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Open Access 01-12-2010 | Research

Pneumococcal and influenza vaccination rates and their determinants in children with chronic medical conditions

Authors: Antonietta Giannattasio, Veronica Squeglia, Andrea Lo Vecchio, Maria Teresa Russo, Alessandro Barbarino, Raffaella Carlomagno, Alfredo Guarino

Published in: Italian Journal of Pediatrics | Issue 1/2010

Abstract

Background

To investigate the rates of pneumococcal and influenza vaccinations and their determinants in children with chronic medical conditions.

Patients and Methods

Children with HIV infection, cystic fibrosis, liver transplantation and diabetes mellitus were enrolled. Physicians of regional Reference Centres for each condition, primary care paediatricians and caregivers of children provided information through specific questionnaires. For diabetes, 3 Reference Centres were included.

Results

Less than 25% of children in each group received pneumococcal vaccination. Vaccination rates against influenza were 73% in patients with HIV-infection, 90% in patients with cystic fibrosis, 76% in patients with liver transplantation, and ranged from 21% to 61% in patients with diabetes mellitus. Reference Centres rather than primary care paediatricians had a major role in promoting vaccinations. Lack of information was the main reason for missing vaccination. Awareness of the severity of pneumococcus infection by key informants of at-risk children was associated with higher vaccination rate.

Conclusions

Vaccination rates in children with chronic conditions were poor for pneumococcus and slightly better for influenza. Barriers to vaccination include lack of awareness, health care and organization problems.

Available only for authorised users

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Title: Pneumococcal and influenza vaccination rates and their determinants in children with chronic medical conditions
Authors: Antonietta Giannattasio
Veronica Squeglia
Andrea Lo Vecchio
Maria Teresa Russo
Alessandro Barbarino
Raffaella Carlomagno
Alfredo Guarino
Publication date: 01-12-2010
Publisher: BioMed Central
Published in: Italian Journal of Pediatrics / Issue 1/2010
Electronic ISSN: 1824-7288
DOI: https://doi.org/10.1186/1824-7288-36-28

At a glance: The STEP trials

Springer Medicine

Pneumococcal and influenza vaccination rates and their determinants in children with chronic medical conditions

Abstract

Background

Patients and Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Patients and Methods

Results

Conclusions

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