Sick-Visit Immunizations and Delayed Well-Baby Visits

Robison, Steve G.

doi:10.1542/peds.2012-3866

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…We observed the same racial disparities in rotavirus vaccination and rotavirus related infection rates that have been previously reported [4,11,17,19–21,30,31]. However, our disparities were not limited to just those with rotavirus AGE, but also, we noted disparities among those who had diarrhea from other causes despite cases and controls being enrolled from the same source population.…”

Section: Discussionsupporting

confidence: 87%

“…Information on vaccination manufacturer, dates of rotavirus vaccine administration, and vaccine lot numbers were entered into the relational database [11]. DTaP was selected as a proxy for timely receipt of vaccines since the dosing schedule follows rotavirus vaccination schedules for the first 3 doses and is widely accepted by parents who might avoid other vaccines [18,19]. …”

Section: Methodsmentioning

confidence: 99%

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Association between mixed rotavirus vaccination types of infants and rotavirus acute gastroenteritis

Mohammed

Immergluck

Parker

et al. 2015

Vaccine

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Introduction Rotavirus remains the leading cause of severe diarrhea in children under 5 years worldwide. In the US, Rotarix® (RV1) and RotaTeq® (RV5), have been associated with reductions in and severity of rotavirus disease. Studies have evaluated the impact of RV1 or RV5 but little is known about the impact of incomplete or mixed vaccination upon vaccine effectiveness. Methods Case control study to examine association of combined RV1 and RV5 and rotavirus acute gastroenteritis, factoring severity of diarrheal disease. Children born after March 1, 2009 with acute gastroenteritis from three pediatric hospitals in Atlanta, Georgia were approached for enrollment. Survey was administered, stool specimen was collected, and vaccination records were obtained. Results 891 of 1127 children with acute gastroenteritis were enrolled. Stool specimens were collected from 708 for rotavirus testing; 215 stool samples tested positively for rotavirus. Children >12 months of age were more likely to have rotavirus. Children categorized with Vesikari score of >11 were almost twice as likely to be rotavirus positive. Prior rotavirus vaccination decreased the mean Vesikari score, p < 0.0001. Children with complete single type vaccination were protected against rotavirus (OR 0.21, 95% CI: 0.14–0.31, p < 0.0001). Conclusion Complete rotavirus vaccination with a single vaccine type resulted in protection against rotavirus diarrhea and decrease in severity of rotavirus gastroenteritis. Incomplete rotavirus vaccination either with a single vaccine or mixed vaccination types also provided some protection.

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Section: Discussionsupporting

confidence: 87%

Section: Methodsmentioning

confidence: 99%

Association between mixed rotavirus vaccination types of infants and rotavirus acute gastroenteritis

Mohammed

Immergluck

Parker

et al. 2015

Vaccine

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“…20 Relatedly, children between 1 and 2 years of age are frequently seen for sick visits 21 and may be given vaccinations at that time; children who are vaccinated at sick visits have been shown to be less likely to attend subsequent WCVs. 22,23 Also, although the AAP recommends WCVs at both ages, it is possible that providers recommend their patients attend only 1 given the immunization schedule.…”

Section: Discussionmentioning

confidence: 99%

Gaps in Well-Child Care Attendance Among Primary Care Clinics Serving Low-Income Families

et al. 2018

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BACKGROUND AND OBJECTIVES:It is unclear which specific well-child visits (WCVs) are most frequently missed and whether age-specific patterns of attendance differ by race or insurance type. METHODS:We conducted a retrospective cohort study of children 0 to 6 years old between 2011 and 2016 within 2 health networks spanning 20 states. WCVs were identified by using International Classification of Diseases, Ninth and 10th Revisions and Current Procedural Terminology codes. We calculated adherence to the 13 American Academy of Pediatricsrecommended WCVs from birth to age 6 years. To address data completeness, we made 2 adherence calculations after a child's last recorded WCV: 1 in which we assumed all subsequent WCVs were attended outside the network and 1 in which we assumed none were. RESULTS:We included 152 418 children in our analysis. Most children were either publicly insured (77%) or uninsured (14%). The 2-, 4-, and 6-month visits were the most frequently attended (63% [assuming no outside care after the last recorded WCV] to 90% [assuming outside care]), whereas the 15-and 18-months visits (41%-75%) and 4-year visit (19%-49%) were the least frequently attended. Patients who were publicly insured and uninsured (versus privately insured) had higher odds of missing WCVs. Hispanic and Asian American (versus non-Hispanic white) patients had higher odds of attending WCVs. DISCUSSIONThe 15-and 18-month WCVs as well as the 4-year WCV are the least frequently attended WCVs. The former represent opportunities to identify developmental delays, and the latter represents an opportunity to assess school readiness.

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“…This may seem acceptable when there is reasonable expectation that the child will return for vaccination within the recommended age range; however, a recent study found that 39% of infants who did not receive sick-visit vaccinations nonetheless failed to return for a timely health maintenance visit, resulting in both fewer health maintenance visits and greater rates of underimmunization than those who did receive sick-visit vaccinations. 24 Thus, the risks of underimmunization from deferring sickvisit vaccination are well established and the benefits are questionable at best.…”

Section: Discussionmentioning

confidence: 99%

Frequent Vaccination Missed Opportunities at Primary Care Encounters Contribute to Underimmunization

Zook

Gingold

et al. 2015

The Journal of Pediatrics

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Sick-Visit Immunizations and Delayed Well-Baby Visits

Cited by 7 publications

References 19 publications

Association between mixed rotavirus vaccination types of infants and rotavirus acute gastroenteritis

Association between mixed rotavirus vaccination types of infants and rotavirus acute gastroenteritis

Gaps in Well-Child Care Attendance Among Primary Care Clinics Serving Low-Income Families

Frequent Vaccination Missed Opportunities at Primary Care Encounters Contribute to Underimmunization

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