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Influenza vaccination in children with neurologic or neurodevelopmental disorders

Michael Smith1, Georgina Peacock2, Timothy M Uyeki3

  • 1Department of Pediatrics, University of Louisville School of Medicine, United States.

Vaccine
|April 4, 2015
PubMed

Insights

Influenza vaccination rates in children with neurologic disorders are suboptimal, similar to healthy children. Increased education for parents and healthcare providers on the benefits of annual flu shots is crucial.

Area of Science:

  • Pediatric Health
  • Vaccinology
  • Public Health

Background:

  • Children with neurologic or neurodevelopmental disorders (NNDDs) face higher risks of influenza complications.
  • Despite recognition of NNDDs as high-risk by the ACIP since 2005, vaccination practices remain understudied.

Purpose of the Study:

  • To assess influenza vaccination rates and parental intent among children with NNDDs.
  • To evaluate healthcare providers' recognition of NNDDs as high-risk for influenza complications.

Main Methods:

  • Surveys of parents of children with chronic conditions, including NNDDs.
  • Surveys of pediatricians caring for high-risk children.
  • Analysis of vaccination status, parental intent, and physician recognition of high-risk conditions.

Main Results:

  • 50% of children with an NNDD were vaccinated or intended for vaccination.
  • NNDD presence was not significantly associated with vaccination, unlike respiratory conditions or prior vaccination.
  • Physician recognition of high-risk conditions varied, with cerebral palsy recognized by 74% but epilepsy and intellectual disability by less than 51%.

Conclusions:

  • Influenza vaccination rates in children with NNDDs are suboptimal and comparable to healthy children.
  • There is a need for enhanced education for parents and healthcare providers regarding the importance and benefits of annual influenza vaccination for children with NNDDs.
Abstract

Keywords:
DisabilityHigh-riskImmunizationInfluenzaNeurologic

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