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Influenza vaccination coverage among children with high-risk medical conditions

Susanna Esposito1, Paola Marchisio, Roberta Droghetti

  • 1Institute of Pediatrics, University of Milan, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Via Commenda 9, 20122 Milano, Italy.

Vaccine
|April 20, 2006
PubMed

Insights

Influenza vaccination coverage in high-risk children improved but remains inadequate. Increased knowledge among parents and pediatricians is crucial for better prevention of influenza complications in these vulnerable children.

Area of Science:

  • Pediatrics
  • Immunology
  • Public Health

Background:

  • Influenza poses significant risks to children with chronic diseases.
  • Low vaccination rates have historically been observed in this high-risk pediatric population.
  • Understanding parental and pediatrician knowledge is key to improving influenza prevention.

Purpose of the Study:

  • To assess influenza vaccination coverage in high-risk children.
  • To identify gaps in knowledge regarding influenza and its prevention among parents and pediatricians.
  • To highlight the need for improved strategies to increase vaccination rates.

Main Methods:

  • Retrospective analysis of vaccination data for children under 14 years old attending an Emergency Department.
  • Inclusion of 274 high-risk patients identified from a total of 5286 children.
  • Evaluation of vaccination trends over three influenza seasons (2000-2003).

Main Results:

  • Influenza vaccination coverage significantly increased from 5.1% in 2000-2001 to 26.3% in 2002-2003 (p<0.001).
  • Children with asthma or cardiac disease exhibited the lowest vaccination rates.
  • Parents and primary care pediatricians demonstrated limited knowledge of influenza prevention benefits.

Conclusions:

  • Current influenza vaccine delivery to high-risk children is insufficient.
  • Substantial efforts are required to enhance awareness among parents and pediatricians about influenza prevention.
  • Targeted educational interventions are necessary to improve vaccination uptake in this vulnerable group.

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