获取和确认人工耳蜗植入受者肺炎球菌疫苗接种状态的程序性挑战。
Programmatic challenges in obtaining and confirming the pneumococcal vaccination status of cochlear implant recipients.
机构信息
The Listening Center at Johns Hopkins, Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland, USA.
出版信息
Otol Neurotol. 2010 Oct;31(8):1334-6. doi: 10.1097/MAO.0b013e3181f395c0.
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.
背景
细菌性脑膜炎是耳蜗植入者（CIs）的一个重大隐患。
方法
通过病历回顾和直接与患者及家属沟通，确定他们的疫苗接种情况。
干预
通过宣传册和电子媒体传播信息，当没有收到疫苗接种确认时，不断提醒接种疫苗的重要性。
结果
不同患者群体的疫苗接种率显著提高，从 49%到 99%不等。重要的是，许多患者在收到后续提醒后才接种疫苗。
结论
确保所有耳蜗植入者针对高危病原体进行最佳疫苗接种是一项极具挑战性的任务。要提高耳蜗植入使用者的疫苗接种率，需要持续、积极地进行信息传播、遵守情况记录，并设计良好的行为系统，以简化疫苗接种方面的实际挑战。
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