Facilitating access to pneumococcal vaccine for people living with HIV: an experience report.
Patricia da Silva Spindola Parmejani, Camila de Melo Picone, Ana Paula Pereira da Silva Alves and 2 others
PMID 36625658WHAT IT FOUND
Nurses at an HIV outpatient service screened arrivals, explained PCV-13, and gave it to 814 eligible people without requiring a prescription.
Most were referred by nursing orientation rather than a doctor's order.
Key findings
01Trained nurses administered PCV-13 to eligible PLHIV without requiring a prescription.
02Among 814 PLHIV who received PCV-13, 601 were referred for vaccination by nursing orientation.
03During the campaign, the service recorded 3,776 visits by 1,924 people at nursing triage.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a single-service experience report with no comparison group, so it cannot show that the strategy caused better vaccination coverage than usual care. The campaign occurred during COVID-19 restrictions, with reduced patient flow, postponed appointments, and restricted vaccination hours, which may have changed who attended. Records were descriptive and relied on nursing triage logs and vaccine registration, and the service could not access the vaccine consultation system. Some people did not receive vaccination because they lacked their card, had recent PPV-23, or had already received PCV-13; the report notes 15.6% (297) of assisted PLHIV did not receive any vaccination. It reports delivery of doses, not pneumococcal disease prevention or vaccine effectiveness.
The easy way to misread this
Do not read this as proof that point-of-care vaccination increases coverage compared with usual care, because the report has no comparison group or baseline.