Reliability of medical students' vaccination histories for immunisable diseases

BMC Public Health. 2008 Apr 15:8:121. doi: 10.1186/1471-2458-8-121.

Abstract

Background: Medical students come into contact with infectious diseases early on their career. Immunity against vaccine-preventable diseases is therefore vital for both medical students and the patients with whom they come into contact.

Methods: The purpose of this study was to compare the medical history and serological status of selected vaccine-preventable diseases of medical students in Germany.

Results: The overall correlation between self-reported medical history statements and serological findings among the 150 students studied was 86.7 %, 66.7 %, 78 % and 93.3 % for measles, mumps, rubella and varicella, conditional on sufficient immunity being achieved after one vaccination. Although 81.2 % of the students' medical history data correlated with serological findings, significant gaps in immunity were found.

Conclusion: Our findings indicate that medical history alone is not a reliable screening tool for immunity against the vaccine-preventable diseases studied.

MeSH terms

  • Adult
  • Antibodies, Viral / blood*
  • Female
  • Germany
  • Humans
  • Immunoenzyme Techniques
  • Male
  • Measles / immunology
  • Measles-Mumps-Rubella Vaccine / immunology*
  • Medical History Taking
  • Middle Aged
  • Mumps / immunology
  • Rubella / immunology
  • Self Disclosure
  • Serologic Tests
  • Students, Medical / statistics & numerical data*
  • Surveys and Questionnaires
  • Vaccination / statistics & numerical data*

Substances

  • Antibodies, Viral
  • Measles-Mumps-Rubella Vaccine