Rates and associates of influenza and pneumococcus vaccination in diabetes mellitus:A nationwide cross-sectional study(TEMD vaccination study)  

作　　者：Ibrahim Demirci Cem Haymana Serpil Salman Ilker Tasci Demet Corapcioglu Ali Kirik İlhan Yetkin Mustafa Altay Tevfik Sabuncu Fahri Bayram Ilhan Satman Alper Sonmez 无 

机构地区：[1]Department of Endocrinology and Metabolism,Gulhane Training and Research Hospital,Ankara 06190,Turkey [2]Department of Endocrinology and Metabolism,Liv Hospital,Istanbul 34000,Turkey [3]Department of Internal Medicine,University of Health Sciences,Gulhane Faculty of Medicine,Ankara 06018,Turkey [4]Department of Endocrinology and Metabolism,Ankara University,Faculty of Medicine,Ankara 06560,Turkey [5]Department of Internal Medicine,Balıkesir University,Faculty of Medicine,Balikesir 10145,Turkey [6]Department of Endocrinology and Metabolism,Gazi University,Faculty of Medicine,Ankara 06190,Turkey [7]Department of Endocrinology and Metabolism,Kecioren Training and Research Hospital,Ankara 06190,Turkey [8]Department of Endocrinology and Metabolism,Harran University,Faculty of Medicine,Sanliurfa 63050,Turkey [9]Department of Endocrinology and Metabolism,Erciyes University,Faculty of Medicine,Kayseri 38000,Turkey [10]Department of Endocrinology and Metabolism,Istanbul University,Faculty of Medicine,Istanbul 34000,Turkey [11]Department of Endocrinology and Metabolism,University of Health Sciences,Gulhane Faculty of Medicine,Ankara 06190,Turkey [12]TEMD Study Group

出　　处：《World Journal of Diabetes》2021年第12期2107-2118,共12页世界糖尿病杂志（英文版）（电子版）

摘　　要：BACKGROUND Vaccination against influenza and pneumococcus is effective in reducing morbidity and mortality in patients with diabetes.AIM To investigate the prevalence of influenza and pneumococcal vaccinations and to search for the independent associates of vaccination in Turkish patients with diabetes.METHODS In this cross-sectional,nationwide,multicenter study,adult patients with type 1 diabetes(T1DM)(n=454)and type 2 diabetes(T2DM)(n=4721),who were under follow-up for at least a year in the outpatient clinics,were consecutively enrolled.Sociodemographic,clinical,and laboratory parameters of patients were recorded.Vaccination histories were documented according to the self-statements of the patients.RESULTS Patients with T1DM and T2DM had similar vaccination rates for influenza(23.6%vs 21.2%;P=0.240)and pneumococcus(8%vs 7%;P=0.451)vaccinations.Longer diabetes duration and older age were the common independent associates of having vaccination for both types of diabetes patients.Higher education level,using statin treatment,and having optimal hemoglobin A1c levels were the common independent associates of influenza and pneumococcal vaccination in patients with T2DM.CONCLUSION TEMD Vaccination Study shows that patients with T1DM and T2DM had very low influenza and pneumococcal vaccination rates in Turkey.The lower rates of vaccination in certain populations urges the necessity of nationwide vaccination strategies targeting these populations.

关 键 词：Diabetes INFLUENZA PNEUMOCOCCUS VACCINATION Type 1 diabetes Type 2 diabetes 

分 类 号：R587.1[医药卫生—内分泌] R186[医药卫生—内科学]