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노인복지관 이용 노인의 독감 예방접종 여부에 따른 독감의사질병 발생

Influenza vaccination and influenza-like-illness incidence rates in the elderly using the senior citizen welfare center

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초록

Purpose: The purpose of this study was to identify influenza vaccination and influenza-like-illness incidence rates caused by influenza vaccination in the elderly using the senior citizen welfare center. Methods: The subjects of the study were 65-year-old 250 people who used the senior citizen welfare center located in Seoul and Gyeonggi-do, Korea. The survey was conducted from May 1 to May 17, 2019, and 242 data were analyzed. The data were analyzed by descriptive statistics, test, Fisher's exact test and independent t-test using the SPSS WIN 18.0 program. Results: Influenza vaccination rate was 93.4%, and influenza-like-illness incidence rate was 5.4%. Cold suspected respiratory infection was 36.8%, and 92.3% of people with influenza-like-illness were treated in hospital. Also, the average duration of symptoms was 13.08±9.55 days. The effect of influenza vaccination was significantly higher in the group who received the vaccination(p=.036) and the group who did not develop the influenza-like-illness(p=.016). The difference in the incidence of influenza-like-illness was not statistically significant, depending on whether the influenza was immunized. Conclusion: Considering the severity of symptoms and secondary problems due to respiratory infections in the elderly, different strategies should be implemented to prevent and treat influenza and influenza-like-illness.

Abstract

Purpose: The purpose of this study was to identify influenza vaccination and influenza-like-illness incidence rates caused by influenza vaccination in the elderly using the senior citizen welfare center. Methods: The subjects of the study were 65-year-old 250 people who used the senior citizen welfare center located in Seoul and Gyeonggi-do, Korea. The survey was conducted from May 1 to May 17, 2019, and 242 data were analyzed. The data were analyzed by descriptive statistics, test, Fisher's exact test and independent t-test using the SPSS WIN 18.0 program. Results: Influenza vaccination rate was 93.4%, and influenza-like-illness incidence rate was 5.4%. Cold suspected respiratory infection was 36.8%, and 92.3% of people with influenza-like-illness were treated in hospital. Also, the average duration of symptoms was 13.08±9.55 days. The effect of influenza vaccination was significantly higher in the group who received the vaccination(p=.036) and the group who did not develop the influenza-like-illness(p=.016). The difference in the incidence of influenza-like-illness was not statistically significant, depending on whether the influenza was immunized. Conclusion: Considering the severity of symptoms and secondary problems due to respiratory infections in the elderly, different strategies should be implemented to prevent and treat influenza and influenza-like-illness.

참고문헌 (31)

