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Tuesday, October 19, 2004 - 2:15 PM
3

Using an immunization registry to evaluate provider adherence to pneumococcal conjugate vaccination recommendations during a time of shortage

Norma J. Allred1, Abigail Shefer2, Maureen Kolasa2, John Stevenson2, Diana Bartlett2, Richard Schieber2, and Kyle Enger3. (1) Immunization Services Division, HSREB, National Immunization Program, CDC, 1600 Clifton Rd, ND, Mailstop E-52, Atlanta, GA, USA, (2) NIP/ISD/HSREB, CDC, 1600 Clifton Road, NE, MS-E52, Atlanta, GA, USA, (3) Michigan Department of Community Health, Lansing, MI, USA


BACKGROUND:
Pneumococcal conjugate vaccine (PCV) has most recently experienced a disruption in supply since February 2004. In order to extend available supplies to the highest risk children, it was recommended that providers delay administration of the third and fourth doses of vaccine to healthy children. We used registry data from Michigan to evaluate adherence to temporary vaccine recommendations during a vaccine shortage and its effect on coverage rates.

OBJECTIVE:
To determine if health care providers are complying with CDC recommendations for administration of the third and fourth doses of PCV during a shortage.

METHOD:
Data on individual immunization records were obtained for children enrolled in the statewide Michigan Immunization Registry (MCIR) from January 1, 2000 to February 29, 2004 when vaccine was in full and short supply. Children’s immunization status for receipt of DTaP 1, 2 and 3 and MMR 1 was compared to receipt of PCV 1, 2, 3 and 4, respectively. Proportion of children immunized for each matched pair of vaccines was calculated.

RESULT:
Almost ninety percent of children under six years of age are enrolled in MCIR with two or more immunizations and over 75% percent of providers submit data. We will present results showing adherence to vaccine recommendations and coverage rates by provider type and region.

CONCLUSION:
Immunization registries can assist in monitoring the effects of vaccine shortages.

LEARNING OBJECTIVES:
Describe how registry data can be used to evaluate provider adherence to vaccine recommendations.


[ Recorded presentation ]   Recorded presentation

See more of Using Immunization Registries for Influenza and Pneumococcal Recall Efforts and to Monitor Provider Adherence to Vaccine Recommendations
See more of The 2004 Immunization Registry Conference