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Master Thesis

Évaluation de la couverture vaccinale des adultes hospitalisés dans le service de Médecine interne et polyvalente du Centre Hospitalier de Polynésie française entre le 21 octobre 2019 et le 12 janvier 2020

Abstract : In French Polynesia, while children’s vaccination is well structured, there is very little data and no recommendation about adults. We conducted the very first survey, as far as we know, of vaccination coverage (CV) among adults in Polynesia. This is a retrospective study conducted at the French Polynesia Hospital Center, including 223 patients hospitalized in the Internal Medicine department between October 21, 2019 and January 12, 2020. Socio-demographic characteristics, medical history and immunization information were collected from the computerized hospital record, the long-illness booklet and by contacting the attending physician. The CV rates in our population were 30% for DTP, 3.6% for pertussis, 27.9% for influenza, 3.9% for pneumococcus, and 15.3% for hepatitis B. Some of our population’s characteristics were significantly associated with better CVs : male gender for DTP (p = 0.02), dispensary follow-up for DTP (p = 0.04) and pertussis (p = 0.034), long-term illness, diabetes and renal failure for DTP (p≤0.02) and influenza (p≤0.01), immunosuppressive treatments for pneumococcus (p <0.001). Although these CV rates were probably underestimated, they remain considerably insufficient for all vaccines studied. A vaccination policy targeting adults, led by the local Health Department and involving in particular the territory's general practitioners, who play a central role, could help improve them.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03143134
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Submitted on : Tuesday, February 16, 2021 - 3:48:32 PM
Last modification on : Saturday, February 27, 2021 - 3:10:59 AM
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Justine Roussel-Graffé. Évaluation de la couverture vaccinale des adultes hospitalisés dans le service de Médecine interne et polyvalente du Centre Hospitalier de Polynésie française entre le 21 octobre 2019 et le 12 janvier 2020. Médecine humaine et pathologie. 2021. ⟨dumas-03143134⟩

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