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Updated: May 3, 2026
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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
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Documenting immunization of children in a cochlear implant program
Peter G Volsky1, Daniel A Ballard, Stephanie Moody-Antonio
1*Department of Otolaryngology-Head and Neck Surgery, †Eastern Virginia Medical School, Norfolk, Virginia, U.S.A.
Summary
Implementing an immunization verification protocol (IVP) significantly improved pneumococcal vaccination rates in pediatric cochlear implant patients. Requiring immunization documentation before surgery showed the highest compliance.
Area of Science:
- Otolaryngology
- Pediatric Health
- Immunology
Background:
- Cochlear implantation requires specific immunizations, including pneumococcal vaccines.
- Achieving and documenting these vaccinations can be challenging in pediatric cochlear implant programs.
Purpose of the Study:
- To assess the effectiveness of an immunization verification protocol (IVP) in achieving and documenting pneumococcal vaccination for pediatric cochlear implant patients.
Main Methods:
- A chart review was conducted at an academic tertiary medical center.
- The study included 76 pediatric patients with cochlear implants.
- Outcomes measured included immunization status before and after IVP implementation, final immunization numbers, and communication effectiveness.
Main Results:
- After IVP initiation, full pneumococcal immunization in pre-IVP patients increased from 2% to 63%.
- For patients implanted after IVP initiation, 56% were vaccinated at surgery, and 94% were vaccinated by study conclusion.
- Overall, 70% of children had complete immunization documentation.
Conclusions:
- Achieving and documenting recommended immunizations for cochlear implant patients is challenging.
- Requiring pre-surgical immunization documentation led to the highest compliance rates.
- Access to vaccination registries and in-office vaccination administration improved compliance.
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