‘On the spot’vaccination: Does it work?

Ma, Burgess; Lévy, Michaël; Alperstein, Garth; Mira, Michael; M, Bek; Isaacs, David; Kakakios, Alyson; Fasher, B; Hanson, Ralph; Kilham, Henry; Malcolm, Michael

doi:10.1111/j.1440-1754.1996.tb01545.x

Cited by 6 publications

(11 citation statements)

References 12 publications

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“…The finding that overdue children were more likely to present with a life‐threatening triage code and be admitted supports the need for a system of ensuring that no child is discharged from hospital without ensuring that they are fully age‐appropriately vaccinated. This is supported by findings from a number of studies both nationally and internationally that found that missed opportunities exist for admitted children 1,5,6,9,17–20 …”

Section: Discussionsupporting

confidence: 53%

Missed immunisation opportunities in emergency departments in northern New South Wales, Australia

Way

Dürrheim

Vally

et al. 2011

J Paediatrics Child Health

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Important missed immunisation opportunities occurred in HNE EDs and may occur in other EDs in Australia. Half of the children who presented to Hunter New England emergency departments while overdue for immunisation remained overdue for greater than 77 days following their presentation. Opportunities exist in EDs and paediatric inpatient wards for ensuring that all children are protected against vaccine-preventable diseases.

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Section: Discussionsupporting

confidence: 53%

Missed immunisation opportunities in emergency departments in northern New South Wales, Australia

Way

Dürrheim

Vally

et al. 2011

J Paediatrics Child Health

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“…Researchers have documented that only 1 to 6% of children who present for immunizations possess legitimate contraindications to vaccination. 21,30,31 It was also evident from this study that health professionals' refusal to vaccinate children during illness has had a negative impact on parents' behaviours. Not only did mothers avoid bringing their children for vaccination during illness, most stated that they refused to have their child immunized during an illness.…”

Section: Discussionmentioning

confidence: 78%

Mothers’ Perceptions of Childhood Immunizations in First Nations Communities of the Sioux Lookout Zone

Tarrant

Gregory

2001

Can J Public Health

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“…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%

“…Several studies had assessed baseline vaccination coverage to determine the pool of eligible patients 23–46. For all due/overdue vaccinations, baseline coverage ranged from 44%24 40 to 89%,35 with little difference by setting and lower coverage in older studies.…”

Section: Resultsmentioning

confidence: 99%

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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‘On the spot’vaccination: Does it work?

Abstract: A high proportion of children who attended for routine or acute health care had vaccinations overdue (30%). If this scheme could be continued and expanded it would have an important impact on vaccination coverage, and hence on the incidence of vaccine-preventable diseases.

Cited by 6 publications

References 12 publications

Missed immunisation opportunities in emergency departments in northern New South Wales, Australia

Missed immunisation opportunities in emergency departments in northern New South Wales, Australia

Mothers’ Perceptions of Childhood Immunizations in First Nations Communities of the Sioux Lookout Zone

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

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