A Missed Opportunity: Evaluating Immunization Status and Barriers in Hospitalized Children.
| Autor: | Lissinna B; Departments of Pediatrics., Gilbert C; Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada., Isaac C; Medicine and Dentistry., Mian Q; Departments of Pediatrics., MacDonald SE; Nursing., Forbes KL; Division of Pediatric Hospital Medicine, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Hospital pediatrics [Hosp Pediatr] 2024 Sep 01; Vol. 14 (9), pp. 714-721. |
| DOI: | 10.1542/hpeds.2024-007728 |
| Abstrakt: | Objective: Hospitalized children are a potentially underimmunized population. We sought to determine the proportion of patients admitted to our pediatric medicine inpatient units who are underimmunized or unimmunized and to identify barriers to immunization faced by families of children admitted to hospital. Methods: We conducted a prospective study of children aged 2 months to 18 years admitted to our pediatric medicine inpatient units between July 2021 and October 2022. Immunization and demographic data were collected from electronic medical charts. Immunization status of each child was categorized as up-to-date if they had received all eligible vaccine doses in accordance with the provincial immunization schedule. Caregivers completed a survey on barriers to immunizations; results were compared between caregivers of children whose vaccines were up-to-date and those who were not. Results: Hospitalized children were missing more doses of the preschool vaccines than the general population based on published provincial data. Only 142 of 244 (58.2%) of study patients were up-to-date on all their immunizations. Caregivers of children whose immunizations were not up-to-date reported significantly more barriers to vaccination in all survey categories: access to shots, concerns about shots, and importance of shots. Conclusions: There is a disparity in immunization status between children admitted to hospital in a Canadian setting compared with national targets and community immunization rates. Caregivers of underimmunized hospitalized children cited significantly more barriers to immunization when compared with hospitalized children who are up-to-date. Pursuing a hospital-based immunization strategy could lead to improved immunization status for hospitalized children. (Copyright © 2024 by the American Academy of Pediatrics.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|