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An experience of vaccination against pneumococcal infection of adults at Krasnoyarsk krai

https://doi.org/10.18093/0869-0189-2017-27-1-21-28

Abstract

The aim of the study was to investigate efficacy of specific prevention of pneumococcal infection in high-risk group patients living at Krasnoyarsk krai. Methods. The study involved 12,080 patients with a high risk of pneumococcal infection including patients with chronic lung diseases, chronic heart failure (CHF) and diabetes mellitus. A special questionnaire was developed which included medical history for the previous 1 year and for 1 year after the vaccination. Results. CHF was diagnosed in 41.08% of patients, diabetes was diagnosed in 28.44%, chronic lung diseases were diagnosed in 30.07%; 2.4% of patients had pneumonia. PCV13 vaccine (Prevenar 13) was used in 9,986 patients (82.67%) including 5,070 patients (41.97%) vaccinated against flu and pneumococcus simultaneously. PPV23 (Pneumo-23) vaccine was used in 1,967 patients (16.28%) including 1,181 patients (9.83%) vaccinated against flu and pneumococcus simultaneously. Due to the broad-scale vaccination against pneumococcal infection, exacerbation rate reduced trice, number of hospitalisations related to exacerbations reduced by 11.5 times, morbidity of pneumonia reduced by 4.8 times, morbidity of acute respiratory infections and flu reduced by 6.6 times. Conclusion. The results confirmed high efficacy and safety of 13-valent conjugate pneumococcal vaccine and 23-valent polysaccharide pneumococcal vaccine. The vaccination allowed reducing morbidity of respiratory infection and decrease number of hospitalisations due to exacerbations of chronic diseases.

About the Authors

I. V. Demko
V.F.Voyno-Yasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; Krasnoyarsk State Territorial Clinical Hospital
Russian Federation
Doctor of Medicine, Professor, Head of Department of Internal Medicine No.2 and Postgraduate Physician Training Course, V.F.Voyno-Yasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; Head of Pulmonology and Allergology Center, Krasnoyarsk State Territorial Clinical Hospital


E. E. Korchagin
Krasnoyarsk State Territorial Clinical Hospital
Russian Federation
Hospital Chief Executive Officer


N. V. Gordeeva
V.F.Voyno-Yasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; Krasnoyarsk State Territorial Clinical Hospital
Russian Federation
Candidate of Medicine, Senior Researcher, Department of Internal Medicine No.2 and Postgraduate Physician Training Course


A. Yu. Kraposhina
V.F.Voyno-Yasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia
Russian Federation
Candidate of Medicine, Assistant Lecturer at Department of Internal Medicine No.2 and Postgraduate Physician Training Course


I. A. Solov'eva
V.F.Voyno-Yasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; Krasnoyarsk State Territorial Clinical Hospital
Russian Federation
Candidate of Medicine, Assistant Lecturer, Department of Internal Medicine No.2 and Postgraduate Physician Training Course


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Review

For citations:


Demko I.V., Korchagin E.E., Gordeeva N.V., Kraposhina A.Yu., Solov'eva I.A. An experience of vaccination against pneumococcal infection of adults at Krasnoyarsk krai. PULMONOLOGIYA. 2017;27(1):21-28. (In Russ.) https://doi.org/10.18093/0869-0189-2017-27-1-21-28

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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)