Measles vaccination in pediatric emergency departments during a measles outbreak.
JAMA
; 270(18): 2185-9, 1993 Nov 10.
Article
em En
| MEDLINE
| ID: mdl-8411600
ABSTRACT
OBJECTIVE:
To determine the proportion of preschool-aged patients attending two inner-city hospital pediatric emergency departments (EDs) who were eligible for measles vaccination, to describe their demographic and clinical characteristics, and to assess the performance of the ED immunization programs that were implemented during a measles outbreak in vaccinating eligible children.DESIGN:
Cross-sectional study.SETTING:
Pediatric EDs of two urban hospitals in Chicago, Ill, in 1989.PARTICIPANTS:
Children 6 months to 5 years of age seen in the EDs. INTERVENTION None. MAIN OUTCOMEMEASURES:
The proportion of preschool-aged patients attending the two EDs who were eligible for measles vaccination and the proportion of vaccine-eligible children who were given measles vaccine.RESULTS:
Of 508 ED patients at hospital A and 255 patients at hospital B, 18% and 29%, respectively, were considered to be vaccine eligible. The most common discharge diagnoses of eligible patients were viral syndrome, otitis media, and minor trauma. Of vaccine-eligible patients, 59% at hospitals A and B were not vaccinated in the ED. At hospital B, patients with an infectious or respiratory disease diagnosis were less likely to be vaccinated than those with other diagnoses (P < .05).CONCLUSIONS:
Many children seen in these EDs were eligible for measles vaccination, and many eligible patients were not vaccinated. During community outbreaks of measles, optimal vaccination programs in pediatric EDs could increase vaccination coverage among inner-city preschool-aged children who may have limited access to health care.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Vacina contra Sarampo
/
Vacinação
/
Programas de Imunização
/
Serviço Hospitalar de Emergência
/
Sarampo
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Child, preschool
/
Humans
/
Infant
País/Região como assunto:
America do norte
Idioma:
En
Revista:
JAMA
Ano de publicação:
1993
Tipo de documento:
Article