Vaccination rates among adults with sickle cell disease: a single-center study from the Eastern Mediterranean region of Turkey Vaccination status of adult patients with sickle cell disease
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Abstract
Objective: Being vaccinated against encapsulated bacteria is the most efficient way to reduce painful crises and mortality in patients with sickle cell disease (SCD). Although guidelines strongly recommend vaccination, vaccination rates remain under the desired levels. In this study, we aim to determine vaccination rates and understand the reasons for non-vaccination in patients with SCD.
Material and methods: We included 76 patients with SCD in this study. We administered a questionnaire consisting of 21 questions and examined the electronic vaccination records of these patients.
Results: The vaccination rates were 36.5% for the pneumococcal vaccine, 22.4% for the Hemophilus influenza type b vaccine, and 19.7% for the meningococcal vaccine. Residence in rural areas and annual control visits were found to increase the pneumococcal vaccination rates (OR: 11.90, 95% CI: 2.549–56.107, p = 0.002 and OR: 9.08, 95% CI: 1.120–73.624, p = 0.039, respectively) and meningococcal vaccination rates (OR: 2.75, 95% CI: 1.464–5.186, p = 0.002 and OR:1.36, 95% CI: 1.159–1.610, p < 0.001, respectively). Thirty-four (44.7%) of the cases stated that their doctors did not give any information about these vaccinations.
Conclusion: Vaccination rates are low in patients with SCD. Residence in rural areas, annual control visits, educational level, and doctor recommendations affect these vaccination rates.
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Accepted 2021-11-22
Published 2021-11-23
References
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