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[Adherence to immunization among children with special health care needs]

Yanahara Solís1, Lilian Bolte, Jennipher Johnson

  • 1Departamento de Pediatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Revista Chilena De Infectologia : Organo Oficial De La Sociedad Chilena De Infectologia
|January 9, 2008
PubMed

Insights

Children with special health care needs (CSHCN) often miss vaccinations, including the Expanded Program on Immunization (EPI). Hospitalizations present opportunities to improve CSHCN immunization rates and prevent infectious disease complications.

Area of Science:

  • Pediatric Infectious Diseases
  • Public Health and Epidemiology
  • Childhood Chronic Illness Management

Context:

  • The prevalence of children with special health care needs (CSHCN) is rising, increasing their vulnerability to infectious diseases.
  • CSHCN often experience chronic illnesses, placing them at higher risk for severe complications from preventable infections.

Purpose:

  • To evaluate adherence to the Expanded Program on Immunization (EPI) schedules in CSHCN.
  • To assess the administration rates of other expert-recommended vaccines in this vulnerable population.

Summary:

  • A retrospective analysis of 70 hospitalized CSHCN revealed significant delays in EPI vaccination schedules for 42.9% of participants.
  • Common reasons for delays included prior hospitalizations and minor morbidity, with a notable percentage attributed to unjustified causes.
  • While 70% of CSHCN received prescriptions for additional vaccines, only 25 actually received them, indicating poor uptake of recommended immunizations.

Impact:

  • CSHCN demonstrate suboptimal adherence to routine and recommended vaccination protocols.
  • Healthcare providers should leverage all patient encounters, including hospitalizations, to ensure timely and complete immunizations for CSHCN.
  • Improving vaccination coverage in CSHCN is crucial for mitigating infectious disease risks and preventing severe health outcomes.
Abstract

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