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Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 21-23

Hepatitis B, Hepatitis A, and Pneumococcal Immunization Status in Patients with Cirrhosis of the Liver: A Questionnaire Survey

1 Arihant Hospital and Research Centre, Indore, Madhya Pradesh, India
2 Department of Hepatology, Global Hospital, Mumbai, Maharashtra, India
3 Department of Hepatology, Sri Ramachandra Medical College, Chennai, Tamil Nadu, India

Correspondence Address:
Mayank Jain
Department of Gastroenterology, Arihant Hospital and Research Centre, 283-a Gumasta Nagar, Indore - 452 009, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ghep.ghep_29_22

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Background and Aims: Immunization against hepatitis A, hepatitis B, and pneumococcus has been recommended in patients with cirrhosis of the liver. This questionnaire survey was undertaken to determine the rates of vaccination against these organisms in a cohort of patients with liver disease in India. Methods: We included all patients who were willing for the study and had been seen by a gastroenterologist/hepatologist at least once. Patients offering incomplete information were excluded from the study. Serological tests for confirmation of immunological response were not done. Details of counseling and vaccination status for hepatitis B, hepatitis A, and pneumococcal infection were noted. Results: A total of 305 patients (272 males, 89%) formed the study cohort. The median age was 60 years (range 27–76 years) and the median duration of liver disease was 12 months (1–120 months). The median model of end stage liver disease (MELD) was 14 (range 7–35). Only 37 (12.1%) patients reported that they had been counseled for vaccination against these infections. The rates of vaccination were very low (<10%). Conclusion: Very dismal vaccination rates were noted in Indian patients with liver cirrhosis.

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