Influenza and Pneumococcal Immunization Chapter 19 Nadira Husein MD FRCPC Ashen Chetty APN MEd BScN CDE CCRA Disclaimer All Content contained on this slide deck is the property of Diabetes Canada its content suppliers or its licensors as the case may be and is protected by Canadian ID: 702826
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2018 Clinical Practice GuidelinesInfluenza and Pneumococcal Immunization
Chapter 19
Nadira Husein
MD FRCPC,
Ashen Chetty
APN MEd BScN CDE CCRASlide2
Disclaimer
All
Content contained on this slide deck is the property of Diabetes Canada, its content suppliers or its licensors as the case may be, and is protected by Canadian and international copyright, trademark, and other applicable laws. Diabetes Canada grants personal, limited, revocable, non-transferable and non-exclusive license to access and read content in this slide deck for personal,
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.
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Key ChangesNew information on recommendations forRecommended types of Pneumococcal vaccinationHepatitis B vaccinationHerpes Zoster vaccination
2018
2018 Diabetes Canada CPG – Chapter 19. VaccinationsSlide4
Immunization ChecklistGIVE annual influenza immunization
OFFER
pneumococcal immunization if >18 years of age
RE-VACCINATE
for pneumococcal for those
>65 years of age; ensure ≥5 years between administrations
2018 Diabetes Canada CPG – Chapter 19. VaccinationsSlide5
Annual Influenza Immunization is Beneficial for Patients with DiabetesDiabetes = ↑ risk of morbidity from influenza
Influenza immunization ↓ hospitalization rates by ~ 40%
Groenwold RHH, et al.
EurRespir J.
2009;34:56-62.
2018 Diabetes Canada CPG – Chapter 19. Vaccinations
Annual Influenza ImmunizationSlide6
Recommend Pneumococcal Vaccine Among People with DiabetesPeople with diabetes are at similar risk of pneumococcal disease as other chronic conditions
A one time revaccination is recommended if:
>
65 years of age +
≥5 years between administrations
2018 Diabetes Canada CPG – Chapter 19. VaccinationsSlide7
Include Vaccination Status on Diabetes Flow Sheet
2018 Diabetes Canada CPG – Chapter 19. VaccinationsSlide8
Recommendation 1People with diabetes should receive routine vaccination as recommended for the general population
in keeping with the
National Advisory Committee on Immunization
guidelines
[Grade D, Consensus] (available at
http://www.phac-aspc.gc.ca/publicat/cig-gci/index-eng.php )
2018 Diabetes Canada CPG – Chapter 19. VaccinationsSlide9
Recommendation 2People with diabetes should receive an annual influenza vaccination during flu season to reduce the risk of influenza-related hospitalizations and death
[Grade C, Level 3]
2018 Diabetes Canada CPG – Chapter 19. VaccinationsSlide10
Recommendation 3Pneu-P-23 vaccination should be offered to persons with diabetes aged 19 to 64 years. A one time revaccination is recommended for those
>
65 years of age (if the original vaccine was given when they were <65 years of age). For people with diabetes
>
65 years or with an immunocompromising condition
(e.g., end stage renal failure), Pneu-C-13 vaccine should be administered first, followed at least 8 weeks later by Pneu-P-23 vaccine. In people who have already received Pneu-P-23, at least one year should elapse before they are given Pneu-C-13 [Grade D, Consensus]
2018
2018 Diabetes Canada CPG – Chapter 19. VaccinationsSlide11
Key MessagesInfluenza vaccination can reduce hospitalization rates by approximately 40% for those individuals deemed to be at high riskPneumococcal vaccination is desired in people with diabetes as they are considered as likely to be infected as those with other chronic diseasesAdults with type 1 and type 2 diabetes are at higher risk of Hepatitis B virus infection
2018 Diabetes Canada CPG – Chapter 19. VaccinationsSlide12
Key Messages for People with DiabetesYou should receive routine vaccinations as recommended for anyone with or without diabetes. Check if you are up to date with your vaccinations.You should receive
Influenza vaccination(
“
flu shot
”
) every yearPneumococcal vaccination:Initially when you are over the age of 18 yearsAnd, again, when you are over the age of 65 years (if your original vaccination was given when you were younger than 65 years and your last vaccination was over 5 years ago)
2018 Diabetes Canada CPG – Chapter 19. VaccinationsSlide13
Visit guidelines.diabetes.ca Slide14
Or download the AppSlide15
Diabetes Canada Clinical Practice Guidelineshttp://guidelines.diabetes.ca
– for health-care providers
1-800-BANTING (226-8464)
http://diabetes.ca
– for people with diabetes