Programmatic challenges in obtaining and confirming the pneumococcal vaccination status of cochlear implant recipients

Otol Neurotol. 2010 Oct;31(8):1334-6. doi: 10.1097/MAO.0b013e3181f395c0.

Abstract

Background: Bacterial meningitis represents a substantial concern for individuals with cochlear implants (CIs).

Methods: Chart review and direct patient and family correspondence to ascertain vaccination status.

Intervention: Information dissemination via brochure and electronic media, ongoing reminders of the importance of vaccination when confirmation of vaccination was not received.

Results: Marked improvement in vaccination rates ranging from 49% to 99% across different patient populations. Importantly, many patients received their vaccinations only after follow-up reminders.

Conclusion: Ensuring optimal vaccination of all CI recipients against high-risk pathogens is a significantly challenging task. Maximizing vaccination rates in CI users will require an ongoing, active effort of information dissemination, documentation of compliance, and well-designed behavioral systems to streamline the pragmatic challenges in vaccination delivery.

MeSH terms

  • Cochlear Implantation / adverse effects*
  • Cochlear Implants / adverse effects*
  • Delivery of Health Care
  • Humans
  • Immunization Programs
  • Meningitis, Bacterial / etiology
  • Meningitis, Bacterial / prevention & control*
  • Pneumococcal Infections / etiology
  • Pneumococcal Infections / prevention & control*
  • Pneumococcal Vaccines*
  • Vaccination*

Substances

  • Pneumococcal Vaccines