An audit of pneumococcal and hepatitis vaccination in an outpatient HIV clinic

Sex Health. 2012 Nov;9(5):495-6. doi: 10.1071/SH11192.

Abstract

Background: HIV-positive adults are at risk of vaccine preventable infections including Streptococcus pneumoniae, hepatitis A virus (HAV) and hepatitis B virus (HBV). Uptake of immunisations in HIV patients is suboptimal despite evidence of efficacy.

Methods: An audit was made of the vaccination records in 200 adult HIV-positive regular clinic attendees, with a CD4+ count >200 cells μL(-1).

Results: Medical records or laboratory data revealed that 10% had been vaccinated against S. pneumoniae; 74% were immune or immunised against HAV; 40% had evidence of natural infection with HBV and 84% of nonimmune patients had been vaccinated.

Conclusions: Strategies to improve vaccine uptake are required.

Publication types

  • Letter

MeSH terms

  • AIDS-Related Opportunistic Infections / epidemiology
  • AIDS-Related Opportunistic Infections / prevention & control*
  • Adolescent
  • Adult
  • Aged
  • Ambulatory Care Facilities*
  • Female
  • Hepatitis A / prevention & control*
  • Hepatitis A Vaccines / administration & dosage*
  • Hepatitis B / prevention & control*
  • Hepatitis B Vaccines / administration & dosage*
  • Humans
  • Male
  • Medical Audit*
  • Middle Aged
  • New South Wales
  • Pneumococcal Infections / prevention & control*
  • Pneumococcal Vaccines / administration & dosage*
  • Vaccines, Combined / administration & dosage
  • Young Adult

Substances

  • Hepatitis A Vaccines
  • Hepatitis B Vaccines
  • Pneumococcal Vaccines
  • Vaccines, Combined
  • twinrix