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      Implementation of an anti-flu vaccination campaign in a hospital pharmacy service Translated title: Implantación de una campaña de vacunación antigripal en un servicio de farmacia hospitalario

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          Abstract

          Abstract Objective: To determine the impact of the implementation of an influen za vaccination campaign in a hospital pharmacy service on patients who are starting or receiving treatment with biological therapies. Method: A 15-month quasi-experimental study of patients starting or receiving treatment with biological therapies. Between October and De cember 2016 and October and December 2017, we compared influenza vaccination rates, the incidence of influenza in the study population, the direct impact of the vaccination campaign on the patient, the effect of the campaign on vaccination rates, and the results of the satisfaction survey. Results: A total of 188 patients participated in the study. Of the pa tients who had not been vaccinated in the 2016/2017 campaign, 72.6% were vaccinated (p < 0.000) during the 2017/2018 campaign. No sta tistically significant differences were found between the 2016/2017 and 2017/2018 campaign (p = 0.636) in the percentage of patients who contracted flu after receiving the vaccine. In total, 99.5% thought that the campaign was a good initiative, and 50.5% reported that their decision to be vaccinated was influenced by the fact that the campaign was led by the hospital pharmacy service. Conclusions: The implementation of the influenza vaccination cam paign in the hospital pharmacy service achieved led to a marked increa se in vaccination rates. This result underlines the key role played by the hospital pharmacy service in achieving this level of success.

          Translated abstract

          Resumen Objetivo: Determinar el impacto de la implantación de una campaña de vacunación antigripal en los pacientes que van a iniciar o están en tra tamiento con terapias biológicas en un servicio de farmacia hospitalario. Método: Estudio cuasiexperimental de 15 meses de duración en pa cientes que van a iniciar o que están en tratamiento con terapias bioló gicas. Se comparó la tasa de vacunación antigripal entre los meses de octubre y diciembre de los años 2016 y 2017, el grado de incidencia de la gripe en la población de estudio, el impacto directo de la campaña de vacunación sobre el paciente, la influencia de la implantación de la campaña en las tasas de vacunación y los resultados de la encuesta de satisfacción. Resultados: Participaron en el estudio 188 pacientes. Del total de pa cientes que no se habían vacunado en la campaña 2016/17, tras la implantación de la campaña de vacunación antigripal 2017/18 en el servicio de farmacia hospitalario el 72,6% se vacunaron (p < 0,000). El porcentaje de pacientes que padecieron la gripe tras la administración de la vacuna no mostró diferencias estadísticamente significativas entre la campaña 2016/17 y 2017/18 (p = 0,636). El 99,5% de los pacientes consideró que la campaña fue una buena iniciativa y en el 50,5% influyó en su decisión a vacunarse que se realizara en el servicio de farmacia hospitalario. Conclusiones: La implantación de la campaña de vacunación antigri pal en el servicio de farmacia hospitalario consiguió un gran aumento en la tasa de vacunación, lo que se traduce en la importancia de la interven ción farmacéutica en la consecución de este éxito.

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          A Narrative Review of Influenza: A Seasonal and Pandemic Disease

          Influenza is an acute respiratory disease caused by the influenza A or B virus. It often occurs in outbreaks and epidemics worldwide, mainly during the winter season. Significant numbers of influenza virus particles are present in the respiratory secretions of infected persons, so infection can be transmitted by sneezing and coughing via large particle droplets. The mean duration of influenza virus shedding in immunocompetent adult patients is around 5 days but may continue for up to 10 days or more—particularly in children, elderly adults, patients with chronic illnesses, and immunocompromised hosts. Influenza typically begins with the abrupt onset of high-grade fever, myalgia, headache, and malaise. These manifestations are accompanied by symptoms of respiratory tract illnesses such as nonproductive cough, sore throat, and nasal discharge. After a typical course, influenza can affect other organs such as the lungs, brain, and heart more than it can affect the respiratory tract and cause hospitalization. The best way to prevent influenza is to administer annual vaccinations. Among severely ill patients, an early commencement of antiviral treatment (<2 d from illness onset) is associated with reduced morbidity and mortality, with greater benefits allied to an earlier initiation of treatment. Given the significance of the disease burden, we reviewed the latest findings in the diagnosis and management of influenza.
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            Burden of influenza-like illness and effectiveness of influenza vaccination among working adults aged 50-64 years.

