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Missed vaccinations and critical care admission: all you may wish to know or rediscover-a narrative review.

  • Pittet LF Infectious Diseases Unit, Royal Children's Hospital Melbourne, Parkville, VIC, Australia. laure.pittet@rch.org.au.
  • Abbas M Infection Control Programme, WHO Collaborating Centre on Patient Safety (Infection Control and Improving Practices), Faculty of Medicine, University of Geneva Hospitals, Geneva, Switzerland.
  • Siegrist CA Department of Paediatrics, Division of General Paediatrics, Children's Hospital, Faculty of Medicine, University of Geneva Hospitals, Geneva, Switzerland.
  • Pittet D Infection Control Programme, WHO Collaborating Centre on Patient Safety (Infection Control and Improving Practices), Faculty of Medicine, University of Geneva Hospitals, Geneva, Switzerland.
  • 2019-11-28
Published in:
  • Intensive care medicine. - 2020
Maternal immunisation
Vaccination coverage
Vaccine efficacy
Vaccine hesitancy
Anti-Vaccination Movement
Critical Care
Disease Eradication
History, 20th Century
History, 21st Century
Humans
Patient Admission
Population Surveillance
Vaccination
English Most vaccines are so effective that they could lead to the control/elimination of the diseases they target and directly impact on intensive care admissions or complications. This is best illustrated by the use of vaccines against Haemophilus influenzae type b, Streptococcus pneumoniae, zoster, yellow fever, Ebola virus, influenza or measles-but also by third party strategies such as maternal, toddler and care-giver immunization. However, each of these vaccine-induced protection is threatened by insufficient vaccine uptake. Here, we briefly discuss how vaccine hesitancy has led to the resurgence of diseases that were considered as controlled and explore the effect of vaccine-hesitant healthcare workers on nosocomial infections. As intensive care physicians are in charge of polymorbid patients, we briefly summarize the current recommendations for vaccinations in high-risk patients. We finally give some perspective on ongoing research, and discuss how institutional policies and intensive care physicians could play a role in increasing the impact of vaccination, overall and in intensive care units.
Language
  • English
Open access status
green
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Persistent URL
https://sonar.ch/global/documents/116950
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