In France, vaccination coverage is insufficient (in 2002, 71.2% coverage for tetanus, 41.9% for poliomyelitis and 33.7% for diphteria). These numbers decrease significantly with age: coverage for people aged over 65 was 60.5%, 13.3% and 10.5% for tetanus, poliomyelitis and diphteria coverage respectively. The primary objective of this study is to evaluate the impact of a hospital based vaccination remedial strategy for Tdap-IPV (tetanus, diphteria, pertussis and polio vaccine) in patients 65 years of age or older. Secondary objectives are to measure the vaccination coverage of patients aged 65 years or older hospitalised in a medical ward in our hospital, to evaluate their knowledge of their vaccination coverage, and to evaluate the socio-demographic factors associated with vaccination coverage.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
402
* if the patients vaccinations are up to date: no remedial vaccination is done and the patient is informed of the next remedial vaccination date * if the patients vaccinations are not up to date: remedial vaccination is realised in the unit in the absence of contraindication, in case of a temporary contraindication the vaccination will be performed on an outpatient basis by the patients primary care provider and he will be given a prescription at hospital discharge for the remedial vaccination.
Centre Hospitalier Le Mans
Le Mans, France
RECRUITINGChange in immunization rate after a hospital centered remedial strategy for Tdap-IPV vaccination in patients 65 years or older
Difference in the increase in vaccination coverage between the two arms, measured as a percentage
Time frame: two months
Immunisation rate among patients 65 years of age or older in the Sarthe department of France
Pre-intervention vaccination coverage rate in both arms, measured as a percentage
Time frame: two months
Immunisation rate according to sex among patients 65 years or older
Sex of patients included in the study
Time frame: two months
Immunisation rate according to primary care coverage among patients 65 years of age or older
Primary care coverage is defined as having a regular primary care physician registered as such with French social security.
Time frame: two months
Immunisation rate according to socio professional category
Socio professional category defined according to the French national institute for statistics and economic studies (INSEE)
Time frame: two months
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