  1. "추워지는 겨울, 독감 주의하세요" (2020), 건강보험심사평가원[URL]
  2. "인플루엔자 예방접종률" (2020), 국가통계포털[URL]
  3. 김옥선, "일 지역 보건계열 대학생의 신종인플루엔자 A (H1N1) 예방접종 실태 및 영향 요인", Journal of Korean Academy of Nursing, 41(3), pp.403~410 (2011), 한국간호과학회
  4. 김옥선, "겨울철 유행하는 급성호흡기감염 발생률과 감염예방행위 이행 수준 : 일부 대학생의 감기 및 독감을 중심으로", 한국웰니스학회지, 13(3), pp.639~648 (2018), 한국웰니스학회[DOI]
  5. 김우주, "신종인플루엔자 A", H1N1 대유행: 현황과 전망, 2009, pp.52(8), 787~794[DOI]
  6. 이상엽, "노인에서 독감 예방접종 전후 독감의사질환의 발생 차이", Korean Journal of Family Medicine, 23(5), pp.12~656 (2002), 대한가정의학회
  7. 이진서, "독감의 치료와 예방", 대한의사협회지, 61(1), pp.49~54 (2018), 대한의사협회[DOI]
  8. "2017-2018절기 인플루엔자 국가예방접종 지원사업 관리지침(보건소용)" (2017), 질병관리본부[URL]
  9. 질병관리본부, "2018-2019절기 인플루엔자 관리지침", 질병관리본부, ~ (2018)
  10. "인플루엔자" (2020)[URL]
  11. "2019-2020절기 인플루엔자 관리지침" (2020), 질병관리본부[URL]
  12. "인플루엔자 통계작성" (2020), 질병관리청 감염병 포털[URL]
  13. Baselga-Moreno, V., "Influenza epidemiology and influenza vaccine effectiveness during the 2016-2017 season in the Global Influenza Hospital Surveillance Network(GIHSN)", BMC Public Health, 19(1), pp.487~ (2017)[DOI]
  14. Biggerstaff, M., "Self-reported influenza-like illness and receipt of influenza antiviral drug during the 2009 pandemic, United States, 2009-2010", American Journal of Public Health, 120(10), pp.e21~e26 (2009)[DOI]
  15. Carson, C., "Flutracking weekly online community survey of influenza-like illness annual report, 2016", Communicable Disease Interlligence, 43, pp.1~8 (2019)[DOI]
  16. "Adults 65 and older need a flu shot" (2020)[URL]
  17. "People 65 years and older & influenza. Centers for Disease Control and Prevention" (2020)[URL]
  18. Fiore, A. E., "Prevention and control of influenza with vaccines: Recommendation of the Advisory Committee on Immunization", ~ (2010)
  19. Morbidity and Mortality Weekly Report, Recommendations and Reports, "Practice(ACIP)", 1~62, pp.59(RR-8) (2010)
  20. Fitzner, J., "Revision of clinical case definitions : influenza-like illness and severe acute respiratory infection", Bulletin of the World Health Organization, 96(2), pp.77~144 (2018)[DOI]
  21. Fortunato, F., "Local deprivation status and seasonal influenza vaccination coverage in adults ≥ 65 years residing in the Foggia municipality, Italy, 2009-2016", Journal of Preventive Medecine and Hygiene, 59(4 suppl 2), pp.E51~E64 (2019)[DOI]
  22. Guerrisi, C., "Factors associated with influenza-like-illness : a crowdsourced cohort study from 2012", 13 to 2017, BMC Public Health, pp.2019, 19(1)[DOI]
  23. Manzoli, L., "Association between vaccination coverage decline and influenza incidence rise among Italian elderly", European Journal of Public Health, 28(4), pp.740~742 (2018)[DOI]
  24. Niang, M. N., "Estimation of the burden of flu-association influenza-like illness visits on total clinic visits through the sentinel influenza monitoring system in Senegal during the 2013-2015 influenza seasons", Epidemiology & Infection, 146(16), pp.2049~2055 (2018)[DOI]
  25. Noh, J. Y., "Laboratory surveillance of influenza-like illness in seven teaching hospital, South Korea: 2011-2012 season", PLOS One, 8(5), pp.e64295~ (2013)[DOI]
  26. Nowak, G. J., "Len-Ríos ME. Understanding and increasing influenza vaccination acceptance: insights from a 2016 national survey of U.S. Adults", International Journal of Environmental Research and Public Health, 15(4), pp.711~ (2018)[DOI]
  27. Park, M., "Influenza-associated excess mortality in South Korea", American Journal of Preventive Medicine, 50(4), pp.e111~e119 (2016)[DOI]
  28. Pinto, C. J. M., "Vaccination against influenza in elderly people: factors associated with acceptance and refusal of the vaccine", Journal of the Brazilian Society of Tropical Medicine, 52, pp.e20180366~ (2019)[DOI]
  29. Todd, S., "Primary care influenza-like illness surveillance in Ho Chi Minh City, Vietnam 2013-2015", Influenza and Other Respiratory Viruses, 12(5), pp.623~631 (2018)[DOI]
  30. Weinberger, B., "Vaccines for the elderly : current use and future challenges", Immunity & Ageing, 15, pp.3~ (2018)[DOI]
  31. "Influenza (Season al)" (2020)[URL]

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