Missed opportunities for influenza vaccination among children with asthma.
Missed opportunities for influenza vaccination among children with asthma.
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哮喘儿童错过了接种流感疫苗的机会。
DOI：
10.1097/00006454-199209000-00006
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
L. Rodewald
中科院分区：
文献类型：
--
作者：
P. Szilagyi;L. Rodewald
中度至重度哮喘儿童建议接种流感疫苗。然而，大多数哮喘儿童没有接种疫苗，部分原因是许多儿童在接种疫苗期间没有去诊所就诊。我们研究了247名患有哮喘的城市儿童，以确定在诊所或急诊科就诊期间可以接种疫苗的最大人数。139名患者（56%）在研究期间至少进行了一次访问。65名患者（26%）接种了流感疫苗；74名患者（30%）尽管在诊所或急诊科就诊，但未接种疫苗。在诊所错过的疫苗接种机会的一半发生在非急性访问。通过努力增加疫苗接种期间的初级保健就诊，并尽量减少错过的疫苗接种机会，可以大大提高流感疫苗接种率。
Influenza vaccination is recommended for children with moderate to severe asthma. However, most children with asthma are not vaccinated, in part because many do not make an office visit during the vaccination time period. We studied 247 urban children with asthma to determine the maximum number that could have been vaccinated during a medical visit to a clinic or emergency department. One hundred thirty-nine patients (56%) had at least one visit during the study period. Sixty-five patients (26%) received the influenza vaccination; 74 patients (30%) did not receive the vaccination despite being seen in the clinic or emergency department. One-half of the missed vaccination opportunities at the clinic occurred during nonacute visits. Influenza vaccination rates could be substantially improved by efforts to increase primary care visits during the vaccination time period and to minimize missed vaccination opportunities.