紧急部门:在儿童中扩大COVID-19疫苗覆盖范围的未充分利用的资源
Rebecca Hart1, Yana Feygin1, Theresa Kluthe1
1Department of Pediatrics, Norton Children's and the University of Louisville School of Medicine, Louisville, KY 40202, USA.
美国儿科急诊室 (ED) 的COVID-19疫苗计划很少见,只有18%的儿童提供疫苗. 然而,许多ED有兴趣开始疫苗接种计划,以提高儿科免疫率.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
背景情况:
- 在儿童中,COVID-19疫苗 (CV) 接受率低于最佳,因此需要创新的免疫策略.
- 儿科急诊室 (ED) 提供了一个独特的环境,可以为缺乏服务的儿童提供疫苗接种.
- 有限的数据存在于当前的可用性和CV计划的范围在美国EDs.
研究的目的:
- 确定美国儿科ED中CV程序的流行率.
- 评估这些环境中每年管理的CV数量.
- 确定ED中CV管理的促进者和障碍.
主要方法:
- 一项横截面调查被分发给全国的儿科ED医生.
- 该调查收集了关于提供简历的ED,疫苗注射量以及感知到的促进者/障碍者的数据.
- 奇平方测试用于比较不同疫苗接种频率组之间的因素.
主要成果:
- 收到的答案来自142名医生,代表61个ED (37.3%的响应率).
- 只有11名ED医生 (18.0%) 报告每年至少提供一次CV,只有2人每年提供≥50次CV.
- 关键的促进者包括EHR整合,提供商买入和可访问的疫苗存储;障碍包括患者拒绝和错过的机会.
结论:
- 目前,CV计划在美国儿科ED中并不常见,疫苗的数量很少.
- 尽管目前的比例较低,但大多数受访ED (59.6%) 表示有兴趣建立CV计划.
- 针对性干预措施解决已识别的障碍,并利用促进者可以加强儿童在ED环境中的疫苗接种.
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