Improving influenza vaccination rates of high-risk inner-city children over 2 intervention years
Improving influenza vaccination rates of high-risk inner-city children over 2 intervention years
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DOI：
10.1370/afm.612
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发表时间：
2006-11-01
影响因子：
4.4
通讯作者：
Fox, Dwight E.
中科院分区：
文献类型：
--
作者：
Zimmerman, Richard K.;Hoberman, Alejandro;Fox, Dwight E.
目的流感疫苗在患有高危疾病的儿童中的接种率低得令人失望，关于发病率上升的数据相对较少，特别是在两年以上。我们想要确定针对个别实践地点的干预措施是否在两年内提高了市中心卫生中心高危儿童的流感疫苗接种率。方法在5个市中心卫生中心(居民和信仰为基础)进行了提高儿童流感免疫的事前-事后试验。从菜单中选择干预措施(例如，常规命令、患者和临床医生提醒、教育)的地点被证明提高了疫苗接种率，这些疫苗针对的是2至17岁患有高危疾病的儿童。结果流感疫苗接种率由干预前(10.4%)略有提高，干预1年为13.1%，干预2年为18.7%(P<0.05)。
PURPOSE Influenza immunization rates among children with high-risk medical conditions are disappointingly low, and relatively few data are available on raising rates, particularly over 2 years. We wanted to determine whether interventions tailored to individual practice sites improve influenza immunization rates among high-risk children in inner-city health centers over 2 years.METHOD A before-after trial to improve influenza immunization of children was conducted at 5 inner-city health centers (residencies and faith-based). Sites selected interventions from a menu (eg, standing orders, patient and clinician reminders, education) proved to increase vaccination rates, which were directed at children aged 2 to 17 years with high-risk medical conditions. Intervention influenza vaccination rates and 1 and 2 years were compared with those of the preintervention year (2001-2002) and of a comparison site.RESULTS Influenza vaccination rates improved modestly from baseline (10.4%) to 13.1% during intervention year 1 and to 18.7% during intervention year 2 (P