Efficacy of vaccination against pneumococcal infection in workers of metallurgical industry
https://doi.org/10.18093/0869-0189-2016-26-4-481-487
Abstract
The aim of this study was to evaluate efficacy of vaccination against pneumococcal infection using Pneumo23 vaccine in workers of metallurgical industry. Methods. The study involved workers of mining and metallurgical enterprises who exposed to occupational hazard factors regularly. The lung function was assessed using spyrometry. The severity of COPD was evaluated using the CAT questionnaire. Number and duration of day off periods due to respiratory diseases were also considered. All parameters were measured at baseline and in 12 and 24 months after vaccination. Results. The number of work off days due to respiratory diseases significant decreased in a year after vaccination with Pneumo 23 vaccine. Functional parameters and well-being improved and the impact of the disease on daily life decreased in 12 and 24 months after the vaccination. Conclusion. The results of the study confirmed the high efficacy and safety of vaccination with Pneumo 23 vaccine in workers of metallurgical enterprises.
About the Authors
L. V. PostnikovaRussian Federation
hD, Head of Department at Federal Research Institute of Occupational Health; tel.: (917) 552-68-21;
A. A. Sal'nikov
Russian Federation
PhD, Head of Healthcare Department, Metalloinvest LLC Management Company; tel.: (495) 981-55-55
I. V. Buhtijarov
Russian Federation
MD, Professor, Head of Federal Research Institute of Occupational Health; tel.: (495) 365-02-09;
References
1. Izmerov N.F., Chuchalin A.G., eds. Occupational Respiratory Diseases. National Guidelines. Moscow: GEOTAR-Media; 2015 (in Russian).
2. Bilichenko T.N., Kostinov M.P., Roslaya N.A. Vaccine prevention of respiratory infections and other diseases in employeers. National vaccination schedule. Meditsina truda i promyshlennaya ekologiya. 2014; 9: 1–7 (in Russian).
3. Palmer K.T., McNeill-Love R., Poole J.R. et al. Inflammatory responses to the occupational inhalation of metal fume. Eur. Respir. J. 2006; 27: 366–373.
4. Palmer K.T., Cullinan P., Rice S. et al. Mortality from infectious pneumonia in metal workers: a comparison with deaths from asthma in occupations exposed to respiratory sensitizers. Thorax. 2009; 64: 983–986.
5. Sethi S. Infectious etiology of acute exacerbations of chronic bronchitis. Chest. 2000; 117 (Suppl. 2): S380–S385.
6. Saint S., Flaherty K.R., Abrahamse P. et al. Acute exacerbation of chronic bronchitis: disease-specific issues that influence the cost-effectiveness of antimicrobial therapy. Clin. Ther. 2001; 23: 499–512.
7. Koh D.H., Moon K.T., Kim J.Y. et al. The risk of hospitalisation for infectious pneumonia in mineral dust exposed industries. Occup. Environ. Med. 2011; 68: 116–119.
8. State Report about Hygienic and Epidemiological Health of Population in Russian Federation, 2015. Available at: http://rospotrebnadzor.ru/documents/details.php?ELEMENT_ID=3692
9. Keech M., Beardsworth P. The impact of influenza on working days lost. A review of the literature. Pharmacoeconomics. 2008; 26 (11): 911–924.
10. Nichol K.L. Cost-benefit analysis of a strategy to vaccinate healthy working adults against influenza. Arch. Intern. Med. 2001; 161: 749–759.
11. The Order of Healthcare Ministry of Russian Federation about Approval of the National Schedule of Vaccination for Disease Prevention or for Epidemiological Reasons. Available at: https://rg.ru/2014/05/16/kalendar_dok.html
12. Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices, United States, 2015–16 Influenza Season. Morb. Mortal. Wkly. Rep. 2015; 64 (30): 818–825.
13. Vaccination Against the Flu: documents about WHO position. Ezhenedel'ny epidemiologicheskiy byulleten'. 2012; 87 (47): 461–476 (in Russian).
14. Chuchalin A.G., Bilichenko T.N., Kostinov M.P. et al. Vaccine Prevention of Respiratory Disease in Primary Care. Clinical Guidelines. Pul'monologiya: pril. 2015; 25 (2): 4–19 (in Russian).
