; Adejumo, Oluseyi Ademola

doi:10.2991/jegh.k.190518.001

Cited by 5 publications

(8 citation statements)

References 19 publications

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“…Another key point is the awareness of healthcare professionals about adult vaccination. For example, nephrology practitioners were asked about adult vaccination awareness for patients with chronic kidney disease in a study (22). While all 32 consultants told that CKD patients should have a vaccine against the Hepatitis B virus, only 19 of them agree with this for the influenza virus and only 22 of them agree with pneumococcus vaccination (22).…”

Section: Discussionmentioning

confidence: 99%

“…For example, nephrology practitioners were asked about adult vaccination awareness for patients with chronic kidney disease in a study (22). While all 32 consultants told that CKD patients should have a vaccine against the Hepatitis B virus, only 19 of them agree with this for the influenza virus and only 22 of them agree with pneumococcus vaccination (22). However, we think that there is a need for more comprehensive studies on this subject.…”

Section: Discussionmentioning

confidence: 99%

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Vaccination rates and the causes of vaccine hesitancy among patients with end stage renal disease

ÖZEN

Yavuz

DEMİRAĞ

2022

Journal of Health Sciences and Medicine

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Aim: Chronic kidney disease creates a tendency to infections, and infections are the second most common reason for mortality following cardiovascular events in chronic kidney disease. Health authorities recommend vaccination against hepatitis B, annual influenza, pneumonia, zoster, tetanus, and new coronavirus disease for people with end-stage kidney disease. Vaccine-preventable diseases cause mortality in the adult population with chronic diseases. The primary purpose of this study is to investigate vaccination rates and awareness about vaccination among end-stage renal disease patients who were on renal replacement therapies in a single tertiary center in Turkey. Material and Method: 86 hemodialysis patients were included in this cross-sectional study. A questionnaire was used to investigate whether the patients were aware of the immunization schedule or not and whether they were vaccinated against hepatitis B virus, seasonal influenza virus, pneumonia, herpes zoster, tetanus, and SARS-CoV-2 or not. Results: Fifty-eight (67.4%) patients were vaccinated against SARS CoV2. 48(55.8%) patients were vaccinated against the Hepatitis B virus. 31 (36%) patients were vaccinated against Pneumococcus pneumonia. 48 (55.8%) patients have been vaccinated against the influenza virus annually. Only 14 (16.3%) patients were vaccinated against tetanus during the previous 10 years, and only 1 (1.2%) patient was vaccinated against Herpes zoster. Influenza vaccination rates were found to be higher in patients with a longer duration of hemodialysis when compared to the other group(p=0.03). SARS-CoV 2 vaccination rates were higher in patients who were older than 59 years of age when compared to the younger patients(p=0.03). Conclusion: Vaccination rates are far from the targets in patients with end-stage kidney disease. The most common reason to be unvaccinated is a lack of enough knowledge about the subject.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Vaccination rates and the causes of vaccine hesitancy among patients with end stage renal disease

ÖZEN

Yavuz

DEMİRAĞ

2022

Journal of Health Sciences and Medicine

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“…The practices for infection prevention among patients undergoing hemodialysis were mainly based on the evidence from general populations rather than those uniquely for patients undergoing hemodialysis ( 1 , 3 , 6 ). Catheter-related infections were hemodialysis-specific and most studied ( 17 , 28 , 29 ).…”

Section: Discussionmentioning

confidence: 99%

“…The 30 and 180-day case-fatality rates for pneumonia episodes were 10.7 and 24.8%, respectively ( 4 ). The preventive methods against infections were mainly recommendations of hand hygiene, wearing masks when presenting respiratory symptoms, and vaccination, which were based on evidence from the general population rather than from patients undergoing hemodialysis ( 5 , 6 ). More effective measures are needed to minimize the risk of infection.…”

Section: Introductionmentioning

confidence: 99%

Mandatory Mask-Wearing and Hand Hygiene Associated With Decreased Infectious Diseases Among Patients Undergoing Regular Hemodialysis: A Historical-Control Study

