Audit of opportunistic immunisation of paediatric inpatients in rural Western Australia

Jose, Diana C.; Gilles, Marisa; Kelley, Sarah-Jane

doi:10.1111/1753-6405.12465

Cited by 9 publications

(21 citation statements)

References 4 publications

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“…Most (94%) children who required catch‐up immunisations did not receive them during their admission. Consistent findings have been reported from Australia (95%), 11 New Zealand (96%) 27 and the UK (97%) 10 . This may reflect lower priority placed on immunisation during an acute admission, short admissions and time and resource constraints.…”

Section: Discussionsupporting

confidence: 79%

“…Approximately 20% of hospitalised children, including those with chronic medical conditions and Aboriginal and Torres Strait Islander ethnicity, 6 are at higher risk of VPD such as pneumococcus and influenza 8,9 . Previous reports suggest that immunisation enquiry and documentation is poor and opportunities to immunise children during hospital admission are being missed 4,10,11 . Whilst there is considerable experience implementing targeted immunisation programmes in a hospital setting, including those for influenza 12,13 and healthcare workers, 14 limited paediatric inpatient knowledge exists.…”

mentioning

confidence: 99%

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Pre‐ and post‐intervention study examining immunisation rates, documentation, catch‐up delivery and the impact of a dedicated immunisation service at a tertiary paediatric hospital

Tarca

Lau

Mascaro

et al. 2020

J Paediatrics Child Health

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Aim To explore immunisation rates and catch‐up delivery to children admitted to hospital before and after an immunisation service was commenced. Methods This pre‐ and post‐intervention study examined 300 admissions prior to (cohort 1) and 300 following (cohort 2) the introduction of an immunisation service. Immunisation rates, documentation, catch‐up delivery and accuracy of the Australian Immunisation Register (AIR) were examined. Results On admission, 75% (cohort 1) and 89% (cohort 2) were up‐to‐date with immunisations. Immunisation history was documented in the medical record in 78% and requirement for catch‐up documented in 10%. AIR was incorrect in one‐third of cases. By 3 months following discharge, 28% (cohort 1) and 64% (cohort 2) of patients were immunised. Conclusions Children admitted to hospital have lower immunisation rates than the national average. Documentation was poor, opportunities for catch‐up were missed and AIR is error‐prone. Catch‐up rates increased following the introduction of an immunisation service.

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Section: Discussionsupporting

confidence: 79%

mentioning

confidence: 99%

Pre‐ and post‐intervention study examining immunisation rates, documentation, catch‐up delivery and the impact of a dedicated immunisation service at a tertiary paediatric hospital

Tarca

Lau

Mascaro

et al. 2020

J Paediatrics Child Health

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“…In 2009, an audit in a New Zealand hospital found only 4% of underimmunised children received catch‐up immunisation whilst on the ward (Gilbert & Wrigley, ). Similarly, a study by Jose, Gilles, and Kelley () of admitted children in a regional hospital in Western Australia demonstrated 8% of children were immunised whilst in hospital. We postulate that our model of establishing routine checking of immunisation records and reminding hospital staff about immunisations due or overdue may be the difference.…”

Section: The Future and Fundingmentioning

confidence: 89%

Providing opportunistic immunisations for at‐risk inpatients in a tertiary paediatric hospital

Elia

Perrett

Newall

2017

Specialist Pediatric Nursing

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Attaining high immunisation coverage rates for children with medical conditions is vital. The Royal Children's Hospital (RCH) Immunisation Service has the opportunity to check each inpatient's immunisation status and provide opportunistic vaccines and/or bring the Australian Childhood Immunisation Register (ACIR) up-to-date. This paper highlights that during admission, one quarter of children were not up-to-date with routine scheduled immunisations and 42% of those inpatients due or overdue for immunisation were vaccinated. The model of establishing routine checking of immunisation records and reminding hospital staff about immunisation can result in improvements in vaccination coverage. Healthcare providers have a responsibility to check immunisation status and offer vaccines when necessary; however, often there are missed opportunities to immunise. This paper demonstrates that having a dedicated Immunisation Service, a partnership with a relevant government agency, and effective collaboration with inpatient clinical teams, opportunistic immunisation can be achieved for inpatients.

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“…Lost opportunities to vaccinate are recognised as one of the reasons for low vaccination rates. 1 In March 2015, Metro North Public Health Unit commenced a pilot opportunistic immunisation project in partnership with a local hospital. The aim of the project was to assess the feasibility of providing immunisation services and promoting vaccination in outpatient clinic based settings.…”

Section: Dear Editor Opportunistic Immunisation In the Outpatients Dmentioning

confidence: 99%

Opportunistic Immunisation in the Outpatients Department: A Pilot Feasibility Study

Titmus

Hicks

Baxter

et al. 2018

J Paediatrics Child Health

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Audit of opportunistic immunisation of paediatric inpatients in rural Western Australia

Abstract: Letter inform Australia's immunisation program. National linkages for the first three projects were conducted by the CDL, while linkages for PoC4 were conducted by the AIHW. The PoC1 project has recently been completed; remaining projects are still in progress.

Cited by 9 publications

References 4 publications

Pre‐ and post‐intervention study examining immunisation rates, documentation, catch‐up delivery and the impact of a dedicated immunisation service at a tertiary paediatric hospital

Pre‐ and post‐intervention study examining immunisation rates, documentation, catch‐up delivery and the impact of a dedicated immunisation service at a tertiary paediatric hospital

Providing opportunistic immunisations for at‐risk inpatients in a tertiary paediatric hospital

Opportunistic Immunisation in the Outpatients Department: A Pilot Feasibility Study

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