Extraimmunization Among US Children

Abstract

These data indicate that extraimmunization can be costly. The challenge is to reduce extraimmunization without interfering with more important efforts to combat underimmunization. Improvements in immunization record keeping and sharing practices may help reduce extraimmunization.

Immunization Errors among Pediatrics Younger than 2 years

“…[7] Other study analyzed the frequency of extra-immunization doses among US children and found that 21% of children received extraimmunization doses, which resulted in excess annual costs of $26.5 million. [4] Finally, immunization compliance levels could be increased up to 30% by avoiding missed and late immunization doses.…”

“…The maintenance of highest immunization rate also important to decrease infection transmissions and disease control or elimination. [2][3][4][5][6] Vaccines administration at an appropriate vaccination time is necessary to build immune response before pediatric being infected or exposed to vaccine's preventive infectious disease. development in the last century, but the immunization system is still imperfect because there are many countries have unvaccinated pediatrics.…”

“…[4] However, these errors will increase the immunization completeness but will not increase immunization compliance because the late dose and extra dose will make-up the greatest dose errors missed dose and invalid dose, respectively. [4][5][6][7] Recommendation: We recommend the following activities to improve immunization compliance and completeness by reducing vaccination dose and time errors:…”

Improving the safety of vaccine delivery

“…8,9 Feikema and colleagues estimated the United States wastes $26.5 million per annum on unnecessary vaccines given to infants between 19 and 35 months. 10 The international savings could be valuably redirected to address low vaccine uptake in target population groups.…”

Immunization Data Exchange With Electronic Health Records

“…5 Furthermore, evidence suggests that 10% to 20% of young children receive ≥1 unnecessary, extra immunization. [6][7][8] Fragmentation of immunization records leads to lack of timely, accurate, and complete immunization data at the point of care and can exacerbate both these problems. 6, 9-11 At the practice or organizational level, incomplete immunization records may also adversely affect immunizationrelated quality measures such as completion of the primary immunization series.…”