{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T10:11:25Z","timestamp":1779185485450,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T00:00:00Z","timestamp":1543363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aliment Pharmacol Ther"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although influenza and pneumococcal vaccinations for high\u2010risk populations are recommended by current guidelines, vaccination coverage is low in patients with gastrointestinal cancer (GC) or inflammatory bowel disease (IBD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the impact of a specialised infectious disease consultation on vaccination coverage rates in these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between December 2016 and April 2017, all patients with GC or IBD followed in the outpatient clinic of the Gastroenterology department at the Nancy University Hospital enrolled in a 3\u2010phase vaccination programme. Phase 1: Initial questionnaire (vaccination status, knowledge about vaccines and possible barriers to vaccination); Phase 2: Infectious disease consultation; Phase 3: Subsequent questionnaire (evolution of patients\u2019 knowledge about vaccination).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 366 patients were included (GC\u00a0=\u00a099, IBD\u00a0=\u00a0267). Vaccination rate was 34.7% for influenza and 14.5% for pneumococcus. About 43% of the patients feared side effects of vaccines. After the initial questionnaire, 49.3% of the interested patients participated in a specialised vaccination consultation (n\u00a0=\u00a0102). 87.3% (n\u00a0=\u00a089) received new vaccination, 41.2% changed their mind about vaccination, and 92.2% would recommend this programme to other patients. Among vaccinated patients, 97.8% (n\u00a0=\u00a087) received pneumococcal vaccine, 40.4% received tetanus\u2010diphtheria\u2010polio vaccine, and 7.9% received influenza vaccine. In GC patients, anti\u2010pneumococcal vaccination rate was 87.5% after the specialised consultation compared with 10.1% before. In IBD patients, corresponding rates were 85.7% and 16.1%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A specialised infectious disease consultation can improve GC and IBD patients\u2019 knowledge about vaccination and vaccination coverage. This approach could be applied to all high\u2010risk populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apt.15057","type":"journal-article","created":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T18:50:02Z","timestamp":1543431002000},"page":"84-90","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Vaccination for influenza and pneumococcus in patients with gastrointestinal cancer or inflammatory bowel disease: A prospective cohort study of methods for improving coverage"],"prefix":"10.1111","volume":"49","author":[{"given":"Julien","family":"Sitte","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and NGERE Unit, Inserm, University Hospital of Nancy Lorraine University Vandoeuvre\u2010l\u00e8s\u2010Nancy France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilia","family":"Frentiu","sequence":"additional","affiliation":[{"name":"Department of Infectiology and 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