Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #103217

Sindy M. Paul, MD, MPH¹, Warren Triano-Davis, MPA¹, Patti Weinberg, PA, MPS², Wendy Ferguson, RN, DipEd², and Allison Xiong, PhD². (1) Division of HIV/AIDS Services, New Jersey Department of Health and Senior Services, P.O. Box 363, Trenton, NJ 08625-0363, (609) 984-6191, sindy.paul@doh.state.nj.us, (2) IPRO Corporate Office, 1979 Marcus Avenue, Lake Success, NY 11042

Background: A retrospective medical record review was conducted to evaluate implementation of the ACIP recommendations for influenza, pneumococcal, hepatitis A, hepatitis B, and tetanus/diphtheria (TD) immunizations for HIV infected adults on the AIDS Drug Distribution Program (ADDP).

Methods: A standardized data collection tool was used to conduct a retrospective medical record review from 6/1/01 until 5/31/04 of patients on ADDP in 11 of 21 counties. County selection was based on HIV prevalence and number of eligible physicians. Eligible physicians had 10 or more patients on ADDP. Medical records reviewed were for a calendar year. Sampling included an elimination factor for charts or physicians not found. Poor performers were defined as the lowest 5%. A CME intervention was conducted for poor performers.

Results: 2,304 medical records were reviewed from 37 physicians in 11 counties. 59% of patients received all five immunizations. Data for individual vaccines are: 79% for flu, 32% for Streptococcus pneumoniae, 21% for hepatitis B, 12% for hepatitis A, and 2% for DT.

Conclusions: Implementation of ACIP immunization recommendations was low. Influenza was the most commonly provided immunization and TD the lowest. The results may represent a low estimate of immunizations because primary care providers may have vaccinated patients with the information not documented by the HIV specialist. A multi-media CME program for immunizations for HIV infected persons has been implemented with lectures, conferences, journal articles, and web-based programs. Future plans include a post CME intervention repeat retrospective medical record review for poor performers.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

• Discuss immunization recommendations for HIV infected adults.
• Describe differences in immunization rates for HIV infected adults.
• Identify at least one approach to improve the immunization rate of HIV infected adults.

Keywords: HIV/AIDS, Immunizations

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.