Low rates of influenza immunization in young children under Ontario's universal influenza immunization program.

Abstract:

OBJECTIVES:To determine physician-administered influenza vaccine coverage for children aged 6 to 23 months in a jurisdiction with a universal influenza immunization program during 2002-2009 and to describe predictors of vaccination. METHODS:By using hospital records, we identified all infants born alive in Ontario hospitals from April 2002 through March 2008. Immunization status was ascertained by linkage to physician billing data. Children were categorized as fully, partially, or not immunized depending on the number and timing of vaccines administered. Generalized linear mixed models determined the association between immunization status and infant, physician, and maternal characteristics. RESULTS:Influenza immunization was low for the first influenza season of the study period (1% fully immunized during the 2002-2003 season), increased for the following 3 seasons (7% to 9%), but then declined (4% to 6% fully immunized during the 2006-2007 to 2008-2009 seasons). Children with chronic conditions or low birth weight were more likely to be immunized. Maternal influenza immunization (adjusted odds ratio 4.31; 95% confidence interval 4.21-4.40), having a pediatrician as the primary care practitioner (adjusted odds ratio 1.85; 95% confidence interval 1.68-2.04), high visit rates, and better continuity of care were all significantly associated with full immunization, whereas measures of social disadvantage were associated with nonimmunization. Low birth weight infants discharged from neonatal care in the winter were more likely to be immunized. CONCLUSIONS:Influenza vaccine coverage among children aged 6 to 23 months in Ontario is low, despite a universal vaccination program and high primary care visit rates. Interventions to improve coverage should target both physicians and families.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Campitelli MA,Inoue M,Calzavara AJ,Kwong JC,Guttmann A

doi

10.1542/peds.2011-2441

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

e1421-30

issue

6

eissn

0031-4005

issn

1098-4275

pii

peds.2011-2441

journal_volume

129

pub_type

杂志文章
  • The walking school bus and children's physical activity: a pilot cluster randomized controlled trial.

    abstract:OBJECTIVE:To evaluate the impact of a "walking school bus" program on children's rates of active commuting to school and physical activity. METHODS:We conducted a pilot cluster randomized controlled trial among 4th-graders from 8 schools in Houston, Texas (N = 149). Random allocation to treatment or control conditions...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2010-3486

    authors: Mendoza JA,Watson K,Baranowski T,Nicklas TA,Uscanga DK,Hanfling MJ

    更新日期:2011-09-01 00:00:00

  • Variation in Preoperative Testing and Antireflux Surgery in Infants.

    abstract:BACKGROUND:Despite the availability of objective tests, gastroesophageal reflux disease (GERD) diagnosis and management in infants remains controversial and highly variable. Our purpose was to characterize national variation in diagnostic testing and surgical utilization for infants with GERD. METHODS:Using the Pediat...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-0536

    authors: Short HL,Braykov NP,Bost JE,Raval MV

    更新日期:2017-08-01 00:00:00

  • Vaccines are not associated with metabolic events in children with urea cycle disorders.

    abstract:BACKGROUND:Despite the success of childhood immunizations in prevention of infectious diseases, questions remain about the safety of vaccines in medically fragile children with inborn errors of metabolism such as urea cycle disorders (UCDs). Patients with UCDs are subject to hyperammonemic episodes (HAEs) after infecti...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-1628

    authors: Morgan TM,Schlegel C,Edwards KM,Welch-Burke T,Zhu Y,Sparks R,Summar M,Urea Cycle Disorders Consortium.

    更新日期:2011-05-01 00:00:00

  • Comprehensive evaluation of the child with intellectual disability or global developmental delays.

    abstract::Global developmental delay and intellectual disability are relatively common pediatric conditions. This report describes the recommended clinical genetics diagnostic approach. The report is based on a review of published reports, most consisting of medium to large case series of diagnostic tests used, and the proporti...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2014-1839

    authors: Moeschler JB,Shevell M,Committee on Genetics.

