Immunisation coverage in children with cerebral palsy compared with the general population

Greenwood, Victoria J; Crawford, Nigel; Walstab, Janet E.; Reddihough, Dinah

doi:10.1111/jpc.12097

Cited by 27 publications

(24 citation statements)

References 20 publications

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“…We noted also that a small percentage of children with CP were either not immunised at all (1%) or did not have full immunisation uptake (16%), similar to other studies in Australia and Turkey 26 27. Further research is needed into the factors that influence uptake of full immunisation in children with CP and to identify barriers and enablers to accessing vaccination.…”

Section: Discussionsupporting

confidence: 78%

Clinical features and aetiology of cerebral palsy in children from Cross River State, Nigeria

et al. 2020

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ObjectiveThere are few studies on cerebral palsy (CP) in African children and our study aimed to describe the aetiology, characteristics and severity of CP in children from Nigeria.DesignA population-based study using key informant methodology (KIM) was conducted as part of a clinical research trial. Children aged 4–15 years were clinically assessed for CP.ResultsThe estimated prevalence of CP using KIM was 2.3/1000 children (95% CI 2.0 to 2.5/1000). 388 children were diagnosed with CP, with Gross Motor Function Classification System level 1 in 70 (18.1%), II in 156 (40.2%), III in 54 (13.9%), IV in 54 (13.9%), V in 54 (13.9%). 300/388 (77.3%) had Manual Ability Classification Scale of level 1–3 and 88 (22.7%) of level 4–5. CP types were spastic in 271 (70%), with 60% of these bilateral and 40% unilateral, ataxic 38 (9.8%), dystonic 18 (4.6%), choreoathetoid 29 (7.5%) and unclassifiable 32 (8.3%). Postneonatal risk factors for CP were seen in 140 (36.1%) children including malaria with seizures 101/140 (72.1%), malaria with coma 21/140 (15.0%), meningitis 12/140 (8.6%), tuberculosis 2/140 (1.4%), sickle cell disease 3/140 (2.2%), HIV 1/221 (0.7%). Prenatal/perinatal risk factors were seen in 248 (63.9%%), birth asphyxia 118 (47.6%) and clinical congenital rubella syndrome 8 (3.3%) and hyperbilirubinaemia 59 (23.8%) were identified as preventable risk factors for CP.ConclusionThe profile of CP in this population is similar to that found in other low-income and middle-income countries (LMIC). Some risk factors identified were preventable. Prevention and management strategies for CP designed for LMIC are needed.

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Section: Discussionsupporting

confidence: 78%

Clinical features and aetiology of cerebral palsy in children from Cross River State, Nigeria

et al. 2020

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“…For example, Rance et al showed that only 15.7% of asthmatic children received flu vaccine [14]. An important delay in immunization was also observed for more than 50% of children with cerebral palsy [15] and a suboptimal coverage was reported in perinatally HIV infected children and chronic kidney diseases [16].…”

Section: Mandatory and Recommended Vaccinesmentioning

confidence: 99%

Vaccine coverage in CF children: A French multicenter study

Masson

Launay

Delaisi

et al. 2015

Journal of Cystic Fibrosis

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“…The indicator up-to-date vaccination is generally used to describe individuals that have received recommended vaccines by a certain age or age range, or by a specific point in time, such as school-entry. [60][61][62][63][64][65] For example, "those (children) who received all 16 doses by 19 months of age"; 65 and "received all of the vaccine doses required for school entry". 66 As noted in regard to vaccine series completion, the type, dose number, and timing of recommended/required vaccines are determined based on jurisdiction/countryspecific vaccination guidelines and thus should be specified in the report.…”

Section: Up-to-date Vaccinationmentioning

confidence: 99%

“…However, it is most commonly used to refer to receipt of specified vaccines within a very limited and specified time period following the age at which the vaccines are due. 42,58,63,65,69 Common measure of timeliness are within 30 days, 58 31 days, 65,69 4 weeks, 12 or a month 42,63 of the recommended age. If children received a recommended childhood vaccine within the specified timeframe then they were considered to have received that vaccine in a timely manner.…”

Section: Timeliness/timely Vaccinationmentioning

confidence: 99%

Are we speaking the same language? an argument for the consistent use of terminology and definitions for childhood vaccination indicators

MacDonald

Russell

Liu

et al. 2018

Human Vaccines & Immunotherapeutics

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Vaccination indicators are used to measure the health status of individuals or populations and to evaluate the effectiveness of vaccination programs or policies. Ensuring that vaccination indicators are clearly and consistently defined is important for effective communication of outcomes, accurate program evaluation, and comparison between different populations, times, and contexts. The purpose of this commentary is to describe commonly used vaccination indicators and to highlight inconsistencies in how childhood vaccine researchers use and define these terms. The indicators we describe are vaccine coverage, uptake, and rate; vaccination status, initiation, and completion; and up-to-date, timely, partial, and incomplete vaccination. We conclude that many vaccination indicators are not explicitly defined within published research studies and/or are used quite differently across studies. We also note that the choice of indicator in a given study is often driven by program or vaccine specific factors, may be constrained by data availability, and should be chosen to best reflect the outcome of interest. We conclude that the use of consistent language and definitions would promote more effective communication of research findings. We also propose some standardized definitions for common indicators, with the goal of provoking discussion and debate on the issue.

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Immunisation coverage in children with cerebral palsy compared with the general population

Abstract: This study demonstrates that children with CP are at high risk of incomplete and delayed immunisation, a significant problem given the increased health-care needs of this patient group and their increased vulnerability to the complications of vaccine-preventable diseases.

Cited by 27 publications

References 20 publications

Clinical features and aetiology of cerebral palsy in children from Cross River State, Nigeria

Clinical features and aetiology of cerebral palsy in children from Cross River State, Nigeria

Vaccine coverage in CF children: A French multicenter study

Are we speaking the same language? an argument for the consistent use of terminology and definitions for childhood vaccination indicators

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