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Chapter 19 Nadira Husein, Vincent Woo

Canadian Diabetes Association Clinical Practice Guidelines Influenza and Pneumococcal Immunization . Chapter 19 Nadira Husein, Vincent Woo. Immunization Checklist. 2013. GIVE annual influenza immunization OFFER pneumococcal immunization if >18 years of age

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Chapter 19 Nadira Husein, Vincent Woo

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  1. Canadian Diabetes Association Clinical Practice GuidelinesInfluenza and Pneumococcal Immunization Chapter 19 Nadira Husein, Vincent Woo

  2. Immunization Checklist 2013 • GIVE annual influenza immunization • OFFERpneumococcal immunization if >18 years of age • RE-VACCINATE for pneumococcal for those >65 years of age; ensure ≥5 years between administrations

  3. Annual Influenza Immunization is Beneficial for Patients with Diabetes • Diabetes = ↑ risk of morbidity from influenza • Influenza immunization ↓ hospitalization rates by ~ 40% Annual Influenza Immunization Groenwold RHH, et al. EurRespir J. 2009;34:56-62.

  4. Recommend Pneumococcal Vaccine Among Patients with Diabetes • People 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

  5. Include Vaccination Status on Diabetes Flow Sheet

  6. Recommendation 1 • People with diabetesshould receive an annual influenza immunization to reduce the risk of complications associated with influenza (Grade D, Consensus)

  7. Recommendation 2 2013 • Pneumococcal immunization should be offered to people with diabetes. A single dose is recommended for those>18 years of age. A one-time revaccination is recommended for those >65 years of age with at least 5 years between administrations (Grade D, Consensus).

  8. CDA Clinical Practice Guidelines http://guidelines.diabetes.ca – for professionals 1-800-BANTING (226-8464) http://diabetes.ca – for patients

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