    更新日期:2014-09-01 00:00:00

  • Randomized trial of a hearing conservation intervention for rural students: long-term outcomes.

    abstract:OBJECTIVES:We had the rare opportunity to conduct a cluster-randomized controlled trial to observe the long-term (16-year) effects of a well-designed hearing conservation intervention for rural high school students. This trial assessed whether the intervention resulted in (1) reduced prevalence of noise-induced hearing...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2011-0770

    authors: Marlenga B,Linneman JG,Pickett W,Wood DJ,Kirkhorn SR,Broste SK,Knobloch MJ,Berg RL

    更新日期:2011-11-01 00:00:00

  • Legal proof of child sexual abuse in the absence of physical evidence.

    abstract::Child sexual abuse criminal court cases from a 12-month period were reviewed to determine the frequency and significance of physical evidence in legally "proven" felony cases with penetration. One hundred fifteen consecutive cases were reviewed, and 87 (76%) had resulted in conviction of the perpetrator on felony char...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: De Jong AR,Rose M

    更新日期:1991-09-01 00:00:00

  • Effectiveness of pandemic H1N1 vaccine against influenza-related hospitalization in children.

    abstract:OBJECTIVE:Young children are generally considered immunologically naive with respect to influenza exposure opportunities; thus, a 2-dose schedule is recommended when a child is first immunized with conventional influenza vaccine lacking adjuvant. We estimated the effectiveness of a single pediatric dose of AS03-adjuvan...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-3492

    authors: Gilca R,Deceuninck G,De Serres G,Boulianne N,Sauvageau C,Quach C,Boucher FD,Skowronski DM

    更新日期:2011-11-01 00:00:00

  • Treatment of apnea of prematurity with aminophylline.

    abstract::The effectiveness of aminophylline in the treatment of apnea of prematurity was evaluated in 13 premature infants (mean birthweight, 1.13 kg; mean gestational age, 29 weeks). Apnea was recorded by direct observation in combination with impedance monitoring. Rectal suppositories of aminophylline (5 mg) were given at si...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Bednarek FJ,Roloff DW

    更新日期:1976-09-01 00:00:00

  • Should fewer premature infants be screened for retinopathy of prematurity in the managed care era?

    abstract:OBJECTIVE:To determine appropriate upper limits for gestational age and birth weight when screening infants for retinopathy of prematurity (ROP). DESIGN:Retrospective survey. SETTING:Tertiary neonatal intensive care nursery. PATIENTS:Seven hundred seven infants born July 1, 1990 to June 30, 1996 and screened for ROP...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.102.1.31

    authors: Wright K,Anderson ME,Walker E,Lorch V

    更新日期:1998-07-01 00:00:00

  • Correlates of objectively measured sedentary behavior in US preschool children.

    abstract:OBJECTIVE:To identify correlates of objectively measured sedentary behavior in a diverse sample of preschool children. METHODS:A total of 331 children (51% male, 51% black) from a wide range of ethnic and socioeconomic backgrounds in greater Columbia, South Carolina, were recruited for this study. Sedentary behavior (...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-0748

    authors: Byun W,Dowda M,Pate RR

    更新日期:2011-11-01 00:00:00

  • Cost of vaccine administration among pediatric practices.

    abstract:OBJECTIVE:The goal was to describe variable costs to providers of delivering childhood immunizations. METHODS:We documented variable costs (costs that vary with the amount of services rendered), including time spent by pediatric staff members and physicians on immunization-related activities, as well as supply costs a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-1542H

    authors: Glazner JE,Beaty B,Berman S

    更新日期:2009-12-01 00:00:00

  • Helping Children and Families Deal With Divorce and Separation.

    abstract::For the past several years in the United States, there have been more than 800 000 divorces and parent separations annually, with over 1 million children affected. Children and their parents can experience emotional trauma before, during, and after a separation or divorce. Pediatricians can be aware of their patients'...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2016-3020

    authors: Cohen GJ,Weitzman CC,COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH.,SECTION ON DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS.

    更新日期:2016-12-01 00:00:00

  • Recent advances in management and treatment of hereditary angioedema.

    abstract:CONTEXT:Hereditary angioedema (HAE) is a rare autosomal-dominant disease characterized by recurrent self-limiting episodes of skin and mucosal edema. Morbidity and mortality are significant, and new and pending therapies are now available to reduce the risk associated with the disease. OBJECTIVE:To update the reader o...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2011-0546

    authors: Sardana N,Craig TJ

    更新日期:2011-12-01 00:00:00

  • Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update.

    abstract::The safe sedation of children for procedures requires a systematic approach that includes the following: no administration of sedating medication without the safety net of medical supervision; careful presedation evaluation for underlying medical or surgical conditions that would place the child at increased risk from...

    journal_title:Pediatrics

    pub_type: 杂志文章,实务指引

    doi:10.1542/peds.2006-2780

    authors: American Academy of Pediatrics.,American Academy of Pediatric Dentistry.,Coté CJ,Wilson S,Work Group on Sedation.

