Documenting Immunization of Children in a Cochlear Implant Program

Abstract

It is a challenge to achieve and document immunizations recommended for cochlear implantation, even in a relatively small cochlear implant program. In our practice, those patients who were required to document immunizations before surgery had the highest rates of compliance. Access to a vaccination registry and the ability to administer vaccines in the otolaryngology office also improved compliance.

Improving Pneumococcal Vaccination Rates in Cochlear Implant Programs: A Systematic Review and Meta‐analysis

“…PCV13 vaccination rates were excluded from the intervention analysis, as the interventions extracted from the studies of interest focused on PPSV23 vaccination rates. Five interventions were analyzed, 22,24,27,28 which are described in detail in Table 2. Carpenter et al 22 had 2 separate interventions in 2 independent samples, so 2 separate improvement rates were extracted.…”

“…A full-text review of the remaining reports excluded 10 studies, leaving 13 studies for inclusion in the final data extraction and analysis. Three studies were retrospective cohort studies, [22][23][24] 4 studies were retrospective case series, [25][26][27][28] and 6 were cross-sectional studies. [29][30][31][32][33][34]…”

“…Finally, a lack of reported patient demographics available for analysis was an additional limitation of this study. Of the 13 studies included in our analysis, only 2 included a stratification of CI patients by etiology of hearing loss, 25,28 and only 1 study stratified patients by race. 26 It would be of interest for future prospective studies to report additional demographic factors such as etiology, race, insurance status, and income level, to analyze as possible correlates to baseline pneumococcal vaccination uptake.…”

“…PCV13 vaccination rates were excluded from the intervention analysis, as the interventions extracted from the studies of interest focused on PPSV23 vaccination rates. Five interventions were analyzed, 22,24,27,28 which are described in detail in CI, 4.32-57.20, P \ .001) of receiving the PPSV23 vaccination compared to before the intervention (Figure 4). The rates of PPSV23 vaccination following an intervention were further stratified into children and adult populations for analysis.…”

Vaccination rates in cochlear implant patients: a review of paediatric recipients

“…The most important factor appeared to be encouraging patients to vaccinate prior to surgery. 19 The majority of meningitis cases following cochlear implantation reported in the literature were related to S pneumoniae and H influenzae type B, two of the most common causative agents in acute bacterial otitis media. Acute otitis media is the most likely cause for meningitis beyond the first 30 days following cochlear implantation because of bacterial spread along the pathway of the electrode.…”