Immunization coverage and timeliness of vaccination in Italian children with chronic diseases

Pandolfi, Elisabetta; Carloni, Emanuela; Marino, Maria Giulia; Atti, Marta Luisa Ciofi degli; Gesualdo, Francesco; Romano, Mariateresa; Giannattasio, Antonietta; Guarino, Alfredo; Carloni, R; Borgia, Piero; Volpe, Enrico; Perrelli, Fabrizio; Pizzuti, Renato; Tozzi, Alberto Eugenio

doi:10.1016/j.vaccine.2011.02.099

Cited by 71 publications

(56 citation statements)

References 25 publications

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“…Such results bring worrying aspects, since children with chronic diseases also need to be considered in immunization strategies, as this condition predisposes them to infections and complications, and highlights the importance of the role of PHC in constantly guiding families on the protection of children's health. Similar aspects were pointed out in other studies, highlighting the importance of updating vaccine schedules in which a lack of information was the main reason for non-vaccination (24) , delays in vaccinating children with chronic diseases related to a concurrent acute event or lack of information from parents (20) , and some reasons for refusal were related to health system problems, fears of adverse reactions, concerns related to chronic diseases and the immune system (25) . In the present investigation, mothers/guardians reported that they became aware of the right to the vaccines outside of the health services context.…”

Section: Discussionsupporting

confidence: 78%

“…Children seen in the vaccination ward are not identified by the nature of their chronic illness, and a solution would be crossing information from clinical records with those of the vaccination system (26) , rigorous monitoring of routine vaccinations and other recommended vaccines, information regarding false contraindications (21) , and advances in strategies to improve adherence to the vaccination schedule in special programs targeted at vulnerable patients (20,24) .…”

Section: Discussionmentioning

confidence: 99%

“…In this context, children with T1DM are entitled to annual influenza and 23-valent pneumococcal (polysaccharide) vaccination at any stage of life, respecting the recommended minimum age (19) . Children with T1DM represent a group of patients at risk for influenza and invasive pneumococcal diseases, and therefore receiving adequate inoculation is a priority (20)(21) . Faced with gaps in care and the fragmentation of health actions with possible losses in the provision of care in the context of PHC, it is relevant to question how the vaccination coverage and regularity in the care of children with T1DM are.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Children with type 1 Diabetes Mellitus: access to special immunobiological and child care

Wolkers

Yakuwa

Pancieri

et al. 2017

Rev. esc. enferm. USP

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OBJECTIVES Identifying the use of child care situations, the vaccination situation and the reasons for non-vaccination, and characterizing whether mothers/guardians demonstrate notions about the right to special vaccines for children with type 1 Diabetes Mellitus. METHOD A descriptive, cross-sectional study with analysis of quantitative data based on interviews with mothers/guardians, particularly regarding access to childcare and vaccination against influenza and pneumococcal 23-valent (PPSV). RESULTS 47 mothers/guardians participated in the study. The participants reported using more specialized services to follow child health, and only a few used the child care of the basic health care regularly. There were incomplete vaccination schedules, delayed annual follow-ups, missing vaccination cards at the consultations, misinformation about the special character of the vaccination, as well as emphasis on the need of presenting a specific form to obtain the vaccination, resulting in discontinuation of health actions and missed opportunities for vaccination. CONCLUSION Fragilities in child care and immunization actions require an increase of primary health care and of the care network, based on knowledge and the right to health in order to expand the evidence-based practice, access and comprehensiveness.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Children with type 1 Diabetes Mellitus: access to special immunobiological and child care

Wolkers

Yakuwa

Pancieri

et al. 2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…The common target is having at least 60% of subjects with diabetes who are younger than 65 years vaccinated against influenza (8). There are very few studies concerning the vaccination rates among children with chronic illnesses and they reveal that the rates are lower than desired, this being the case especially in influenza (9)(10)(11)(12)(13)(14). The rate of influenza vaccination is 21-61% in Italy and 41% in Spain (9,16,17).…”

