Pharmacist Impact on Immunization Rates in Asplenic Patients.

Deidra Van Gilder, Shanna O'Connor
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Abstract

Background: Asplenic patients can present unique challenges when updating immunizations. Pharmacists have proven to have a positive impact on immunization rates in asplenic patients. Objectives: To determine the impact of pharmacist intervention on the up-to-date immunization status in asplenic patients in a single rural family medicine clinic and identify quality improvement opportunities for the immunization service. Service Description: The pharmacist obtained an initial list of asplenic patients to create a longitudinal tracking spreadsheet for immunizations that identified missing vaccines for each patient; provider education on vaccine needs in this population and the service was also provided. The ongoing service consists of regular updates to the spreadsheet as patients receive vaccines and a quarterly check of the entire spreadsheet to determine needed vaccines; if needed vaccines are identified, the pharmacist facilitates a patient appointment to obtain the vaccine. Methods: A retrospective chart review was completed in Spring 2022 for all patients included in the baseline report. Patients were categorized based on vaccine status and outstanding vaccines were noted. An evaluation was completed to determine if any identifiable trends across providers were evident based on patient immunization status. Results: A total of 33 asplenic patients were identified at baseline; three (9%) were up-to-date at baseline. Of the 30 patients who were maintained in the clinic, 16 (53.5%) were up-to-date at the point of review. Pharmacist intervention increased the total vaccine completion rate by 44.5% from baseline to follow-up. The biggest improvement for a specific immunization status was made on the meningitis b vaccine; Haemophilus influenzae b showed the highest completion rate at follow-up. No trends were noted across providers that indicated why some providers had patients with higher immunization rates than others. Conclusion: Pharmacist intervention contributed to an increase in immunization rates in a single immunocompromised patient population that requires a specialized immunization schedule.

Abstract Image

药师对无脾患者免疫接种率的影响。
背景:无脾患者在更新免疫接种时可能面临独特的挑战。药剂师已被证明对无脾病人的免疫接种率有积极的影响。目的:了解药师干预对单一农村家庭医学门诊无脾患者最新免疫状况的影响,确定免疫服务质量改进机会。服务描述:药剂师获得无脾患者的初始名单,以创建纵向跟踪电子表格,以确定每个患者缺失的疫苗;还向提供者提供了关于这一人群的疫苗需求和服务的教育。目前的服务包括在患者接种疫苗时定期更新电子表格,并每季度检查整个电子表格以确定所需的疫苗;如果确定了需要的疫苗,药剂师会帮助患者预约获得疫苗。方法:对基线报告中所有患者的回顾性图表回顾于2022年春季完成。根据疫苗状况对患者进行分类,并注明优秀疫苗。完成了一项评估,以确定基于患者免疫状况的提供者之间是否存在明显的可识别趋势。结果:共有33例无脾患者在基线时被确定;3例(9%)在基线时是最新的。在30名继续留在诊所的患者中,16名(53.5%)在回顾时是最新的。从基线到随访,药师干预使总疫苗完成率提高了44.5%。在特定免疫状况方面取得最大改善的是乙型脑膜炎疫苗;流感嗜血杆菌b的随访完成率最高。没有注意到提供者之间的趋势,表明为什么一些提供者的患者免疫接种率高于其他提供者。结论:在需要专门免疫计划的单一免疫功能低下患者群体中,药剂师干预有助于提高免疫率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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