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Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
Published on: June 21, 2024
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Improving vaccination uptake in pediatric Cochlear implant recipients
Lisa Jin1, Paula Téllez2, Ruth Chia3
1Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada.
Summary
Adding a vaccine specialist significantly improved pre-operative vaccination rates for cochlear implant patients. However, post-surgery vaccination compliance remains a challenge due to poor communication about high-risk vaccine needs.
Area of Science:
- Pediatric Otolaryngology
- Infectious Diseases
- Vaccinology
Background:
- High rates of pre-surgery immunization non-compliance in cochlear implant recipients were previously identified.
- An Infectious Disease vaccine specialist joined the Cochlear Implant Team in 2010 to address this issue.
Purpose of the Study:
- To review immunization status of cochlear implant recipients from 2010-2014.
- To assess the impact of a vaccine specialist on vaccination compliance.
- To identify barriers to post-operative vaccination compliance.
Main Methods:
- Retrospective review of medical records for 116 cochlear implant recipients (2010-2014).
- Telephone survey to determine post-operative vaccination status and reasons for non-compliance.
Main Results:
- Pre-operative vaccination compliance increased from 67% (2002-2007) to 98% (2010-2014).
- 29.6% of children missed necessary post-operative vaccinations.
- Pneumovax-23, a crucial vaccine for high-risk patients, was missed in all cases of post-operative non-compliance.
Conclusions:
- The addition of a vaccine specialist significantly improved pre-operative vaccination rates.
- A communication gap exists regarding the necessity of post-operative vaccinations for high-risk pediatric cochlear implant recipients.
- Targeted communication strategies are needed to improve post-operative vaccination uptake.
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