Influenza vaccination programme increases vaccination rate of high risk patients

1990 ◽  
Vol &NA; (753) ◽  
pp. 5
Author(s):  
&NA;
Keyword(s):  
High Risk ◽  
Influenza Vaccination ◽  
Vaccination Programme ◽  
Vaccination Rate ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Vaccinating High-Risk Pediatric Patients and Their Families in the Hospital Setting: Give It a Shot!

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S322-S323
Author(s):  
Rebecca Barros ◽  
Wendi Gornick ◽  
M Tuan Tran ◽  
Beth Huff ◽  
Jasjit Singh
Keyword(s):  
High Risk ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Vaccination Rate ◽  
Influenza Vaccines ◽  
Hospitalized Children ◽  
Care Hospital ◽  
Vaccine Administration ◽  
High Risk Patients ◽  
Risk Patients

Abstract Background Hospitalization and hospital-based clinics confer an opportunity to target high-risk patients and their families who would benefit from vaccination. Methods CHOC Children’s Hospital is a tertiary-care hospital in Southern California with 11,995 admissions in 2016, including 1,580 hematology/oncology (HO) admissions. We examined the trend in influenza vaccine administration in hospitalized and HO patients over the last decade. We assessed the trend in Tdap and influenza vaccine administration among parents of hospitalized children. We correlated those trends with disease outbreaks in the community and educational and programmatic efforts at our institution. Results After educational efforts, the influenza vaccination rate in 2017 compared with 2006 increased 13-fold in hospitalized patients and increased 9-fold among hospitalized HO patients. During the H1N1 pandemic in 2009, influenza vaccination rates increased 470% from the year prior (Figure 1). The number of influenza vaccines administered in the clinic to HO patients was 494 and 408 in 2015–2016 and 2016–2017, respectively. Following program initiation, the number of Tdap vaccines administered to parents during their child’s hospitalization increased from 57 doses in 2013 to 118 doses in 2016. The trend in vaccination roughly followed pertussis outbreak cases (Figure 2). The number of influenza vaccines administered to parents of HO patients during their child’s clinic visit increased from 44 doses given in 2015–2016 to 306 doses given in 2016–2017 (Figure 3). At our institution, among staff we achieved a 98% vaccination rate for Tdap and influenza in 2017. There were no serious adverse events reported after patient, parent or staff vaccination during this time period. Conclusion Missed opportunities for vaccination of high-risk children include hospitalization and specialty clinic visits. Creating a culture of vaccination and public perception of vaccine importance during outbreaks can increase the influenza vaccination rate among high-risk, hospitalized and HO patients. Programs targeting families of high-risk patients are an opportunity to cocoon a vulnerable population. Vaccination of hospitalized children, their parents and staff is safe in these settings. Disclosures All authors: No reported disclosures.

scholarly journals Influenza Vaccination and Major Adverse Vascular Events in High-Risk Patients

Circulation ◽  
2012 ◽  
Vol 126 (3) ◽  
pp. 278-286 ◽  
Author(s):  
Jennie Johnstone ◽  
Mark Loeb ◽  
Koon K. Teo ◽  
Peggy Gao ◽  
Leanne Dyal ◽  
...  
Keyword(s):  
High Risk ◽  
Influenza Vaccination ◽  
Vascular Events ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Impact of a Doctor's Verbal Recommendation on Pneumococcal 13-Valent Conjugate Vaccine among High-Risk Patients for Pneumonia in a Primary Care Setting

2021 ◽  
Vol 21 (1) ◽  
pp. 8-16
Author(s):  
Jihan Kim ◽  
Sami Lee ◽  
Jong Sung Kim
Keyword(s):  
High Risk ◽  
Bacterial Pathogen ◽  
Vaccination Rate ◽  
Community Acquired Pneumonia ◽  
High Risk Group ◽  
Vaccination Rates ◽  
High Risk Patients ◽  
Vaccination Recommendation ◽  
Risk Patients ◽  
Conjugate Vaccination

Background: Streptococcus pneumoniae is the main bacterial pathogen of community-acquired pneumonia in Korea. This study aimed to enhance the vaccination rate by evaluating the effectiveness of current methods of recommendation.Methods: A retrospective analysis of the medical records of 143 patients with high risk of pneumonia among first-visit outpatients was conducted. High-risk patients for pneumonia are defined by the U.S. Advisory Committee on Immunization Practices. One hundred and twenty-seven patients, excluding 16 with pneumococcal 13-valent conjugate vaccination (PCV13) history prior to the first visit, were divided into three groups according to the method of vaccination recommendation: banner (B) group; banner+brochure (B+Br) group; banner+brochure+doctor's recommendation (B+Br+DR) group. The vaccination rates among patients in each group were compared.Results: Patients with high risk of pneumonia showed 11.2% rate for PCV13 vaccination upon their first visit;however, this rate increased to 39.2% following counseling (P<0.001). Variation among the three groups was as follows: 9.0% in the B group, 20.0% in the B+Br group, and 75.0% in the B+Br+DR group (P<0.001). After adjusting for age, sex, high-risk group, occupation, and residence, a regression analysis was carried out. The odds ratio for the PCV13 vaccination rate compared to the B group was 2.49 (95% confidence interval [CI], 0.55-11.34) for the B+Br group and 43.72 (95% CI, 11.52-165.96) for the B+Br+DR group.Conclusions: Among the available methods, we are thought to be more effective to add doctor's verbal recommendation in a clinical setting.

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