Uptake and tolerability of Influenza and Pneumococcal vaccine by patients attending the Geriatric Medicine clinic in Changi General Hospital, Singapore. Yoon, P. S., Koh, L. H., Dalagon, E., Koh, I., Doshi, V., & Chuo, M. L. European Geriatric Medicine, 4(SUPPL. 1):S18, 2013.
Uptake and tolerability of Influenza and Pneumococcal vaccine by patients attending the Geriatric Medicine clinic in Changi General Hospital, Singapore [link]Paper  doi  abstract   bibtex   
Aim.- To assess the uptake and tolerability of Influenza and Pneumococcal vaccines by patients attending the Geriatric Medicine Clinic in Changi General Hospital. Methods.- All patients attending the Geriatric Medicine clinic in Changi General Hospital in a 3-month period were counselled on the benefits, side effects and cost of the vaccines via brochures and nurses during their routine appointment prior to their clinic consult. Patients' demographic data and vaccination decision were collected via questionnaire. Excluded are patients who have received the vaccines 1 year ago, cognitively impaired without any family members when they present to the clinic, febrile, or allergic to eggs or aminoglycoside antibiotics. Adverse events are obtained via phone, one week after vaccination. Results.- A total of 729 patients were recruited. Two hundred and ninety-nine patients accepted vaccination, 430 patients declined vaccination for various reasons. Thirty-nine percent of those who declined vaccination felt that it was not necessary or useful. Fourteen percent refused as they were afraid of side effects of vaccination. Most patients tolerated the vaccines well with almost 70% reporting no side effects. Less than 3% of patients developed fever or chills after vaccination which improved after symptomatic treatment. Conclusions.- A large percentage (39%) of patients declined vaccination as they felt that it was not beneficial. A smaller percentage (14%) refused for fear of the side effects despite counselling. The vaccines were generally well tolerated. More education should be done to advise vulnerable individuals like the elderly regarding the benefits of vaccination, and reassurance that side effects are uncommon but if present are usually mild and respond to symptomatic treatment.
@article{yoon_uptake_2013,
	title = {Uptake and tolerability of {Influenza} and {Pneumococcal} vaccine by patients attending the {Geriatric} {Medicine} clinic in {Changi} {General} {Hospital}, {Singapore}},
	volume = {4},
	issn = {1878-7649},
	url = {http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed14&NEWS=N&AN=71181936},
	doi = {10.1016/j.eurger.2013.07.043},
	abstract = {Aim.- To assess the uptake and tolerability of Influenza and Pneumococcal vaccines by patients attending the Geriatric Medicine Clinic in Changi General Hospital. Methods.- All patients attending the Geriatric Medicine clinic in Changi General Hospital in a 3-month period were counselled on the benefits, side effects and cost of the vaccines via brochures and nurses during their routine appointment prior to their clinic consult. Patients' demographic data and vaccination decision were collected via questionnaire. Excluded are patients who have received the vaccines 1 year ago, cognitively impaired without any family members when they present to the clinic, febrile, or allergic to eggs or aminoglycoside antibiotics. Adverse events are obtained via phone, one week after vaccination. Results.- A total of 729 patients were recruited. Two hundred and ninety-nine patients accepted vaccination, 430 patients declined vaccination for various reasons. Thirty-nine percent of those who declined vaccination felt that it was not necessary or useful. Fourteen percent refused as they were afraid of side effects of vaccination. Most patients tolerated the vaccines well with almost 70\% reporting no side effects. Less than 3\% of patients developed fever or chills after vaccination which improved after symptomatic treatment. Conclusions.- A large percentage (39\%) of patients declined vaccination as they felt that it was not beneficial. A smaller percentage (14\%) refused for fear of the side effects despite counselling. The vaccines were generally well tolerated. More education should be done to advise vulnerable individuals like the elderly regarding the benefits of vaccination, and reassurance that side effects are uncommon but if present are usually mild and respond to symptomatic treatment.},
	language = {English},
	number = {SUPPL. 1},
	journal = {European Geriatric Medicine},
	author = {Yoon, P. S. and Koh, L. H. and Dalagon, E. and Koh, I. and Doshi, V. and Chuo, M. L.},
	year = {2013},
	keywords = {*European Union, *Pneumococcus vaccine, *Singapore, *general hospital, *geriatrics, *hospital, *human, *influenza, *patient, *society, aged, aminoglycoside antibiotic agent, counseling, education, egg, fear, fever, nurse, palliative therapy, questionnaire, reassurance, side effect, vaccination, vaccine},
	pages = {S18},
}

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