Qin

Xing

Ren

et al. 2021

Front. Public Health

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Background: Infections are the second leading cause of death among patients undergoing hemodialysis. However, preventive measures against infectious diseases are limited and have not been made mandatory for patients.Objective: To investigate the incidence of infectious diseases before and during the coronavirus disease (COVID-19) pandemic.Design: A historical comparative study of a prospective cohort.Setting(s): February 1, 2015 to January 31, 2020 was defined as the period before the mitigative confrontation of the COVID-19 pandemic in China. The period from February 1 to June 29, 2020 was defined as the period of mitigative confrontation of the COVID-19 pandemic in China.Participants: A cohort of patients undergoing hemodialysis whose infectious disease episodes were documented prospectively in the hemodialysis unit of the Third Affiliated Hospital of Guangzhou Medical University since February 1, 2015.Methods: Mandatory mask-wearing and reinforced hand-hygiene education were implemented to prevent COVID-19 from January 23, 2020 in China. The incidence of infectious episodes, including catheter-related infection, digestive tract infection, upper respiratory tract infection (UTRI), pneumonia, and infection at other sites, were documented and compared in the periods before and during the pandemic.Results: The historical control group consisted of 157 patients, with 79 patients in the COVID-19 prevention group. The mask-wearing rate of patients increased from 1.5 to 100%. Hand sanitizer consumption increased significantly during the COVID-19 pandemic. The compliance rates of hand hygiene increased from 66, 75.5, to 55% in physicians, nurses, and other employees before the pandemic to 90.5, 92.5, and 76.5%, respectively. The incidences of UTRI and pneumonia decreased during the pandemic (p < 0.001). Notably, catheter-related and digestive tract infections also decreased during the pandemic (p = 0.003 and 0.034, respectively). A matched-pair study was conducted to further analyze the 79 individual changes in the incidences of infectious disease before and during the pandemic. As a result, the incidences of UTRI, pneumonia, catheter-related infections, digestive tract infections, and infections at other sites all decreased during the pandemic.Conclusions: The present study indicated an association between mandatory mask-wearing and reinforced hand hygiene education and decreased respiratory, catheter-related, and digestive tract infection episodes in the hemodialysis unit.

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“…The minimum sample size of 90 for this study was calculated using the formula for finite population size. The significant level was set to 0.05, the standard normal variate of 1.96 (at 95% confidence level), the precision of 5%, and prevalence were taken as 69% of physicians with good knowledge of vaccine from a previous study (16). The targeted sample size was achieved between December 2021 and January 2022 using the purposive sampling technique.…”

Section: Sample Sizementioning

confidence: 99%

Barriers to pneumococcal conjugate 13 vaccination recommendations among physicians in Lagos

Ojo¹

2022

Babcock Univ. Med. J.

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Objective: Vaccination rates among risk groups vary between different countries. There are gaps in the implementation of the acceptable recommended guidelines on adult pneumococcal immunization in Nigeria. This study aims to evaluate the barriers for physicians in recommending pneumococcal vaccines. Methods: This was a descriptive cross-sectional survey involving 97 physicians. Self-administered questionnaires were sent electronically to the physicians to understand the barriers to adult pneumococcal vaccine recommendations among adult physicians in Lagos. The sample size was based on estimation using the Cochrane formula. Results: Ninety-seven (97) physicians completed the questionnaire with a male to female ratio of 1:1.3. The mean age of the responders was 39.54±6.2 years. About 73(81.1%) of physicians recommended the pneumococcal vaccine and most physicians recommended the vaccine for patients with chronic lung diseases. The common barriers for vaccine recommendation include: unavailability (53; 54.6%), poor reminder systems (43; 44.3%), inadequate insurance coverage (33; 34%), and Vaccine shortage (31; 32%). Conclusions: This study suggests that the majority of physicians recommend pneumococcal conjugate vaccines. The major barriers to vaccination include poor access, availability, and cost. There is a need to increase access, cost, and availability of pneumococcal vaccine if the narrative must change.

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Awareness and Practice of Vaccination of Chronic Hemodialysis Patients by Specialist Nephrology Practitioners in Nigeria: A Cross-Sectional Survey

Cited by 5 publications

References 19 publications

Vaccination rates and the causes of vaccine hesitancy among patients with end stage renal disease

Vaccination rates and the causes of vaccine hesitancy among patients with end stage renal disease

Mandatory Mask-Wearing and Hand Hygiene Associated With Decreased Infectious Diseases Among Patients Undergoing Regular Hemodialysis: A Historical-Control Study

Barriers to pneumococcal conjugate 13 vaccination recommendations among physicians in Lagos

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