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Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
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Increasing COVID-19 Immunization Rates through a Vaccination Program for Hospitalized Children.

Victoria Mattick1, Katelyn Cappotelli Nevin1, Anne Fallon2,3

  • 1From the Pediatric Residency Program, Rochester, N.Y.

Pediatric Quality & Safety
|December 7, 2023
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Summary
This summary is machine-generated.

An inpatient COVID-19 vaccination program increased pediatric vaccination rates from 0.9% to 3.5%. The initiative utilized interprofessional teams and a clinical decision support system, though overall rates remained low.

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Area of Science:

  • Pediatric Infectious Diseases
  • Public Health Initiatives
  • Healthcare Quality Improvement

Background:

  • Inpatient vaccination programs offer a strategy to overcome barriers to COVID-19 vaccine access for hospitalized children.
  • Initiatives aim to reduce COVID-19 related illness and death in pediatric populations.
  • The baseline vaccination rate for eligible hospitalized children was 0.95%.

Purpose of the Study:

  • To implement an inpatient COVID-19 vaccination program for eligible pediatric patients.
  • To increase the vaccination rate from a baseline of 0.95% to a target of 2.85% between December 2021 and June 2022.
  • To evaluate the impact of an interprofessional approach and a clinical decision support system on vaccination rates.

Main Methods:

  • A COVID-19 vaccination program was implemented for eligible pediatric inpatients.
  • Key strategies included immunization counseling training, patient identification, and streamlined workflows.
  • A clinical decision support system was developed to improve eligibility identification, with health equity analyzed via social vulnerability index.

Main Results:

  • The average vaccination rate for eligible hospitalized patients increased from 0.9% to 3.5%.
  • Screening of age-eligible patients for prior vaccine doses on admission rose from 66.5% to 81.5%.
  • Vaccination likelihood increased significantly when clinicians used the clinical decision support system (P < 0.01).

Conclusions:

  • An interprofessional approach can enhance COVID-19 vaccination rates among hospitalized children.
  • Despite improvements, overall inpatient COVID-19 vaccination rates in this setting remain low.
  • Further strategies are needed to increase vaccine uptake in this vulnerable pediatric population.