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  1. Providing immunizations in a pediatric emergency department : Underimmunization rates and parental acceptance.

    Article - En anglais

    Objectives 

    To assess the vaccination status and vaccinate eligible children with age-appropriate antigens.

    Design 

    Intervention.

    Setting 

    Pediatric emergency department in an urban, public hospital.

    Patients 

    Convenience sample of children, aged birth through 72 months.

    Interventions 

    Immunization of eligible children.

    Main Outcome Measures 

    1) Immunization coverage rates in the sample population, 2) Acceptance rates of immunization.

    Results 

    A total of 9321 children were enrolled over a 2-year period.

    Fifty-nine percent were documented to be underimmunized.

    Overall, 2514 children received a total of 6482 immunizations.

    Parents who carried portable immunization cards documenting that their child was underimmunized were almost five times more likely to accept immunization for their child than parents who lacked documentation (71% VS 15%, P<0.0001).

    The estimated cost of providing immunizations in the emergency department was $47.15 per child immunized, or $18.56 per immunization given.

    Conclusions 

    The majority of children with documentation of immunization status were underimmunized.

    When documentation of underimmunization was available, parents were significantly more likely to accept vaccination.

    These data suggest that vaccinating children in nontraditional settings is feasible and support the creation of an accessible vaccine registry.

    Mots-clés Pascal : Immunisation, Immunoprophylaxie, Prévention, Vaccination, Evaluation, Vaccin, Infection, Enfant, Homme, Urgence, Service hospitalier, Pédiatrie, Acceptation, Parent

    Mots-clés Pascal anglais : Immunization, Immunoprophylaxis, Prevention, Vaccination, Evaluation, Vaccine, Infection, Child, Human, Emergency, Hospital ward, Pediatrics, Acceptance, Parent

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0451562

    Code Inist : 002B05A02. Création : 22/03/2000.