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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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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.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|January 23, 2014
PubMed
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.

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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.