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Uptake of Vaccinations among Children with Chronic Diseases Is Affected by Knowledge Gaps and Implementation Challenges in Italy.
Beni, Alessandra; Mazzilli, Sara; Bellino, Elisabetta; Costagliola, Giorgio; Ferretti, Elena; Lopalco, Pier Luigi; Tavoschi, Lara; Peroni, Diego Giampietro.
  • Beni A; Department of Clinical and Experimental Medicine, Section of Pediatrics, University of Pisa, 56126 Pisa, Italy.
  • Mazzilli S; Scuola Normale Superiore, 56126 Pisa, Italy.
  • Bellino E; Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via San Zeno 35, 56124 Pisa, Italy.
  • Costagliola G; Department of Clinical and Experimental Medicine, Section of Pediatrics, University of Pisa, 56126 Pisa, Italy.
  • Ferretti E; Department of Clinical and Experimental Medicine, Section of Pediatrics, University of Pisa, 56126 Pisa, Italy.
  • Lopalco PL; Department of Clinical and Experimental Medicine, Section of Pediatrics, University of Pisa, 56126 Pisa, Italy.
  • Tavoschi L; Department of Science, Biological Technologies and Environmental, University of Salento, Piazza Tancredi, 7, 73100 Lecce, Italy.
  • Peroni DG; Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via San Zeno 35, 56124 Pisa, Italy.
Vaccines (Basel) ; 9(11)2021 Oct 20.
Article in English | MEDLINE | ID: covidwho-1538556
ABSTRACT
(1)

Background:

Children with chronic medical conditions may be at increased risk for severe complications related to vaccine-preventable infections. Therefore, additional booster doses or supplementary vaccines are recommended, over and above the routine immunization schedule for healthy children. The aim of this study was to investigate attitude, knowledge, and practices toward additional vaccinations for children affected by chronic conditions among pediatricians and parents. (2)

Methods:

This study is based on two surveys (i) a national cross-sectional survey, targeting pediatrician working in hospitals or in the primary health sector; (ii) a local cross-sectional survey, targeting parents of children with a previous diagnosis of chronic disease. (3)

Results:

Despite the fact that most of the health professionals and parents interviewed had an overall positive vaccine attitude, most pediatricians did not show an adequate knowledge of additional vaccinations for children affected by chronic diseases. Moreover, the coverage of additional recommended vaccinations in chronic pediatric patients was low. (4)

Conclusions:

This research highlighted important existing challenges hampering optimal vaccination coverage among pediatric chronic patients, including knowledge gaps on tailored vaccination schedules among pediatricians and organizational issues. The ongoing review of the Italian national immunization plan is a not-to-be-missed-opportunity to include evidence-based, detailed, and comprehensive recommendations on vaccinations for children affected by chronic conditions.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Type of study: Risk factors Language: English Clinical aspect: Etiology Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Type of study: Risk factors Language: English Clinical aspect: Etiology Year: 2021
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