Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-22T18:10:34.307Z Has data issue: false hasContentIssue false

Vaccination rates in cochlear implant patients: a review of paediatric recipients

Published online by Cambridge University Press:  26 October 2021

O Rose*
Affiliation:
Department of Paediatric Otolaryngology – Head and Neck Surgery, Starship Children's Hospital, Auckland, New Zealand
R Moriarty
Affiliation:
Northern Cochlear Implant Programme, Auckland, New Zealand
C Brown
Affiliation:
Department of Paediatric Otolaryngology – Head and Neck Surgery, Starship Children's Hospital, Auckland, New Zealand
H Teagle
Affiliation:
The University of Auckland, New Zealand
M Neeff
Affiliation:
Department of Paediatric Otolaryngology – Head and Neck Surgery, Starship Children's Hospital, Auckland, New Zealand
*
Author for correspondence: Dr O Rose, Department of Paediatric Otolaryngology – Head and Neck Surgery, Starship Children's Hospital, Auckland, New Zealand E-mail: [email protected]

Abstract

Objective

This study aimed to investigate whether children with cochlear implants received the recommended vaccinations according to New Zealand national immunisation guidelines and to report the incidence of meningitis in this population after intervention.

Method

A retrospective review of the vaccination coverage of paediatric patients receiving cochlear implants between 2005 and 2019 was performed.

Results

Data were collected on 203 children. Evidence of immunisation against Haemophilus influenza B was documented in 94.1 per cent of this cohort and 21.2 per cent received the seasonal influenza vaccine. The pneumococcal conjugate vaccine was fully administered in 81.8 per cent of children; however, only 16.9 per cent of eligible children had received the pneumococcal polysaccharide vaccine. There was marked improvement in compliance to the pneumococcal conjugate vaccine once it became fully funded for cochlear implant patients.

Conclusion

Despite established guidelines, the paediatric vaccination rates were less than expected. Work is in progress to address this.

Type
Main Article
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr O Rose takes responsibility for the integrity of the content of the paper

