La vaccinazione nel paziente con infezione da HIV: attuali raccomandazioni e strategie multidisciplinari per il raggiungimento dei soggetti suscettibili. L’esperienza della Liguria

Even in the era of highly active antiretroviral therapy (HAART), HIV-infected subjects are at higher risk of complications from vaccine-preventable diseases than those uninfected. Despite the current national and international guidelines strongly recommend that these patients should been immunized, the available data indicate sub-optimal coverage rates, partially due to the difficulty in identifying those susceptible to preventable infections. In order to reach these subjects, the LIgurian Vaccination in HIV Program (LIV in HIV) aimed at proactive screening, identification and immunization of HIV-infected individuals. This program is based on a network of primary care/public health providers and specialists working together to ensure the timely administration of recommended vaccines. The Ligurian HIV Network web platform allows to identify the susceptible individuals, to monitor immunization coverage and to manage failures and defaulting, using a connection with regional immunization registry system. The aim of this study is to describe the experience of the referral outpatient clinics of Infectious Disease (San Martino-IST hospital and Galliera hospital) and Hygiene Unit (San Martino-IST hospital) in Genoa metropolitan area, in order to evaluate the acceptability of vaccination in HIV-infected patients.