Factors Affecting Influenza and Pneumococcal Vaccination Rates in Hemodialysis Patients: A Multicenter Study

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dc.authoridISLAM, MAHMUD/0000-0003-1284-916X
dc.authoridSelen, Tamer/0000-0003-2617-2372
dc.authoridMerhametsiz, Ozgur/0000-0001-7846-4911
dc.contributor.authorSelen, Tamer
dc.contributor.authorMerhametsiz, Ozgur
dc.contributor.authorOnec, Kuersad
dc.contributor.authorErcan, Zafer
dc.contributor.authorIslam, Mahmud
dc.contributor.authorAltun, Gulsah
dc.contributor.authorPinar, Musa
dc.date.accessioned2025-10-11T20:47:58Z
dc.date.available2025-10-11T20:47:58Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractPurpose: In patients with end-stage renal disease (ESRD), infections, particularly pneumonias, are the most common cause of hospital admissions and death after cardiovascular diseases. It is recommended that dialysis patients receive the pneumococcal vaccine every five years and the influenza vaccine annually. Our study aims to determine the awareness and factors affecting influenza and pneumococcal vaccination rates in hemodialysis patients. Patients and Methods: This cross-sectional study was conducted on patients undergoing regular hemodialysis treatment in 10 different hemodialysis centers across 4 cities. After excluding patients with less than one year of hemodialysis duration and those under 18 years of age, 548 patients were included in the study. Patients were administered a 20-item survey via face-to-face interview and electronic medical records. Results: Out of the 548 patients, only 19 (3.5%) had knowledge about the pneumococcal vaccine, while 238 (43.4%) had knowledge about the influenza vaccine. There were 220 patients (20.1%) who had knowledge about both vaccines. Among the patients, 95 (17.3%) had received the pneumococcal vaccine, with 41.1% of them having received it five years ago or more. A significant proportion (33.7%) of the patients could not recall the timing of their vaccination. While 183 (33.4%) patients had not received the influenza vaccine, only 140 (25.5%) had been vaccinated regularly every year. The reasons for not receiving the influenza and pneumococcal vaccines were stated as I do not feel the need because I do not get the flu (25%) and I do not know about the pneumonia vaccine (36.7%), respectively. The ROC curve analysis for the influenza questionnaire score showed an AUC of 0.822 (95% CI 0.787-0.856), with a p-value of <0.001. The statistically significant cutoff value for predicting influenza vaccination was determined to be 2.5. In the univariate analysis, dialysis duration (HD duration), diabetes mellitus (DM), and vascular access type were found to be statistically significant. In the multivariate logistic regression analysis, dialysis duration and DM were identified as independent factors predicting a higher level of knowledge about the influenza vaccine (p=0.009, 0.003, and p=0.041). The ROC curve analysis for the pneumococcal questionnaire score showed an AUC of 0.920 (95% CI 0.886-0.955), with a p-value of <0.001. The statistically significant cutoff value for predicting pneumococcal vaccination was determined to be 3.5. In the univariate analysis, residence, dialysis duration, and education level were found to be statistically significant. In the multivariate logistic regression analysis, dialysis duration and education level were identified as independent factors predicting a higher level of knowledge about the pneumococcal vaccine (p=0.038, 0.040, and p=0.010). physicians, nurses and nephrologists on this issue will increase vaccination rates.en_US
dc.identifier.doi10.2147/RMHP.S517477
dc.identifier.endpage32en_US
dc.identifier.issn1179-1594
dc.identifier.pmid39872492en_US
dc.identifier.scopus2-s2.0-85216901062en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage19en_US
dc.identifier.urihttps://doi.org/10.2147/RMHP.S517477
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21655
dc.identifier.volume18en_US
dc.identifier.wosWOS:001449842000001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherDove Medical Press Ltden_US
dc.relation.ispartofRisk Managementand Healthcare Policyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjecthemodialysisen_US
dc.subjectinfluenzaen_US
dc.subjectpneumococcal pneumoniaen_US
dc.subjectvaccineen_US
dc.titleFactors Affecting Influenza and Pneumococcal Vaccination Rates in Hemodialysis Patients: A Multicenter Studyen_US
dc.typeArticleen_US

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