References

Wilson, BS. Engineering design of cochlear implants. In: Zeng, FG, Popper, AN, Fay, RR, eds. Cochlear Implants: Auditory Prostheses and Electric Hearing. New York: Springer-Verlag, 2004;14–52Google Scholar
Cochlear Limited. D1712187. Cochlear Nucleus Reliability Report, Volume 18 December 2019. In: https://www.cochlear.com [1 March 2020]Google Scholar
Wilson, BS. The modern cochlear implant: a triumph of biomedical engineering and the first substantial restoration of human sense using a medical intervention. IEEE Pulse 2017;8:2932CrossRefGoogle ScholarPubMed
Reefhuis, J, Honein, MA, Whitney, CG, Chamany, S, Mann, EA, Biernath, KR et al. Risk of bacterial meningitis in children with cochlear implants. N Engl J Med 2003;349:435–45CrossRefGoogle ScholarPubMed
Lalwani, AK, Cohen, NL. Longitudinal risk of meningitis after cochlear implantation associated with the use of the positioner. Otol Neurotol 2011;32:1082–510.1097/MAO.0b013e31822a1ea1CrossRefGoogle ScholarPubMed
Biernath, KR, Reefhuis, J, Whitney, CG, Mann, EA, Costa, P, Eichwald, J et al. Bacterial meningitis among children with cochlear implants beyond 24 months after implantation. Pediatrics 2006;117:284–9CrossRefGoogle ScholarPubMed
Parner, ET, Reefhuis, J, Schendel, D, Thomsen, J, Ovesen, T, Thorsen, P. Hearing loss diagnosis followed by meningitis in Danish children. Otolaryngol Head Neck Surg 2007;136:428–33CrossRefGoogle ScholarPubMed
Terry, B, Kelt, RE, Jeyakumar, A. Delayed complications after cochlear implantation. JAMA Otolaryngol Head Neck Surg 2015;141:1012–17CrossRefGoogle ScholarPubMed
Kahue, CN, Sweeney, AD, Carlson, ML, Haynes, DS. Vaccination recommendations and risk of meningitis following cochlear implantation. Curr Opin Otolaryngol Head Neck Surg 2014;22:359–69CrossRefGoogle ScholarPubMed
Mylanus, E, Rotteveel Leeuw, R. Congenital malformation of the inner ear and pediatric cochlear implantation. Otol Neurotol 2004;25:308–17CrossRefGoogle ScholarPubMed
Government of Canada. Immunization of persons with chronic disease: Canadian immunization guide. In: https://www.canada.ca/en.html [1 March 2020]Google Scholar
The Immunisation Advisory Centre. Funded vaccines for special groups from 1st July 2017. In: http://www.immune.org.nz [1 March 2020]Google Scholar
Mitchell, S, Nakhid-Schuster, L, Neeff, M. Adult cochlear implant recipients and meningitis in New Zealand: are patients receiving the recommended immunizations? N Z Med J 2020;133:1420Google Scholar
Cohen, NL, Roland, JT Jr, Marrinan, M. Meningitis in cochlear implant recipients: the North American experience. Otol Neurotol 2004;25:275–8110.1097/00129492-200405000-00013CrossRefGoogle ScholarPubMed
New Zealand Ministry of Health. What is the national immunisation register (NIR). In: https://www.health.govt.nz/ [1 March 2020]Google Scholar
Piotrowska, A, Paradowska-Stankiewicz, I, Skarzynski, H. Rates of vaccination against streptococcus pneumoniae in cochlear implant patients. Med Sci Monit 2017;23:4567–73CrossRefGoogle ScholarPubMed
Fernandez-Prada, M, Madronal-Menendez, J, Martinez-Ortega, C, Ramos-Martin, P, Fernandez-Noval, F, Huerta-Gonzalez, I et al. Evaluation of vaccination coverage in cochlear implant patients at a referral hospital in Northern Spain. Acta Otorrhinolaringol Esp 2019;70:336–41Google Scholar
Carpenter, R, Limb, C, Francis, H, Gottschalk, B, Niparko, J. Programmatic challenges in obtaining and confirming the pneumococcal vaccination status of cochlear implant recipients. Otol Neurotol 2010;31:1334–6CrossRefGoogle ScholarPubMed
Volsky, PG, Ballard, DA, Moody-Antonio, S. Documenting immunization of children in a cochlear implant program. Otol Neurotol 2014;35:246–52CrossRefGoogle Scholar
Rubin, LG, Papsin, B. Cochlear implants in children: surgical site infections and prevention and treatment of acute otitis media and meningitis. Pediatrics 2010;126:381–91CrossRefGoogle ScholarPubMed
Clements, D, Langdon, L, Bland, C, Walter, E. Influenza A vaccine decreases the incidence of otitis media in 6–30 month old children in day care. Arch Pediatric Adolesc Med 1995;149:1113–17CrossRefGoogle Scholar
Heikkinen, T, Ruuskanen, O, Waris, M, Ziegler, T, Arola, M, Halonen, P. Influenza vaccination in the prevention of acute otitis media in children. AM J Dis Child 1991;145:445–8Google ScholarPubMed
Breiman, R, Spika, J, Navarro, V, Darden, P, Darby, C. Pneumococcal bacteremia in Charleston County, South Carolina – a decade later. Arch Intern Med 1990;150:1401–5CrossRefGoogle ScholarPubMed
Nowland, M, Murfitt, D, Turner, N. Age is not just a number – synopsis of the 5th New Zealand influenza symposium 2019. N Z Med J 2019;132:7782Google Scholar
Andre, K, Gavrilov, V, Graham, S, Scheck, S, Chandler, A, Hunter, K et al. Influential factors in patient uptake of influenza vaccination during pregnancy; a survey-based audit of a tertiary hospital setting. N Z Med J 2019;132:4251Google ScholarPubMed
Naleway, A, Henkle, E, Ball, S, Bozeman, S, Gaglani, MJ, Kennedy, ED et al. Barriers and facilitators to influenza vaccination and vaccine coverage in a cohort of health care personnel. Am J Infect Control 2014;42:371–5CrossRefGoogle Scholar
Kadi, Z, Atif, ML, Brenet, A, Izoard, S, Astagneau, P. Barriers of influenza vaccination in health care personnel in France. Am J Infect Control 2016;44:361–2CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. Estimated influenza illnesses, medical visits, hospitalizations and deaths in the United States 2018–2019 influenza season. In: https://www.cdc.gov/ [1 March 2020]Google Scholar
Cooper, S, Walton-Moss, B. Using reminder/recall systems to improve influenza immunization rates in children with asthma. J Pediatr Health Care 2013;27:327–33CrossRefGoogle Scholar
Jin, L, Tellez, P, Chia, R, Lu, D, Chadha, NK, Pauwels, J et al. Improving vaccination uptake in pediatric cochlear implant recipients. J Otolaryngol Head Neck Surg 2018;47:56. In: https://doi.org/10.1186/s40463-018-0308-5 [1 March 2020]CrossRefGoogle ScholarPubMed