Knowledge, Attitudes and Practices of Flu Vaccination in Hemodialysis Patients

Background: Hemodialysis (HD) patients have an increased risk of morbidity and mortality due to infections. Despite the positive effect of vaccinations, the implementation of this method of prophylaxis is low. Objectives: This study aimed to explore the knowledge, attitudes and practices of flu vacc...

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Main Authors: Ada Gawryś, Tomasz Gołębiowski, Dorota Zielińska, Hanna Augustyniak-Bartosik, Magdalena Kuriata-Kordek, Leszek Szenborn, Magdalena Krajewska
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/2/77
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author Ada Gawryś
Tomasz Gołębiowski
Dorota Zielińska
Hanna Augustyniak-Bartosik
Magdalena Kuriata-Kordek
Leszek Szenborn
Magdalena Krajewska
author_facet Ada Gawryś
Tomasz Gołębiowski
Dorota Zielińska
Hanna Augustyniak-Bartosik
Magdalena Kuriata-Kordek
Leszek Szenborn
Magdalena Krajewska
author_sort Ada Gawryś
collection DOAJ
description Background: Hemodialysis (HD) patients have an increased risk of morbidity and mortality due to infections. Despite the positive effect of vaccinations, the implementation of this method of prophylaxis is low. Objectives: This study aimed to explore the knowledge, attitudes and practices of flu vaccination among HD patients of two different dialysis centers. Methods: A total of 193 patients (mean age 63.6 years), who voluntarily agreed to participate in an anonymous survey related to influenza vaccination, were enrolled in this cross-sectional study. Results: A total of 45% of patients declared that they took regular, annual flu vaccination. In this group, 87.4% believed that vaccinations were effective. This opinion strongly correlated with the frequency of regular vaccinations (r = 0.56, <i>p</i> < 0.01). Multivariate logistic regression revealed that this opinion is an independent predictor of regular vaccinations with adjusted OR 9.86 (95% CI 4.36, 22.33). Groups of patients who had been irregularly or never vaccinated reject vaccinations for the following reasons: fear of adverse events—29.2%, conviction that vaccination was ineffective—26.4%, and lack of information about vaccination—22.6%. Conclusion: Knowledge among HD patients about the benefits of vaccinations is poor. Therefore, educational activities are required. Active vaccination promotion and education of patients rejecting this method of prevention play a key role in improving standards of care for HD patients.
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spelling doaj.art-f3390fd5406b499d8340923bc9f467ae2023-12-03T14:14:09ZengMDPI AGVaccines2076-393X2021-01-01927710.3390/vaccines9020077Knowledge, Attitudes and Practices of Flu Vaccination in Hemodialysis PatientsAda Gawryś0Tomasz Gołębiowski1Dorota Zielińska2Hanna Augustyniak-Bartosik3Magdalena Kuriata-Kordek4Leszek Szenborn5Magdalena Krajewska6Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, PolandDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, PolandDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, PolandDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, PolandDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, PolandDepartment of Pediatric Infectious Diseases, Wroclaw Medical University, 50-368 Wrocław, PolandDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, PolandBackground: Hemodialysis (HD) patients have an increased risk of morbidity and mortality due to infections. Despite the positive effect of vaccinations, the implementation of this method of prophylaxis is low. Objectives: This study aimed to explore the knowledge, attitudes and practices of flu vaccination among HD patients of two different dialysis centers. Methods: A total of 193 patients (mean age 63.6 years), who voluntarily agreed to participate in an anonymous survey related to influenza vaccination, were enrolled in this cross-sectional study. Results: A total of 45% of patients declared that they took regular, annual flu vaccination. In this group, 87.4% believed that vaccinations were effective. This opinion strongly correlated with the frequency of regular vaccinations (r = 0.56, <i>p</i> < 0.01). Multivariate logistic regression revealed that this opinion is an independent predictor of regular vaccinations with adjusted OR 9.86 (95% CI 4.36, 22.33). Groups of patients who had been irregularly or never vaccinated reject vaccinations for the following reasons: fear of adverse events—29.2%, conviction that vaccination was ineffective—26.4%, and lack of information about vaccination—22.6%. Conclusion: Knowledge among HD patients about the benefits of vaccinations is poor. Therefore, educational activities are required. Active vaccination promotion and education of patients rejecting this method of prevention play a key role in improving standards of care for HD patients.https://www.mdpi.com/2076-393X/9/2/77hemodialysisvaccinationsinfections
spellingShingle Ada Gawryś
Tomasz Gołębiowski
Dorota Zielińska
Hanna Augustyniak-Bartosik
Magdalena Kuriata-Kordek
Leszek Szenborn
Magdalena Krajewska
Knowledge, Attitudes and Practices of Flu Vaccination in Hemodialysis Patients
Vaccines
hemodialysis
vaccinations
infections
title Knowledge, Attitudes and Practices of Flu Vaccination in Hemodialysis Patients
title_full Knowledge, Attitudes and Practices of Flu Vaccination in Hemodialysis Patients
title_fullStr Knowledge, Attitudes and Practices of Flu Vaccination in Hemodialysis Patients
title_full_unstemmed Knowledge, Attitudes and Practices of Flu Vaccination in Hemodialysis Patients
title_short Knowledge, Attitudes and Practices of Flu Vaccination in Hemodialysis Patients
title_sort knowledge attitudes and practices of flu vaccination in hemodialysis patients
topic hemodialysis
vaccinations
infections
url https://www.mdpi.com/2076-393X/9/2/77
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