This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Mary Lou Lindegren, MD; William L. Atkinson, MD, MPH; Karen M. Farizo, MD; Paul A. Stehr-Green, DrPH

JAMA. 1993;270(18):2185-2189.

Abstract
Objective.
—To determine the proportion of preschool-aged patients attending two inner-city hospital pediatric emergency departments (EDs) who were eligible for measles vaccination, to describe their demographic and clinical characteristics, and to assess the performance of the ED immunization programs that were implemented during a measles outbreak in vaccinating eligible children.

Design.
—Cross-sectional study.

Setting.
—Pediatric EDs of two urban hospitals in Chicago, Ill., in 1989.

Participants.
—Children 6 months to 5 years of age seen in the EDs.

Intervention.
—None.

Main Outcome Measures.
—The proportion of preschool-aged patients attending the two EDs who were eligible for measles vaccination and the proportion of vaccine-eligible children who were given measles vaccine.

Results.
—Of 508 ED patients at hospital A and 255 patients at hospital B, 18% and 29%, respectively, were considered to be vaccine eligible. The most common discharge diagnoses of eligible patients were viral syndrome, otitis media, and minor trauma. Of vaccine-eligible patients, 59% at hospitals A and B were not vaccinated in the ED. At hospital B, patients with an infectious or respiratory disease diagnosis were less likely to be vaccinated than those with other diagnoses (P<.05).

Conclusions.
—Many children seen in these EDs were eligible for measles vaccination, and many eligible patients were not vaccinated. During community outbreaks of measles, optimal vaccination programs in pediatric EDs could increase vaccination coverage among inner-city preschool-aged children who may have limited access to health care.

(JAMA. 1993;270:2185-2189)

Author Affiliations
From the Division of Immunization, National Center for Prevention Services, Centers for Disease Control and Prevention, Atlanta, Ga. Dr Lindegren is now with the Division of HIV/AIDS, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Ga. Dr Farizo is now with the Center for Biologics Evaluation and Research, Food and Drug Administration, Bethesda, Md.

Footnotes
Reprint requests to the Division of Immunization, Mailstop E05, Centers for Disease Control and Prevention, Atlanta, GA 30333 (Dr Atkinson).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Strategies to Sustain Success in Childhood Immunizations
The National Vaccine Advisory Committee
JAMA 1999;282:363-370.
ABSTRACT | FULL TEXT  

Effect of 2 Urban Emergency Department Immunization Programs on Childhood Immunization Rates
Szilagyi et al.
Arch Pediatr Adolesc Med 1997;151:999-1006.
ABSTRACT  

Effect of Emergency Department Immunizations on Immunization Rates and Subsequent Primary Care Visits
Rodewald et al.
Arch Pediatr Adolesc Med 1996;150:1271-1276.
ABSTRACT  

Reducing Missed Opportunities for Immunizations: Easier Said Than Done
Szilagyi et al.
Arch Pediatr Adolesc Med 1996;150:1193-1200.
ABSTRACT  

Who Needs an Immunization in a Pediatric Subspecialty Clinic?
Basco et al.
Arch Pediatr Adolesc Med 1996;150:508-511.
ABSTRACT  

Emergency Medicine
Goldfrank
JAMA 1995;273:1673-1674.
ABSTRACT  

MEASLES VACCINATION EFFORTS FALL SHORT IN THE ED
JWatch General 1993;1993:3-3.
FULL TEXT  

Vaccination in Pediatric Emergency Departments
Olson
JAMA 1993;270:2222-2223.
ABSTRACT