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Published on: August 14, 2019
Influenza vaccination of parents and guardians by US pediatricians
Seth L Toback1, William Carr, Jesse Hackell
1MedImmune, LLC, Gaithersburg, MD USA. tobacks@medimmune.com
Insights
Pediatric offices offered influenza vaccines to parents in about half of cases. Barriers like cost and logistics limited parental vaccination, but future increases are possible with new recommendations.
Area of Science:
- Public Health
- Vaccinology
- Pediatrics
Background:
- Influenza vaccination is crucial for community immunity.
- Pediatric offices are a potential venue for adult influenza vaccination.
- Parental vaccination rates against influenza remain suboptimal.
Purpose of the Study:
- To assess the extent of parental influenza vaccination offered by pediatric offices.
- To identify barriers to parental influenza vaccination in pediatric settings.
- To evaluate the potential for increased parental vaccination in pediatric practices.
Main Methods:
- Prospective observational study involving 84 pediatric offices.
- Survey conducted during the 2008-2009 and 2009-2010 influenza seasons.
- Data collected on offering influenza vaccine to parents and vaccination administration.
Main Results:
- Approximately 50% of pediatric offices offered seasonal influenza vaccine to parents each season.
- Key barriers included reimbursement, medicolegal concerns, and logistics.
- In 2009-2010, parental vaccinations were administered at significantly lower rates than pediatric vaccinations.
Conclusions:
- Pediatric offices face challenges in vaccinating parents against influenza.
- Addressing identified barriers is essential for improving parental vaccination rates.
- New recommendations for adult influenza vaccination may increase future parental vaccination in pediatric settings.
Abstract:
In the 2008-2009 and 2009-2010 influenza seasons, 84 pediatric offices participating in a prospective observational study were surveyed about whether the office offered influenza vaccine to parents and guardians of pediatric patients. Each season, approximately half of all offices cited offering seasonal influenza vaccine to parents. In 2008-2009, reported barriers to parental vaccination included reimbursement, medicolegal concerns, and logistics. In 2009-2010, 51% of offices (n = 43) administered one parental seasonal vaccination for every 29 pediatric seasonal vaccinations and one parental H1N1 vaccination for every 23 pediatric H1N1 vaccinations. Currently, the number of parental vaccinations per office is small but parental vaccination by pediatricians may increase in the future given the new recommendations that all adults 18 to 49 years of age should be vaccinated annually. Efforts should be taken to address barriers to parental vaccination so that pediatricians are better able to vaccinate parents/guardians of their patients against influenza.
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