15. The National Business Group on Health. Vaccinating Against the Flu: A Business Case. Available at: https://www.businessgrouphealth.org/pub/f3137df6-2354-d714-5143-de37eb0ecd7c
16. Lu P.J., O'Halloran A., Ding H. et al. National and state-specific estimates of place of influenza vaccination among adult populations – United States, 2011–12 influenza season. Vaccine. 2014; 32 (26): 3198–3204.
17. Merck Manual Textbook. Available at: http://www.merckmanuals.com/professional/pulmonary-disorders/environmental-pulmonary-diseases/overview-of-environmental-pulmonary-disease
18. Green Book. Pneumococcal infection. p. 306. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/263318/Green-Book-Chapter-25-v5_2.pdf
19. Ignatova G.L., Fedosova N.S., Stepanishheva L.A. Preventive and therapeutic use of pneumococcal vaccine in industrial workers with chronic pulmonary diseases. Pul'monologiya. 2007; 3: 81–87 (in Russian).
20. Fel'dbljum I.V., Men'shikova M.G., Markovich N.I. et al. Vaccine efficacy for pneumococcal infection and influenza prevention in high-fisk groups in the Perm’ krai. Vakcinaciya. 2008; 4 (54): 16–18 (in Russian).
21. Nikolenko V.V., Fel'dbljum I.V., Vorob'va N.N. et al. Specific prevention of pneumococal infection in patients with respiratory diseases. Vrach. 2010; 4: 41–43 (in Russian).
22. Kulakovskaja O.V. Preventive and therapeutic use of Pneumo 23 polysaccharide pneumococcal vaccine in patients with COPD. 2010; 6 (1): 25–26 (in Russian).
23. Kostinov M.P., Ryzhov A.A., Chebykina A.V. et al. Vaccination with 23-valent vaccine against pneumococcal infection: clinical efficacy in urban and rural residents with chronic obstructive pulmonary disease. Pul'monologiya. 2012; 6: 104–110 (in Russian).
24. Kostinov M.P., Ryzhov A.A., Magarshak O.O. et al. Clinical efficacy of vaccination against pneumococcal infection in COPD patients living in the Western-Siberian region. Terapevticheskij arhiv. 2014; 3: 28–33 (in Russian).
25. Protasov A.D., Chebykina A.V., Kostinov M.P. et al. Can combined vaccination against respiratory infection change the functional status of patients with COPD? Pul'monologiya. 2014; 6: 49–55 (in Russian).
26. Belevskij A.S., Meshherjakova N.N. Efficacy of vaccination of COPD patients with Pneumo-23 polysaccharide pneumococcal vaccine in city outpatient clinics of Moscow. Purakticheskaya pul'monologiya. 2014; 3: 32–36 (in Russian).
27. Spiridonov V.L., Roslaja N.A., Akopjan K.A. et al. Efficacy of vaccination against pneumococcal infection in alunimium industry workers. Pul'monologiya. 2014; 6: 56–59 (in Russian).
28. Spiridonov V.L., Akopjan K.A. Preventive vaccination of industrial workers against pneumococal infection and influenza. Medicina truda i promyshlennaya ekologiya. 2014; 9: 7–11 (in Russian).
29. Lugovskaja N.A., Bushueva L.E., Tulupova L.G. et al. Evaluation of efficacy of combined vaccination against pneumococcus and influenza in workers of «Gazprom transgaz Ekaterinburg» LLC. Medicina truda i promyshlennaya ekologiya. 2014; 9: 15–20 (in Russian).
30. Zhukov D.A. Pharmacoeconomic efficacy of vaccination against influenza and pneumococcus in workers of «RZhD» JSC from the employer’s point of view. Farmakojekonomika. Sovremennaya farmakoekonomika i farmakoepidemiologiya. 2015; 4: 40–48 (in Russian).
31. Rodionova O.V., Ignatova G.L., Blinova E.V. et al. An experience of vaccination with Pneumo 23 vaccine of patients with COPD and pneumoconiosis. Medicina truda i promyshlennaya ekologiya.2014; 9: 20–25 (in Russian).
Review
For citations:
Postnikova L.V., Sal'nikov A.A., Buhtijarov I.V. Efficacy of vaccination against pneumococcal infection in workers of metallurgical industry. PULMONOLOGIYA. 2016;26(4):481-487. (In Russ.) https://doi.org/10.18093/0869-0189-2016-26-4-481-487