Barriers to vaccination in immunocompromised children: A needs assessment in children with childhood-onset SLE and inflammatory bowel disease
BackgroundVaccination of immunocompromised children (ICC) remains suboptimal.MethodsNeeds assessment surveys were administered to patients and caregivers during routine ambulatory visits to the rheumatology and gastroenterology clinics at Nationwide Children's Hospital (NCH) from January 1 thro...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1103096/full |
| _version_ | 1811162566978699264 |
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| author | Audrey R. Lloyd Monica I. Ardura Kelly Wise Kelly Wise Daniel J. Chavarin Brendan Boyle Vidya Sivaraman |
| author_facet | Audrey R. Lloyd Monica I. Ardura Kelly Wise Kelly Wise Daniel J. Chavarin Brendan Boyle Vidya Sivaraman |
| author_sort | Audrey R. Lloyd |
| collection | DOAJ |
| description | BackgroundVaccination of immunocompromised children (ICC) remains suboptimal.MethodsNeeds assessment surveys were administered to patients and caregivers during routine ambulatory visits to the rheumatology and gastroenterology clinics at Nationwide Children's Hospital (NCH) from January 1 through August 31, 2018, and to community primary care physicians (PCPs) at their monthly meeting and electronically.ResultsCompleted surveys were received for 57 patients (31 with childhood-onset systemic lupus erythematosus (c-SLE) and 26 with inflammatory bowel disease (IBD)) and 30 PCPs. Of the patient cohort, 93% (n = 53) felt their PCP was well informed about vaccines and 84% (n = 47) received vaccinations from either their PCP or local health department. Two patient surveys noted concerns of vaccine safety. Among the 30 responses completed by PCPs 50% (n = 15) preferred to provide all vaccines themselves, however, only 40% (n = 12) of PCPs felt “very confident” when providing vaccines to ICC. Further, 83% (n = 25) did not stock the 23-valent pneumococcal vaccine and only 27% (n = 8) routinely recommended vaccination of household contacts.ConclusionsOur study found a discordance between parent and PCP comfort in vaccinating ICC, highlighting an important barrier to vaccination in this patient population. In our cohort of patients, vaccine hesitancy was not a barrier to vaccination. |
| first_indexed | 2024-04-10T06:31:30Z |
| format | Article |
| id | doaj.art-0d0d5ead11f045478a8624df4aea9b5b |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-10T06:31:30Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-0d0d5ead11f045478a8624df4aea9b5b2023-03-01T05:35:31ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-03-011110.3389/fped.2023.11030961103096Barriers to vaccination in immunocompromised children: A needs assessment in children with childhood-onset SLE and inflammatory bowel diseaseAudrey R. Lloyd0Monica I. Ardura1Kelly Wise2Kelly Wise3Daniel J. Chavarin4Brendan Boyle5Vidya Sivaraman6Internal Medicine, Division of Infectious Diseases, University of Alabama, Birmingham, AL, United StatesPediatrics, Divisions of Infectious Disease, Nationwide Children’s Hospital and The Ohio State University, Columbus, OH, United StatesPharmacy, Nationwide Children’s Hospital and The Ohio State University, Columbus, OH, United StatesPediatrics, Rheumatology, Nationwide Children’s Hospital and The Ohio State University, Columbus, OH, United StatesInternal Medicine, Division of Internal Medicine, University of New Mexico, Albuquerque, NM, United StatesPediatrics, Gastroenterology, Nationwide Children’s Hospital and The Ohio State University, Columbus, OH, United StatesPediatrics, Rheumatology, Nationwide Children’s Hospital and The Ohio State University, Columbus, OH, United StatesBackgroundVaccination of immunocompromised children (ICC) remains suboptimal.MethodsNeeds assessment surveys were administered to patients and caregivers during routine ambulatory visits to the rheumatology and gastroenterology clinics at Nationwide Children's Hospital (NCH) from January 1 through August 31, 2018, and to community primary care physicians (PCPs) at their monthly meeting and electronically.ResultsCompleted surveys were received for 57 patients (31 with childhood-onset systemic lupus erythematosus (c-SLE) and 26 with inflammatory bowel disease (IBD)) and 30 PCPs. Of the patient cohort, 93% (n = 53) felt their PCP was well informed about vaccines and 84% (n = 47) received vaccinations from either their PCP or local health department. Two patient surveys noted concerns of vaccine safety. Among the 30 responses completed by PCPs 50% (n = 15) preferred to provide all vaccines themselves, however, only 40% (n = 12) of PCPs felt “very confident” when providing vaccines to ICC. Further, 83% (n = 25) did not stock the 23-valent pneumococcal vaccine and only 27% (n = 8) routinely recommended vaccination of household contacts.ConclusionsOur study found a discordance between parent and PCP comfort in vaccinating ICC, highlighting an important barrier to vaccination in this patient population. In our cohort of patients, vaccine hesitancy was not a barrier to vaccination.https://www.frontiersin.org/articles/10.3389/fped.2023.1103096/fullvaccinationimmunocompromisedchildrenrheumatic diseasespreventionvaccine hesitancy |
| spellingShingle | Audrey R. Lloyd Monica I. Ardura Kelly Wise Kelly Wise Daniel J. Chavarin Brendan Boyle Vidya Sivaraman Barriers to vaccination in immunocompromised children: A needs assessment in children with childhood-onset SLE and inflammatory bowel disease Frontiers in Pediatrics vaccination immunocompromised children rheumatic diseases prevention vaccine hesitancy |
| title | Barriers to vaccination in immunocompromised children: A needs assessment in children with childhood-onset SLE and inflammatory bowel disease |
| title_full | Barriers to vaccination in immunocompromised children: A needs assessment in children with childhood-onset SLE and inflammatory bowel disease |
| title_fullStr | Barriers to vaccination in immunocompromised children: A needs assessment in children with childhood-onset SLE and inflammatory bowel disease |
| title_full_unstemmed | Barriers to vaccination in immunocompromised children: A needs assessment in children with childhood-onset SLE and inflammatory bowel disease |
| title_short | Barriers to vaccination in immunocompromised children: A needs assessment in children with childhood-onset SLE and inflammatory bowel disease |
| title_sort | barriers to vaccination in immunocompromised children a needs assessment in children with childhood onset sle and inflammatory bowel disease |
| topic | vaccination immunocompromised children rheumatic diseases prevention vaccine hesitancy |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1103096/full |
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