Section: Discussionmentioning

confidence: 99%

“…There are a limited number of studies focusing on the vaccination rates of children with chronic illnesses against vaccine-preventable diseases and they show that the rates are low especially when influenza is considered (9)(10)(11)(12)(13)(14). The aim of this study is; to investigate the influenza vaccination rate, the effect of recommendation on the vaccination rate and to investigate the factors influencing the success of the recommendation in children with diabetes.…”

Section: Introductionmentioning

confidence: 99%

The Rate of Seasonal Influenza Vaccination in Diabetic Children, the Effect of Recommendation and the Factors Influencing the Acceptance of Recommendation: An Interventional Study

Çamurdan¹,

Çamurdan²,

Beyazova³

et al. 2012

Balkan Med J

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Objective: To investigate the vaccination rate of influenza in diabetic children and the effect of recommendation and other factors on vaccination rate.Material and Methods: On July 2011, 144 diabetic children and their families were informed about and were recommended to receive the influenza vaccine every year, in September. On December 2011, parents were questioned about the vaccination.Results: Influenza vaccination rate of the previous season (28.3%) increased to 50.0% (p<0.05). Receiving the vaccine in 2010 was the only contributing factor to the recommendation success. The reasons given by the non-receivers were; forgetting (50.0%), fear of adverse-effects (26.4%), not believing in usefulness (15.2%), rejection by the child (4.2%) and effects of media (4.2%). 88.9% of those who forgot declared that they would receive if they were reminded at the beginning of the season. Conclusion:The rate of influenza vaccination was low. The majority of those who didn't recieve the vaccination declared that they would if they were reminded at the beginning of the season and the fact that "receiving the vaccine in 2010" was the only factor influencing the recommendation success indicate that recommending isn't enough but that reminding and giving detailed information about the vaccine will increase vaccination rates independent of other factors.

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Evaluation of immunization status in patients with cerebral palsy: a multicenter CP-VACC study

et al. 2021

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Children with chronic neurological diseases,including cerebral palsy(CP)are especially susceptible to vaccine-preventable infections and face an increased risk of severe respiratory infections and decompensation of their disease.This study aims to examine age-appropriate immunization status and related factors in the CP population of our country. This cross-sectional prospective multicentered survey study included 18 pediatric neurology clinics around Turkey,wherein outpatients children with CP were included in the study.Data on patient and CP characteristics,concomitant disorders as well as vaccination status included in the National Immunization Program(NIP),administration and recommendation of in uenza vaccine were collected at a single visit.A total of 1194 patients were enrolled.Regarding immunization records,the most frequently administrated and schedule completed vaccines were BCG(90.8%),hepatitis B(88.9%)and oral poliovirus vaccine (88.5%).MMR was administered to 77.3% and DTaP-IPV-HiB was administered to 60.5% of patients.For the pneumococcal vaccines,54.1% of children had received PCV in the scope of the NIP, and 15.2% of children were not fully vaccinated for their age.The in uenza vaccine, was administered only to 3.4% of the patients at any time and had never been recommended to 1122 parents(93.9%).In the patients with severe(grade 4 and 5)motor dysfunction,the frequency of incomplete/none vaccination of hepatitis B,BCG, DTaP-IPV-HiB,OPV,MMR were statistically more common than mild to moderate(grade 1-3)motor dysfunction(p = 0.003, p < 0.001, p < 0.001, p < 0.00, and p < 0.001, respectively).In uenza vaccine recommendation by physicians was higher in the severe motor dysfunction group and the difference was statistically signi cant(p = 0.029).Children with CP had lower immunization rates and incomplete immunization programs.Clinicians must ensure children with CP receive the same preventative health measures as healthy children,including vaccines.

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Immunization coverage and timeliness of vaccination in Italian children with chronic diseases

Cited by 71 publications

References 25 publications

Children with type 1 Diabetes Mellitus: access to special immunobiological and child care

Children with type 1 Diabetes Mellitus: access to special immunobiological and child care

The Rate of Seasonal Influenza Vaccination in Diabetic Children, the Effect of Recommendation and the Factors Influencing the Acceptance of Recommendation: An Interventional Study

Evaluation of immunization status in patients with cerebral palsy: a multicenter CP-VACC study

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