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Vaccination coverage in children with juvenile idiopathic arthritis followed at a paediatric tertiary care centre
Marie-Paule Morin1, Caroline Quach, Elise Fortin
1Division of Rheumatology, The Montreal Children's Hospital, 2300 Tupper Street, Montreal, Quebec, H3H 1P3, Canada.
Insights
Vaccination coverage in pediatric patients with juvenile idiopathic arthritis (JIA) was suboptimal, with only 61% fully vaccinated by their last visit. Strategies like catch-up immunizations are needed to improve JIA patient vaccination rates.
Area of Science:
- Pediatric Rheumatology
- Immunology
- Public Health
Background:
- Juvenile idiopathic arthritis (JIA) patients require up-to-date immunizations to prevent infections, especially when on immunosuppressive therapies.
- Assessing vaccination coverage in this vulnerable population is crucial for guiding public health strategies.
Purpose of the Study:
- To determine the vaccination coverage rate among JIA patients at a pediatric tertiary care center.
- To evaluate adherence to the Quebec Immunization Protocol for individual vaccines in JIA patients.
Main Methods:
- A cohort of 200 JIA patients aged 2-18 years with available immunization records was analyzed.
- Descriptive statistics assessed complete vaccination status at 2.5, 10.5 years, and the last clinic visit, adhering to the Quebec Immunization Protocol.
Main Results:
- Complete vaccination was achieved in 52% at 2.5 years, 68% at 10.5 years, and 61% at the last visit.
- Overall individual vaccine coverage was good, except for measles, mumps, and rubella (MMR) vaccine at 2.5 years (58%).
Conclusions:
- A significant proportion of JIA patients (39%) lacked complete vaccination status by their last visit.
- Implementing targeted interventions, such as catch-up vaccination programs, is recommended to improve immunization rates in JIA patients.
Objective:
To evaluate the vaccination coverage rate of patients with JIA followed at a paediatric tertiary care centre and to determine the coverage rate for individual vaccines required as per the Quebec Immunization Protocol.
Methods:
Consecutive JIA patients coming for their scheduled visit were included if they were between 2 and 18 years of age and if they had an available written immunization record. Descriptive statistics were used to evaluate the proportion of children with complete vaccination status according to the Quebec Immunization Protocol at 2.5, 10.5 years and at their last clinic visit.
Results:
A total of 200 patients were included. Complete vaccination according to schedule was identified in only 52% of patients at 2.5 years, 68% at 10.5 years and 61% at their last clinic visit. The vaccination coverage rate for individual vaccines was good overall with the exception of low measles, mumps and rubella vaccine coverage at 2.5 years (58%).
Conclusion:
Despite overall good vaccination coverage rate for individual vaccines, only 61% of our cohort had a complete vaccination status at their last clinic visit. Measures to optimize vaccination coverage, such as catch-up vaccination, should be implemented when possible.
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