2466. Evaluation of Immunization on the Neonatal Intensive Care Unit at British Columbia Women’s Hospital
Autor: | Horacio Osiovich, Manish Sadarangani, Yasmin Vahedi, Vanessa Paquette, Melissa Chiu, Carol Bao |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Patient discharge
medicine.medical_specialty Palliative care Neonatal intensive care unit business.industry Medical record Pharmacy biochemical phenomena metabolism and nutrition Abstracts Infectious Diseases Pharmacy (field) Oncology Immunization B. Poster Abstracts Family medicine Medicine bacteria business |
Zdroj: | Open Forum Infectious Diseases |
ISSN: | 2328-8957 |
Popis: | Background Term and preterm infants in the neonatal intensive care unit (NICU) should be immunized at the same chronological age and on the same schedule as healthy term infants, but are often under-immunized. Reasons for under-immunization in this population have not been well-defined. The aim of this study was to assess the immunization rates of hospitalized term and preterm infants in the NICU and examine reasons for under-immunization. Methods Pharmacy and NICU databases were utilized to determine the immunization rates of eligible babies admitted to the NICU between 2011 and 2015. A retrospective review of unimmunized infants was undertaken to identify barriers to timely immunization. Patient demographics and transfers to other hospitals were recorded. Reasons for the delay in immunization were evaluated by detailed review of the hospital medical record. Results Of the 3,261 babies admitted to the NICU during the study period, 534 (16%) were hospitalized at ≥8 weeks of age, when first immunizations are administered. Of these, 142 (27%) received no immunizations in hospital. Sixty-five medical records were reviewed in detail. Thirty of the 65 (46%) medical records did not document that immunizations were due. In 21 (32%) of the 65 cases, there was no clear reason for lack of immunization. Of the remaining cases, infants were not vaccinated for 1 or more reasons. Infants deemed too unwell, including recovery from surgery, seizures/encephalopathy, severe immunocompromise, or palliative care, was one of the reasons for lack of vaccination in 35 (54%) of the 65 cases, parental refusal of vaccinations in 8 (12%) of cases, and deferral to discharging hospital in 7 (11%) of cases. Conclusion Significant comorbidity appeared to be the major reason behind vaccination delays, with 27% of highly vulnerable infants unimmunized. Significant improvements are required to ensure these babies receive vaccines upon recovery from their illness, and to ensure absence of immunization is clearly documented upon hospital discharge. Disclosures All authors: No reported disclosures. |
Databáze: | OpenAIRE |
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