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Validity of self-reported influenza and pneumococcal vaccination status among a cohort of hospitalized elderly inpatients

Skull, Susan A., Andrews, Ross M., Byrnes, Graham B., Kelly, Heath A., Nolan, Terence M., Brown, Graham V. and Campbell, Donald A. (2007). Validity of self-reported influenza and pneumococcal vaccination status among a cohort of hospitalized elderly inpatients. Vaccine,25(25):4775-4783.

Document type: Journal Article
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IRMA ID 10619xPUB31
Title Validity of self-reported influenza and pneumococcal vaccination status among a cohort of hospitalized elderly inpatients
Author Skull, Susan A.
Andrews, Ross M.
Byrnes, Graham B.
Kelly, Heath A.
Nolan, Terence M.
Brown, Graham V.
Campbell, Donald A.
Journal Name Vaccine
Publication Date 2007
Volume Number 25
Issue Number 25
ISSN 0264-410X   (check CDU catalogue  open catalogue search in new window)
Start Page 4775
End Page 4783
Total Pages 9
Place of Publication United Kingdom
Publisher Elsevier Ltd
Field of Research 1107 - Immunology
1115 - Pharmacology and Pharmaceutical Sciences
0605 - Microbiology
HERDC Category C1 - Journal Article (DEST)
Abstract Use of self-reported vaccination status is commonplace in assessing vaccination coverage for public health programs and individuals, yet limited validity data exist. We compared self-report with provider records for pneumococcal (23vPPV) and influenza vaccine for 4887 subjects aged ≥65 years from two Australian hospitals. Self-reported influenza vaccination status had high sensitivity (98%), positive predictive value (PPV) (88%) and negative predictive value (NPV) (91%), but low specificity (56%). Self-reported 23vPPV (previous 5 years) had a sensitivity of 84%, specificity 77%, PPV 85% and NPV 76%. Clinicians can be reasonably confident of self-reported influenza vaccine status, and for positive self-report for 23vPPV in this setting. For program evaluation, self-reported influenza vaccination coverage among inpatients overestimates true coverage by about 10% versus 1% for 23vPPV. Self-report remains imperfect and whole-of-life immunisation registers a preferable goal.
Keywords Influenza vaccines
Pneumococcal vaccines
Reproducibility of results
DOI http://dx.doi.org/10.1016/j.vaccine.2007.04.015   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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