Improving vaccination uptake in pediatric Cochlear implant recipients
Abstract Background An Infectious Disease vaccine specialist joined our institution’s Cochlear Implant Team in 2010 in order to address the high percentage of non-compliance to immunization prior to surgery identified previously from an internal review. The purpose of this study was to (1) review th...
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| Format: | Article |
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SAGE Publishing
2018-09-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-018-0308-5 |
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| author | Lisa Jin Paula Téllez Ruth Chia Daphne Lu Neil K. Chadha Julie Pauwels Simon Dobson Hazim Al Eid Frederick K. Kozak |
| author_facet | Lisa Jin Paula Téllez Ruth Chia Daphne Lu Neil K. Chadha Julie Pauwels Simon Dobson Hazim Al Eid Frederick K. Kozak |
| author_sort | Lisa Jin |
| collection | DOAJ |
| description | Abstract Background An Infectious Disease vaccine specialist joined our institution’s Cochlear Implant Team in 2010 in order to address the high percentage of non-compliance to immunization prior to surgery identified previously from an internal review. The purpose of this study was to (1) review the immunization status of cochlear implant recipients in 2010–2014, (2) assess if introducing a vaccine specialist made a significant change in vaccination compliance and (3) elucidate any barriers to vaccination compliance. Methods Retrospective chart review and a telephone survey. Medical records of 116 cochlear implant recipients between 2010 and 2014 were reviewed. A telephone survey was conducted to obtain the current vaccination status in children who required post-operative vaccinations with incomplete records on chart review and, if applicable, the reason for non-compliance. Results Between 2010 and 2014, 98% of children were up-to-date at the time of surgery, compared to 67% up-to-date at the time of surgery between 2002 and 2007. 27 children were included in our post-operative immunization analysis. 29.6% (8/27) failed to receive necessary vaccinations post-surgery. Pneumovax-23, a vaccine for high-risk patients (such as cochlear implant candidates) was missed in all cases. Conclusion Pre-operative vaccination for cochlear implant recipients improved dramatically with the addition of a vaccine specialist. However, a significant proportion of patients requiring vaccinations post-surgery did not receive them. The main reason for non-compliance was due to parents being unaware that their children required this vaccine postoperatively by being “high-risk”. Although improvement was demonstrated, a communication gap continued to impede the adequacy of vaccination uptake in pediatric cochlear implant recipients following surgery at age 2 when the high-risk vaccine was due. |
| format | Article |
| id | doaj-art-15efb80498d34d9e8a0900b5328dfc72 |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2018-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-15efb80498d34d9e8a0900b5328dfc722025-02-03T10:54:12ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162018-09-014711710.1186/s40463-018-0308-5Improving vaccination uptake in pediatric Cochlear implant recipientsLisa Jin0Paula Téllez1Ruth Chia2Daphne Lu3Neil K. Chadha4Julie Pauwels5Simon Dobson6Hazim Al Eid7Frederick K. Kozak8Faculty of Medicine, University of British ColumbiaDivision of Pediatric Otolaryngology-Head and Neck Surgery, BC Children’s HospitalDepartment of Audiology, BC Children’s HospitalFaculty of Medicine, University of British ColumbiaFaculty of Medicine, University of British ColumbiaDivision of Pediatric Otolaryngology-Head and Neck Surgery, BC Children’s HospitalSidra Medical and Research CentreDepartment of Surgery, Division of Otolaryngology King Fahad Specialist HospitalFaculty of Medicine, University of British ColumbiaAbstract Background An Infectious Disease vaccine specialist joined our institution’s Cochlear Implant Team in 2010 in order to address the high percentage of non-compliance to immunization prior to surgery identified previously from an internal review. The purpose of this study was to (1) review the immunization status of cochlear implant recipients in 2010–2014, (2) assess if introducing a vaccine specialist made a significant change in vaccination compliance and (3) elucidate any barriers to vaccination compliance. Methods Retrospective chart review and a telephone survey. Medical records of 116 cochlear implant recipients between 2010 and 2014 were reviewed. A telephone survey was conducted to obtain the current vaccination status in children who required post-operative vaccinations with incomplete records on chart review and, if applicable, the reason for non-compliance. Results Between 2010 and 2014, 98% of children were up-to-date at the time of surgery, compared to 67% up-to-date at the time of surgery between 2002 and 2007. 27 children were included in our post-operative immunization analysis. 29.6% (8/27) failed to receive necessary vaccinations post-surgery. Pneumovax-23, a vaccine for high-risk patients (such as cochlear implant candidates) was missed in all cases. Conclusion Pre-operative vaccination for cochlear implant recipients improved dramatically with the addition of a vaccine specialist. However, a significant proportion of patients requiring vaccinations post-surgery did not receive them. The main reason for non-compliance was due to parents being unaware that their children required this vaccine postoperatively by being “high-risk”. Although improvement was demonstrated, a communication gap continued to impede the adequacy of vaccination uptake in pediatric cochlear implant recipients following surgery at age 2 when the high-risk vaccine was due.http://link.springer.com/article/10.1186/s40463-018-0308-5Cochlear implantMeningitisOtolaryngologyPreventative medicinePaediatricsPublic health |
| spellingShingle | Lisa Jin Paula Téllez Ruth Chia Daphne Lu Neil K. Chadha Julie Pauwels Simon Dobson Hazim Al Eid Frederick K. Kozak Improving vaccination uptake in pediatric Cochlear implant recipients Journal of Otolaryngology - Head and Neck Surgery Cochlear implant Meningitis Otolaryngology Preventative medicine Paediatrics Public health |
| title | Improving vaccination uptake in pediatric Cochlear implant recipients |
| title_full | Improving vaccination uptake in pediatric Cochlear implant recipients |
| title_fullStr | Improving vaccination uptake in pediatric Cochlear implant recipients |
| title_full_unstemmed | Improving vaccination uptake in pediatric Cochlear implant recipients |
| title_short | Improving vaccination uptake in pediatric Cochlear implant recipients |
| title_sort | improving vaccination uptake in pediatric cochlear implant recipients |
| topic | Cochlear implant Meningitis Otolaryngology Preventative medicine Paediatrics Public health |
| url | http://link.springer.com/article/10.1186/s40463-018-0308-5 |
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