Literature DB >> 10519717

Opportunistic immunisation in hospital.

S P Conway1.   

Abstract

AIM: To assess the potential for administering catch up and scheduled immunisations during hospital admission.
METHODS: Immunisation status according to the child's principal carer was checked against official records for 1000 consecutively admitted preschool age children. Junior doctors were instructed to offer appropriate vaccination before discharge, and consultants were asked to reinforce this proactive policy on ward rounds.
RESULTS: Excluding those children who were not fully immunised against pertussis through parental choice, 142 children (14.2%) had missed an age appropriate immunisation and 41 were due a scheduled immunisation. None had a valid contraindication. Only 43 children were offered vaccination on the ward but uptake was 65% in this group.
CONCLUSIONS: Admission to hospital provides opportunities for catch up and routine immunisations and can contribute to the health care of an often disadvantaged group of children. These opportunities are frequently missed. Junior doctors must be encouraged to see opportunistic immunisation as an important part of their routine work.

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Year:  1999        PMID: 10519717      PMCID: PMC1718117          DOI: 10.1136/adc.81.5.422

Source DB:  PubMed          Journal:  Arch Dis Child        ISSN: 0003-9888            Impact factor:   3.791


  27 in total

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Authors:  F T Cutts; W A Orenstein; R H Bernier
Journal:  Annu Rev Public Health       Date:  1992       Impact factor: 21.981

2.  Markers for primary care: missed opportunities to immunize and screen for lead and tuberculosis by private physicians serving large numbers of inner-city Medicaid-eligible children.

Authors:  G Fairbrother; S Friedman; K A DuMont; K S Lobach
Journal:  Pediatrics       Date:  1996-06       Impact factor: 7.124

3.  Immunization opportunities missed among urban poor children.

Authors:  K M McConnochie; K J Roghmann
Journal:  Pediatrics       Date:  1992-06       Impact factor: 7.124

4.  The critical role of provider practices in undervaccination.

Authors:  M Grabowsky; W A Orenstein; E K Marcuse
Journal:  Pediatrics       Date:  1996-05       Impact factor: 7.124

5.  Toward immunizing every child on time.

Authors:  W A Orenstein; R H Bernier
Journal:  Pediatrics       Date:  1994-10       Impact factor: 7.124

6.  Factors affecting uptake of measles, mumps, and rubella immunisation.

Authors:  J Li; B Taylor
Journal:  BMJ       Date:  1993-07-17

7.  Regional metabolic assessment of human brain during development by proton magnetic resonance spectroscopy in vivo and by high-performance liquid chromatography/gas chromatography in autopsy tissue.

Authors:  P S Hüppi; C Fusch; C Boesch; R Burri; E Bossi; M Amato; N Herschkowitz
Journal:  Pediatr Res       Date:  1995-02       Impact factor: 3.756

8.  Immunization status of hospitalized preschool children: risk factors associated with inadequate immunization.

Authors:  P Kum-Nji; D James; H G Herrod
Journal:  Pediatrics       Date:  1995-09       Impact factor: 7.124

9.  Interaction of socioeconomic status and provider practices as predictors of immunization coverage in Virginia children.

Authors:  I T Williams; J D Milton; J B Farrell; N M Graham
Journal:  Pediatrics       Date:  1995-09       Impact factor: 7.124

10.  The contribution of missed opportunities to childhood underimmunization in Baltimore.

Authors:  E Holt; B Guyer; N Hughart; V Keane; P Vivier; A Ross; D Strobino
Journal:  Pediatrics       Date:  1996-04       Impact factor: 7.124

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  7 in total

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Review 5.  Interventions delivered in secondary or tertiary medical care settings to improve routine vaccination uptake in children and young people: a scoping review.

Authors:  Sarah Blagden; Kathryn Newell; Nareh Ghazarians; Sabrena Sulaiman; Lucy Tunn; Michael Odumala; Rachel Isba; Rhiannon Edge
Journal:  BMJ Open       Date:  2022-08-02       Impact factor: 3.006

6.  Using routinely collected data to improve immunisation histories.

Authors:  Luke Allen
Journal:  BMJ Qual Improv Rep       Date:  2013-12-05

7.  Are child health information services a viable source of accurate vaccination data for clinicians working in paediatric emergency departments in England?

Authors:  Rachel Isba; Nigel Davies; Jo Knight
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