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Attitudes towards Vaccinations in a National Italian Cohort of Patients with Inflammatory Bowel Disease.
Costantino, Andrea; Michelon, Marco; Noviello, Daniele; Macaluso, Fabio Salvatore; Leone, Salvo; Bonaccorso, Nicole; Costantino, Claudio; Vecchi, Maurizio; Caprioli, Flavio.
Afiliación
  • Costantino A; Gastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
  • Michelon M; Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.
  • Noviello D; Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.
  • Macaluso FS; Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.
  • Leone S; IBD Unit, Villa Sofia-Cervello Hospital, 90146 Palermo, Italy.
  • Bonaccorso N; AMICI ETS, 20125 Milan, Italy.
  • Costantino C; Department of Health Promotion Sciences-Maternal and Infant Care-Internal Medicine and Excellence Specialties "G. D'Alessandro", University of Palermo, 90127 Palermo, Italy.
  • Vecchi M; Department of Health Promotion Sciences-Maternal and Infant Care-Internal Medicine and Excellence Specialties "G. D'Alessandro", University of Palermo, 90127 Palermo, Italy.
  • Caprioli F; Gastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Vaccines (Basel) ; 11(10)2023 Oct 13.
Article en En | MEDLINE | ID: mdl-37896993
BACKGROUND: The vaccination status of patients with inflammatory bowel disease (IBD) should be investigated before starting any treatment, and patients should eventually be vaccinated against vaccine-preventable diseases (VPDs). Patients with IBD may have suboptimal vaccination rates. The aim of this study was to evaluate the vaccination coverage, attitude towards vaccinations, and determinants among an Italian cohort of patients with IBD. METHODS: AMICI, the Italian IBD patients' association, sent an anonymous web-based questionnaire in February 2021. Previous vaccination status and patients' attitudes towards vaccinations were recorded. We examined the factors influencing their attitudes using crude and adjusted odds ratios (adjORs) with 95% confidence intervals (CIs). RESULTS: Among the 4039 patients invited, 1252 patients (including 729 women, median age 47.7 [37-58]) completed the questionnaire, with a response rate of 25.3%. Respondents declared being vaccinated against tetanus (74.1%), flu (67.7%; last season), MMR (43.3%), HBV (37.1%), pneumococcus (29.1%), meningitis (20%), HAV (16%), VZV (15.3%), and HPV (7.6%). Complete vaccination history was not remembered by 20.7% of the patients. One thousand one hundred and twelve (88.8%) expressed a positive attitude towards vaccination, 91 (7.3%) were indifferent, and 49 (3.9%) reported being opposed to vaccinations. The belief of a possible return of VPDs with a decline in vaccination coverage rates was the factor most strongly related to a positive attitude towards vaccinations (adjOR 5.67, 95% CI 3.45-9.30, p-value < 0.001). CONCLUSIONS: A low vaccination rate against some VPDs was found among a national cohort of patients with IBD, despite a generally positive attitude towards vaccinations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Vaccines (Basel) Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Vaccines (Basel) Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza