A multiyear quality improvement project to increase influenza vaccination in a pediatric oncology population undergoing active therapy

Olshefski, Randal; Bibart, Mindy; Frost, Randall; Wood, Eric; Hampl, Joshua; Mangum, Ross; Ardura, Monica I.; Guinipero, Terri; Cripe, Timothy P.

doi:10.1002/pbc.27268

Cited by 9 publications

(20 citation statements)

References 20 publications

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“…Looking first at influenza, higher uptake was generally seen in inpatients and outpatients than EDs, and in studies of children with underlying medical conditions 43 52 53 55 61. The highest uptake (90.32%) was reported by Lo and Sobota in an outpatient study of children with sickle cell disease 63.…”

Section: Resultsmentioning

confidence: 96%

“…Includes older children (up to 15–21 years old depending on study)26 27 30 34 35 38 43 45–49 51–53 55 57 58 61–63…”

Section: Resultsmentioning

confidence: 99%

“…In terms of personnel, screening was most successful in studies with extra staff and/or funding, including dedicated research staff 24 32–34 39 42 48–53. Elsewhere, there was no clear consensus regarding who was best placed for this task, although two studies had successfully used pharmacy staff 54 55…”

Section: Resultsmentioning

confidence: 99%

“…At this stage of the pathway, the patient’s clinical condition and any clinical contraindications must also be considered. Studies reported varying proportions of children too ill to be vaccinated, ranging from 0% to 20.5% and with no obvious relationship to setting 23 31 34 36 38 42 46 51 53 64. Leading reasons to defer vaccination were fever, diarrhoea, upcoming/recent surgery, vaccine allergies or oncology patients undergoing treatments.…”

Section: Resultsmentioning

confidence: 99%

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Interventions delivered in secondary or tertiary medical care settings to improve routine vaccination uptake in children and young people: a scoping review

et al. 2022

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ObjectiveTo identify and analyse the interventions delivered opportunistically in secondary or tertiary medical settings, focused on improving routine vaccination uptake in children and young people.DesignScoping review.Search strategyWe searched CINAHL, Web of Science, Medline, Embase and Cochrane Database of Systematic Reviews for studies in English published between 1989 and 2021 detailing interventions delivered in secondary or tertiary care that aimed to improve childhood vaccination coverage. Title, abstract and full-text screening were performed by two independent reviewers.ResultsAfter deduplication, the search returned 3456 titles. Following screening and discussion between reviewers, 53 studies were included in the review. Most papers were single-centre studies from high-income countries and varied considerably in terms of their study design, population, target vaccination, clinical setting and intervention delivered. To present and analyse the study findings, and to depict the complexity of vaccination interventions in hospital settings, findings were presented and described as a sequential pathway to opportunistic vaccination in secondary and tertiary care comprising the following stages: (1) identify patients eligible for vaccination; (2) take consent and offer immunisations; (3) order/prescribe vaccine; (4) dispense vaccine; (5) administer vaccine; (6) communicate with primary care; and (7) ongoing benefits of vaccination.ConclusionsMost published studies report improved vaccination coverage associated with opportunistic vaccination interventions in secondary and tertiary care. Children attending hospital appear to have lower baseline vaccination coverage and are likely to benefit from vaccination interventions in these settings. Checking immunisation status is challenging, however, and electronic immunisation registers are required to enable this to be done quickly and accurately in hospital settings. Further research is required in this area, particularly multicentre studies and cost-effectiveness analysis of interventions.

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Section: Resultsmentioning

confidence: 96%

“…Includes older children (up to 15–21 years old depending on study)26 27 30 34 35 38 43 45–49 51–53 55 57 58 61–63…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Interventions delivered in secondary or tertiary medical care settings to improve routine vaccination uptake in children and young people: a scoping review

et al. 2022

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“…10,22,28,29 The remainder, defined as quasi-experimental studies, included 20 before and after intervention studies 21,28,30-47 and 6 QI studies. [48][49][50][51][52][53][54] One article included both a quasi-experimental study and a cohort study. 28…”

Section: Study Search and Selectionmentioning

confidence: 99%

Improving Influenza Vaccination in Children With Comorbidities: A Systematic Review

et al. 2021

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CONTEXT: Children with medical comorbidities are at greater risk for severe influenza and poorer clinical outcomes. Despite recommendations and funding, influenza vaccine coverage remains inadequate in these children. OBJECTIVE: We aimed to systematically review literature assessing interventions targeting influenza vaccine coverage in children with comorbidities and assess the impact on influenza vaccine coverage.

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Understanding influenza vaccination rates and reasons for refusal in caregivers and household contacts of cancer patients

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Podczervinski

MacLeod

et al. 2019

American Journal of Infection Control

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A multiyear quality improvement project to increase influenza vaccination in a pediatric oncology population undergoing active therapy

Abstract: A robust influenza vaccination program implemented using a standardized QI approach can sustain a high vaccination rate in a pediatric oncology population receiving active treatment. The influenza infection rate was under 10% in the vaccinated group.

Cited by 9 publications

References 20 publications

Interventions delivered in secondary or tertiary medical care settings to improve routine vaccination uptake in children and young people: a scoping review

Interventions delivered in secondary or tertiary medical care settings to improve routine vaccination uptake in children and young people: a scoping review

Improving Influenza Vaccination in Children With Comorbidities: A Systematic Review

Understanding influenza vaccination rates and reasons for refusal in caregivers and household contacts of cancer patients

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