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Updated: Sep 4, 2025
06:04
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
469
Improving Pneumococcal Vaccination Rates in Cochlear Implant Programs: A Systematic Review and Meta-analysis
Annie F Britt1, Nicolas S Poupore2,3, Shaun A Nguyen2
1Medical University of South Carolina School of Medicine, Charleston, South Carolina, USA.
Summary
Pneumococcal vaccination compliance rates are low in cochlear implant patients. Quality improvement programs increased PPSV23 vaccination, but further interventions are needed for better compliance in CI recipients.
Area of Science:
- Otolaryngology
- Infectious Disease Prevention
- Public Health
Background:
- Cochlear implant (CI) recipients require pneumococcal vaccination per guidelines.
- Literature review on pneumococcal vaccination compliance in CI patients is limited.
- Assessing the impact of interventions on vaccination rates is crucial for patient care.
Approach:
- Systematic review following PRISMA guidelines.
- Searched PubMed, Scopus, and CINAHL for relevant studies.
- Included 13 studies with 12,973 CI patients, analyzing pre- and post-intervention vaccination rates.
Key Points:
- Baseline PCV13 and PPSV23 vaccination rates were 53.45% and 42.53%, respectively.
- Quality improvement (QI) initiatives significantly increased PPSV23 vaccination rates to 83.52%.
- QI interventions improved the odds of PPSV23 vaccination by 15.71-fold.
Conclusions:
- Pneumococcal vaccination rates in CI patients are suboptimal.
- QI programs show promise in enhancing PPSV23 compliance but not full compliance.
- Enhanced surveillance and follow-up are necessary to achieve optimal PCV13 and PPSV23 vaccination rates in CI recipients.
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