    更新日期:2006-12-01 00:00:00

  • Disease progression in Hutchinson-Gilford progeria syndrome: impact on growth and development.

    abstract:OBJECTIVES:Hutchinson-Gilford progeria syndrome is a rare and uniformly fatal segmental "premature aging" disease that affects a variety of organ systems. We sought to more clearly define the bone and weight abnormalities in patients with progeria as potential outcome parameters for prospective clinical trials. PATIEN...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2007-1357

    authors: Gordon LB,McCarten KM,Giobbie-Hurder A,Machan JT,Campbell SE,Berns SD,Kieran MW

    更新日期:2007-10-01 00:00:00

  • Ensuring Timely Connection to Early Intervention for Young Children With Developmental Delays.

    abstract:BACKGROUND AND OBJECTIVES:Timely provision of developmental services can improve outcomes for children 0 to 3 years old with developmental delays. Early Intervention (EI) provides free developmental services to children under age 3 years; however, data suggests that many children referred to EI never connect to the pro...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-4017

    authors: Conroy K,Rea C,Kovacikova GI,Sprecher E,Reisinger E,Durant H,Starmer A,Cox J,Toomey SL

    更新日期:2018-07-01 00:00:00

  • Propofol compared with the morphine, atropine, and suxamethonium regimen as induction agents for neonatal endotracheal intubation: a randomized, controlled trial.

    abstract:OBJECTIVES:The purpose of this work was to compare the efficacy of propofol, a hypnotic agent, to the regimen of morphine, atropine, and suxamethonium as an induction agent for nonemergency neonatal endotracheal intubation. We hypothesized that propofol aids intubation by allowing the continuation of spontaneous breath...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2006-2708

    authors: Ghanta S,Abdel-Latif ME,Lui K,Ravindranathan H,Awad J,Oei J

    更新日期:2007-06-01 00:00:00

  • Pediatric prehospital care in urban and rural areas.

    abstract::There are limited data concerning pediatric prehospital care, although pediatric prehospital calls constitute 10% of emergency medical services activity. Data from 10,493 prehospital care reports in 11 counties of California (four emergency medical services systems in rural and urban areas) were collected and analyzed...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Seidel JS,Henderson DP,Ward P,Wayland BW,Ness B

    更新日期:1991-10-01 00:00:00

  • Safe transportation of preterm and low birth weight infants at hospital discharge.

    abstract::Safe transportation of preterm and low birth weight infants requires special considerations. Both physiologic immaturity and low birth weight must be taken into account to properly position such infants. This clinical report provides guidelines for pediatricians and other caregivers who counsel parents of preterm and ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-0559

    authors: Bull MJ,Engle WA,Committee on Injury, Violence, and Poison Prevention and Committee on Fetus and Newborn.,American Academy of Pediatrics.

    更新日期:2009-05-01 00:00:00

  • Epigenetics and primary care.

    abstract::Epigenetics, the study of functionally relevant chemical modifications to DNA that do not involve a change in the DNA nucleotide sequence, is at the interface between research and clinical medicine. Research on epigenetic marks, which regulate gene expression independently of the underlying genetic code, has dramatica...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2013-1032F

    authors: Wright R,Saul RA

    更新日期:2013-12-01 00:00:00

  • Prevention and management of positional skull deformities in infants. American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery.

    abstract::Cranial asymmetry may be present at birth or may develop during the first few months of life. Over the past several years, pediatricians have seen an increase in the number of children with cranial asymmetry, particularly unilateral flattening of the occiput. This increase likely is attributable to parents following t...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章,实务指引

    doi:10.1542/peds.112.1.199

    authors: Persing J,James H,Swanson J,Kattwinkel J,American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery.

