KMID : 0988920230210030363
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Intestinal Research 2023 Volume.21 No. 3 p.363 ~ p.374
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Vaccination in patients with inflammatory bowel disease-Asian perspectives: the results of a multinational web-based survey in the 8th Asian Organization for Crohn¡¯s and Colitis meeting
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Park Su-Bum
Kim Kyeong-Ok Lee Hong-Sub Choi Chang-Hwan Shu Chen We Min Hu Chen Katsuyoshi Matsuoka
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Abstract
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Background/Aims : Long-term immunosuppressive therapies used to treat inflammatory bowel disease (IBD) are associated with an increased risk of infections, many of which can be prevented by vaccination. We assessed physicians¡¯ current approaches and clinical practices regarding vaccinations for IBD patients in different Asian countries/regions.
Methods : An internet-based survey was conducted among members of the Asian Organization for Crohn¡¯s and Colitis from September 2020 to November 2020. The questionnaire consisted of 2 parts covering general opinion on the relevance of vaccinations and clinical practice of vaccination.
Results : Overall, 384 Asian medical doctors responded to the survey. The majority of respondents considered it very (57.6%) or sufficiently (39.6%) important to perform vaccinations as recommended by the guidelines. About half of the Asian physicians (52.6%) were usually or always performing vaccinations. The influenza vaccine was the most frequently recommended vaccine for IBD patients. Half of the respondents (51.3%) did not recommend hepatitis A vaccine, especially in China (61.6%) and Japan (93.6%). The diphtheria, tetanus, and pertussis vaccine were never (35.2%) or rarely (29.4%) recommended.
Conclusions : The findings of this survey indicated similarities among countries/regions in terms of the current approaches and practices regarding vaccination of IBD patients; however, there are some differences that might reflect each country¡¯s domestic vaccination guidelines and health insurance particularly with certain vaccines in some countries/regions. Although Asian physicians largely recommend vaccination, more awareness among doctors and Asian consensus regarding differences in IBD vaccination among countries/regions may be required.
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KEYWORD
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Inflammatory bowel disease, Vaccines, Surveys and questionnaires
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