            Uncertainties regarding influenza disease impact and benefits of vaccination may contribute to low vaccination rates among adults aged 50-64 years. This prospective cohort study assessed the burden of influenza-like illness (ILI) among working adults aged 50-64 years and the effectiveness of influenza vaccination in reducing the rate of ILI and productivity losses. Employees of the University of Minnesota (Minneapolis) were invited via e-mail to participate in the study during October 2006. The study data were collected using internet-based surveys at baseline (October 2006) and during the follow-up period (from November 2006 through April 2007). Months included in the 2006-2007 influenza season were identified retrospectively from Minnesota Department of Health surveillance data. Vaccine effectiveness for reducing the rate of ILI, ILI-associated health care use, the number of days of illness, work loss, and reduced on-the-job productivity during the influenza season were assessed using multivariable regression models after controlling for important confounders. Four hundred ninety-seven persons were included in the study, 85 (17.1%) of whom experienced an ILI. Among unvaccinated participants, ILI was responsible for 45% of all days of illness during the influenza season, 39% of all illness-related work days lost, and 49% of all days with illness-related reduced on-the-job productivity. In the multivariable regression analyses, vaccination was associated with a significant reduction in the rate of ILI (adjusted odds ratio, 0.48; 95% confidence interval, 0.27-0.86) and fewer days of illness, absenteeism, and impaired on-the-job performance. ILIs were common among our study participants, accounting for a large portion of illness, work loss, and impaired work performance during the influenza season. Vaccination was associated with substantial health and productivity benefits. Vaccine delivery should be improved for this high-priority group.
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              Benefits of pharmacist-led flu vaccination services in community pharmacy.

              Seasonal influenza is a major cause of excess winter deaths and increased hospital admissions. There is a high level of economic burden associated with the infection. Although vaccination targets have been set to tackle this international issue, many countries struggle to reach these coverage targets for their at-risk populations using traditional delivery methods. Traditional providers include family doctors and nurses; however, pharmacist-led influenza vaccination has become a more commonly utilised aid to support vaccination targets. Community pharmacies are convenient and widely accessible and evaluations consistently demonstrate that patients are satisfied with pharmacist-led vaccinations. Allowing community pharmacists to administer influenza vaccination as an alternative option for delivery helps to increase the coverage rate of vaccination. In addition, commissioning community pharmacists to provide this service has been shown to contribute to achieving targets for those at-risk. Pharmacist-led influenza vaccination services can create value for payors and reduce pressure on health systems. This review aims to demonstrate the success of pharmacy-led influenza vaccinations, and the impact it has had in driving up immunisation rates within other countries. Experiences of countries such as England, Portugal and the United States provide evidence to demonstrate the benefit to both the patient and the health system.
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                Author and article information

                Journal
                fh
                Farmacia Hospitalaria
                Farm Hosp.
                Grupo Aula Médica (Toledo, Toledo, Spain )
                1130-6343
                2171-8695
                April 2020
                : 44
                : 2
                : 41-45
                Affiliations
                [1] orgnameFundació Hospital de l'Esperit Sant orgdiv1Hospital Pharmacy Spain
                Article
                S1130-63432020000200041 S1130-6343(20)04400200041
                10.7399/fh.11198
                a4a1dbaf-0ce3-4a3d-9177-99639bf791fd

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 14 October 2019
                : 14 January 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 18, Pages: 5
                Product

                SciELO Spain

                Categories
                Originals

                Biological therapy,Terapia biológica,Hospital,Servicio de farmacia,Vacuna de la gripe,Vacunación,Gripe,Pharmacy service,Influenza vaccine,Vaccination,Flu

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