    更新日期:2003-07-01 00:00:00

  • A randomized, double-masked, placebo-controlled trial of recombinant granulocyte colony-stimulating factor administration to preterm infants with the clinical diagnosis of early-onset sepsis.

    abstract:OBJECTIVE:We performed a randomized, double-masked, parallel-groups, placebo-controlled trial of recombinant granulocyte colony-stimulating factor (rG-CSF) administration to 44 preterm neonates who had blood cultures obtained and antibiotics begun because of the clinical diagnosis of early-onset sepsis. Two primary out...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.107.1.30

    authors: Miura E,Procianoy RS,Bittar C,Miura CS,Miura MS,Mello C,Christensen RD

    更新日期:2001-01-01 00:00:00

  • High-flow nasal cannulae in the management of apnea of prematurity: a comparison with conventional nasal continuous positive airway pressure.

    abstract::Apnea of prematurity (AOP) is frequently managed with nasal continuous positive airway pressure (NCPAP). Nasal cannula (NC) are used at low flows (<0.5 L/min) to deliver supplemental oxygen to neonates. A number of centers use high-flow nasal cannula (HFNC) in the management of AOP without measuring the positive diste...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1542/peds.107.5.1081

    authors: Sreenan C,Lemke RP,Hudson-Mason A,Osiovich H

    更新日期:2001-05-01 00:00:00

  • Symptomatic liver involvement in neonatal hereditary hemorrhagic telangiectasia.

    abstract::High-flow hepatic vascular anomalies with arteriovenous shunting commonly manifest during the neonatal period with signs and symptoms of congestive heart failure, but to our knowledge, they have never been described in patients with hereditary hemorrhagic telangiectasia (HHT). We report here our experience with 3 pati...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-2366

    authors: Al-Saleh S,John PR,Letarte M,Faughnan ME,Belik J,Ratjen F

    更新日期:2011-06-01 00:00:00

  • Is my child normal yet? Correlates of vulnerability.

    abstract::There are some children whose parents believe them to be unusually susceptible to medical or developmental problems--"vulnerable"--despite a lack of objective evidence of any difficulty. The "vulnerable child syndrome" refers to a constellation of behaviors that are thought to develop as a result of this excessive par...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Perrin EC,West PD,Culley BS

    更新日期:1989-03-01 00:00:00

  • Features of invasive staphylococcal disease in neonates.

    abstract:OBJECTIVE:Most clinical descriptions of invasive staphylococcal disease (ISD) in neonates date from before the mid-1980s, when neonatal viability and intensive care differed substantially from current standards. We aimed to describe the contemporary incidence, clinical features, and outcome of infants with ISD in a neo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-0043

    authors: Healy CM,Palazzi DL,Edwards MS,Campbell JR,Baker CJ

    更新日期:2004-10-01 00:00:00

  • Daytime television viewing by hospitalized children.

    abstract::To determine whether hospitalized pediatric patients may be inadvertently exposed to excessive amounts of commercial television, a survey of the quantity and quality of daytime television viewing by patients was conducted at the Winnipeg Children's Centre. Television viewing patterns were recorded for 845 patients, ea...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Guttentag DN,Albritton WL,Kettner RB

    更新日期:1981-11-01 00:00:00

  • A population-based, postlicensure evaluation of the safety of a combination diphtheria, tetanus, acellular pertussis, hepatitis B, and inactivated poliovirus vaccine in a large managed care organization.

    abstract:BACKGROUND:Prelicensure studies of diphtheria, tetanus, acellular pertussis, hepatitis B, inactivated polio virus vaccine suggested that there were higher rates of fever after its administration than when its component antigens were given separately. METHODS:We conducted an open, controlled, cohort study to evaluate s...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-1977

    authors: Zangwill KM,Eriksen E,Lee M,Lee J,Marcy SM,Friedland LR,Weston W,Howe B,Ward JI

    更新日期:2008-12-01 00:00:00

  • Pruritic rash associated with cat scratch disease.

    abstract::Cat scratch disease is a benign, self-limited illness characterized by regional lymphadenopathy that usually occurs in association with a history of contact with a cat. Cases of cat scratch disease with skin manifestations that included erythema nodosum; erythema multiforme; erythema marginatum; and non-specific macul...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Daye S,McHenry JA,Roscelli JD

    更新日期:1988-04-01 00:00:00

  • Tattooing and high-risk behavior in adolescents.

    abstract:OBJECTIVES:We sought to determine the prevalence and sociodemographic characteristics of tattooed adolescents in a nationally representative sample and to evaluate the association between tattooing and several high-risk behaviors. METHODS:This is a secondary analysis of the National Longitudinal Survey of Adolescent H...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.110.6.1058

    authors: Roberts TA,Ryan SA

    更新日期:2002-12-01 00:00:00