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PP-073 Immunization while hospitalization; can it be opportunity for childhood immunization?
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  1. Büşra Tetik Dinçer1,
  2. Şebnem Apaydın1,
  3. Zeynep Begüm Baysal1,
  4. Aybike Koç1,
  5. Hasan Sinan Uslu2,
  6. Ali Bülbül2,
  7. Gizem Kara Elitok2
  1. 1Sisli Hamidiye Etfal Training and Research Hospital, Department of Pediatrics, Istanbul
  2. 2Sisli Hamidiye Etfal Training and Research Hospital, Department of Pediatrics, Division of Neonatology, Istanbul

Abstract

Aim Maintaining high vaccination rates is crucial for preventing infectious diseases. This study aimed to examine the vaccinations administered to pediatric inpatients at our hospital.

Material and Method This descriptive, cross-sectional, retrospective study was conducted on pediatric patients consulted to the pediatrics for vaccination while hospitalized between 2015 and 2022. Patient diagnoses, reasons for vaccination, types of administered vaccines, and the consulting unit for vaccination were examined from the hospital database. SPSS 22.0 and TURCOSA were used for data analysis.

Results During the study period, 971 children admitted to our hospital received a total of 1792 vaccine doses. The most administered vaccine was Hepatitis B vaccine, accounting for 54.4% (n:975), and the unit requesting the most consultations for vaccination was the neonatal intensive care unit, constituting 59% (n:1058). Analyzing vaccinations given to hospitalized patients over the years, the highest percentage of vaccinations, 15.8% (n:283), was observed in 2022. The reasons for administering vaccines were 41% (n:735) delayed vaccination, 37.8% (n:677) routine vaccination, and 21.2% (n:380) vaccination for high-risk groups. The reasons for vaccination varied over the years (p<0.001), with routine vaccination being the highest in 2015 (83.04%), delayed vaccination in 2018 (58.26%), and high-risk group vaccination in 2017 (27.19%). Analyzing vaccines given to high-risk groups revealed that 50.52% (n:192) of the vaccines administered were Hepatitis B vaccines, and 69.5% (n:265) were based on serological test results. Malignancy patients constituted the highest-percentage of risk group receiving vaccines, accounting for 39% (n:158).

Conclusions In recent years, a decline in vaccination rates has been reported in our country for various reasons. Therefore, questioning the vaccination status of children while hospitalized, completing missing and necessary vaccines before discharge, is crucial for both high-risk and healthy children. This necessitates the availability of vaccination units within hospitals.

  • Vaccine
  • Inpatient
  • Newborn
  • Childhood Diseases

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