Uptake of Vaccinations among Children with Chronic Diseases Is Affected by Knowledge Gaps and Implementation Challenges in Italy

(1) Background: Children with chronic medical conditions may be at increased risk for severe complications related to vaccine-preventable infections. Therefore, additional booster doses or supplementary vaccines are recommended, over and above the routine immunization schedule for healthy children....

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Autores principales:	Alessandra Beni, Sara Mazzilli, Elisabetta Bellino, Giorgio Costagliola, Elena Ferretti, Pier Luigi Lopalco, Lara Tavoschi, Diego Giampietro Peroni
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	immunization child pediatrician knowledge practice vaccination attitude Medicine R
Acceso en línea:	https://doaj.org/article/baea83628a8d469f880fa0ee4000a6ed
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spelling	oai:doaj.org-article:baea83628a8d469f880fa0ee4000a6ed2021-11-25T19:10:07ZUptake of Vaccinations among Children with Chronic Diseases Is Affected by Knowledge Gaps and Implementation Challenges in Italy10.3390/vaccines91112172076-393Xhttps://doaj.org/article/baea83628a8d469f880fa0ee4000a6ed2021-10-01T00:00:00Zhttps://www.mdpi.com/2076-393X/9/11/1217https://doaj.org/toc/2076-393X(1) Background: Children with chronic medical conditions may be at increased risk for severe complications related to vaccine-preventable infections. Therefore, additional booster doses or supplementary vaccines are recommended, over and above the routine immunization schedule for healthy children. The aim of this study was to investigate attitude, knowledge, and practices toward additional vaccinations for children affected by chronic conditions among pediatricians and parents. (2) Methods: This study is based on two surveys: (i) a national cross-sectional survey, targeting pediatrician working in hospitals or in the primary health sector; (ii) a local cross-sectional survey, targeting parents of children with a previous diagnosis of chronic disease. (3) Results: Despite the fact that most of the health professionals and parents interviewed had an overall positive vaccine attitude, most pediatricians did not show an adequate knowledge of additional vaccinations for children affected by chronic diseases. Moreover, the coverage of additional recommended vaccinations in chronic pediatric patients was low. (4) Conclusions: This research highlighted important existing challenges hampering optimal vaccination coverage among pediatric chronic patients, including knowledge gaps on tailored vaccination schedules among pediatricians and organizational issues. The ongoing review of the Italian national immunization plan is a not-to-be-missed-opportunity to include evidence-based, detailed, and comprehensive recommendations on vaccinations for children affected by chronic conditions.Alessandra BeniSara MazzilliElisabetta BellinoGiorgio CostagliolaElena FerrettiPier Luigi LopalcoLara TavoschiDiego Giampietro PeroniMDPI AGarticleimmunizationchildpediatricianknowledgepracticevaccination attitudeMedicineRENVaccines, Vol 9, Iss 1217, p 1217 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	immunization child pediatrician knowledge practice vaccination attitude Medicine R
spellingShingle	immunization child pediatrician knowledge practice vaccination attitude Medicine R Alessandra Beni Sara Mazzilli Elisabetta Bellino Giorgio Costagliola Elena Ferretti Pier Luigi Lopalco Lara Tavoschi Diego Giampietro Peroni Uptake of Vaccinations among Children with Chronic Diseases Is Affected by Knowledge Gaps and Implementation Challenges in Italy
description	(1) Background: Children with chronic medical conditions may be at increased risk for severe complications related to vaccine-preventable infections. Therefore, additional booster doses or supplementary vaccines are recommended, over and above the routine immunization schedule for healthy children. The aim of this study was to investigate attitude, knowledge, and practices toward additional vaccinations for children affected by chronic conditions among pediatricians and parents. (2) Methods: This study is based on two surveys: (i) a national cross-sectional survey, targeting pediatrician working in hospitals or in the primary health sector; (ii) a local cross-sectional survey, targeting parents of children with a previous diagnosis of chronic disease. (3) Results: Despite the fact that most of the health professionals and parents interviewed had an overall positive vaccine attitude, most pediatricians did not show an adequate knowledge of additional vaccinations for children affected by chronic diseases. Moreover, the coverage of additional recommended vaccinations in chronic pediatric patients was low. (4) Conclusions: This research highlighted important existing challenges hampering optimal vaccination coverage among pediatric chronic patients, including knowledge gaps on tailored vaccination schedules among pediatricians and organizational issues. The ongoing review of the Italian national immunization plan is a not-to-be-missed-opportunity to include evidence-based, detailed, and comprehensive recommendations on vaccinations for children affected by chronic conditions.
format	article
author	Alessandra Beni Sara Mazzilli Elisabetta Bellino Giorgio Costagliola Elena Ferretti Pier Luigi Lopalco Lara Tavoschi Diego Giampietro Peroni
author_facet	Alessandra Beni Sara Mazzilli Elisabetta Bellino Giorgio Costagliola Elena Ferretti Pier Luigi Lopalco Lara Tavoschi Diego Giampietro Peroni
author_sort	Alessandra Beni
title	Uptake of Vaccinations among Children with Chronic Diseases Is Affected by Knowledge Gaps and Implementation Challenges in Italy
title_short	Uptake of Vaccinations among Children with Chronic Diseases Is Affected by Knowledge Gaps and Implementation Challenges in Italy
title_full	Uptake of Vaccinations among Children with Chronic Diseases Is Affected by Knowledge Gaps and Implementation Challenges in Italy
title_fullStr	Uptake of Vaccinations among Children with Chronic Diseases Is Affected by Knowledge Gaps and Implementation Challenges in Italy
title_full_unstemmed	Uptake of Vaccinations among Children with Chronic Diseases Is Affected by Knowledge Gaps and Implementation Challenges in Italy
title_sort	uptake of vaccinations among children with chronic diseases is affected by knowledge gaps and implementation challenges in italy
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/baea83628a8d469f880fa0ee4000a6ed
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Uptake of Vaccinations among Children with Chronic Diseases Is Affected by Knowledge Gaps and Implementation Challenges in Italy

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