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Year : 2021  |  Volume : 10  |  Issue : 8  |  Page : 3163-3164  

Clinical inertia in elderly for vaccination

Department of Pharmacology, AIIMS, Bhopal, Madhya Pradesh, India

Date of Submission18-Feb-2021
Date of Acceptance14-May-2021
Date of Web Publication27-Aug-2021

Correspondence Address:
Dr. Saurav Misra
Department of Pharmacology, AIIMS, Bhopal - 462 020, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_352_21

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How to cite this article:
Shukla AK, Misra S. Clinical inertia in elderly for vaccination. J Family Med Prim Care 2021;10:3163-4

How to cite this URL:
Shukla AK, Misra S. Clinical inertia in elderly for vaccination. J Family Med Prim Care [serial online] 2021 [cited 2021 Sep 17];10:3163-4. Available from: https://www.jfmpc.com/text.asp?2021/10/8/3163/324722

Dear Editor,

I read the informative research article “An example of clinical inertia in geriatrics” by Belice T, Ubay M, Gozubuyuk FO, Yilmaz RS, Yuksel A with great interest.[1] While appreciating their efforts, I wish to make elucidate some important observations.

1. Age-wise assessment: This could have been more informative and more conclusive. As in the study done by Weinmayr LM et al.,[2] age-wise assessment of the elderly population was done. The only vaccination that increased with patient age was the vaccination against influenza. Vaccination coverage among 60–69-year-olds was 64%.[3]

2. Collection of Data: In this study phenomenological design was performed and asked the participants their vaccination status but in a study done by Weinmayr LM et al.[2] They analysed the data concerning vaccination status (vaccination certificate), patients attitudes and reasons against vaccination in routine primary care settings. This was one of the limitations of this study,[1] as results may be biased when relying on self-reported vaccination status.

3. Exclusion criteria: Patients suffering from autoimmune disease, immunodeficiency state like HIV and organ transplantation and cognitive impairment must have been included as this this can affect vaccination as included in a study done by Weinmayr LM et al.[2]

4. Patients attitude: Patients attitude towards vaccination must also be included in this study. In a study done by Weinmayr LM et al.,[2] respondents were strongly in favor (”very positive” and “positive”) regarding influenza (72.9%) and pneumococcal (56.9%) vaccines. There are studies[4] that seem to support the theory that there is a correlation between the physician's attitude towards vaccination and the likelihood that a patient is vaccinated.

5. Benefits of vaccination in elderly: Another intangible benefit of vaccination, which is not mentioned in this study[1] is that increased vaccination in the elderly may reduce the use of antibiotics and thus diminish the growing problems caused by the development of antibiotic-resistant strains of bacteria.[5]

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Conflicts of interest

There are no conflicts of interest.

  References Top

Belice T, Ubay M, Gozubuyuk FO, Yilmaz RS, Yuksel A. An example of clinical inertia in geriatrics. J Family Med Prim Care 2020;9:5695-8.  Back to cited text no. 1
  [Full text]  
Weinberger B. Vaccines for the elderly: Current use and future challenges. Immun Ageing 2018;15:3. doi: 10.1186/s12979-017-0107-2.  Back to cited text no. 2
Poethko-Müller C, Schmitz R. [Vaccination coverage in German adults. Results of the German health interview and examination survey for adults (DEGS1)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013;56:845-57.  Back to cited text no. 3
Paterson P, Meurice F, Stanberry LR, Glismann S, Rosenthal SL, Larson HJ. Vaccine hesitancy and healthcare providers. Vaccine 2016;34:6700-6.  Back to cited text no. 4
Doherty TM, Connolly MP, Del Giudice G, Flamaing J, Goronzy JJ, Grubeck-Loebenstein B, et al. Vaccination programs for older adults in an era of demographic change. Eur Geriatr Med 2018;9:289-300.  Back to cited text no. 5


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