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J Pediatr Health Care. 2014 Mar-Apr;28(2):148-54. doi: 10.1016/j.pedhc.2013.01.001. Epub 2013 Mar 20.

Vaccine eligibility in hospitalized children: spotlight on a unique healthcare opportunity.

Abstract

OBJECTIVE:

The goals of this study were to evaluate the effectiveness of an inpatient documentation system for identifying missed vaccine opportunities and to identify parental satisfaction with their vaccination services.

METHODS:

A prospective descriptive study compared inpatient documentation of vaccine history with actual vaccine records, and adherence with the Advisory Committee on Immunization Practices guidelines was assessed. A parental satisfaction survey was administered.

RESULTS:

One hundred sixty pediatric patients ages 2 months to 17 years (mean age 8 years) were enrolled. Seventy-six percent of patients had documentation of vaccine history, and 92% were documented as receiving all age-appropriate vaccines. Actual immunization records showed that 16% percent of patients were in compliance with Advisory Committee on Immunization Practices guidelines. The most commonly missed vaccine was influenza (67%) followed by meningococcal (57%), hepatitis A (48%), and varicella (38%). Ninety percent of parents were satisfied with the vaccination services their child had received.

CONCLUSION:

A review of vaccine records is recommended to accurately assess status. Inpatient hospitalization represents an opportunity to assess vaccination status, address parental concerns, and provide updated vaccinations.

KEYWORDS:

Pediatric; satisfaction; vaccine; validation

PMID:
23522560
DOI:
10.1016/j.pedhc.2013.01.001
[Indexed for MEDLINE]

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