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Research ArticleOriginal Research

Increasing Rates of Influenza Vaccination During Pregnancy: A Multisite Interventional Study

David H. Wallis, Jennifer L. Chin, Denise K. C. Sur and Michael Y. Lee
The Journal of the American Board of Family Medicine July 2006, 19 (4) 345-349; DOI: https://doi.org/10.3122/jabfm.19.4.345
David H. Wallis
MD
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Jennifer L. Chin
MD
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Denise K. C. Sur
MD
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Michael Y. Lee
MD
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Article Figures & Data

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    Figure 1.

    Effects of Intervention by Practice Type and Size.

Tables

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    Table 1.

    High Risk Populations

    High Risk*
        All persons 65 years of age or over
        All residents of long-term care facilities
        All persons over 6 months old with chronic illness, such as:
            Disorders of pulmonary or cardiovascular systems, eg, asthma
            Chronic metabolic diseases, eg, diabetes mellitus
            Renal dysfunction
            Hemoglobinopathies
            Immunosuppression, eg, HIV disease
        Children 6 months to 18 years on long-term aspirin therapy
        Healthy children 6 to 23 months old
        Household contacts of children under 2 years old
        Women who will be in their second or third trimester during influenza season
        Health care workers
        Household contacts of other high-risk persons
    Average risk
        All other groups
        Anyone without contraindications wishing to decrease their probability of infection
    Vaccine contraindications:
        Severe allergy to any vaccine component
            Egg
            Thimerosal
            Prior vaccine administration
        Moderate to severe acute febrile illness
    • * Current CDC recommendations (2005) advise immunization of all pregnant women, regardless of trimester, as well as conditions such as neuromuscular disorders that can compromise respiratory function or increase the risk for aspiration.

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    Table 2.

    Comparison of Vaccination Discussion Rates, Pre- and Post-Intervention

    TotalPre Years:2000–2002Proportion Pre (%)Post Year:2002–2003Proportion Post (%)Difference (Post–Pre) (%)P Value
    N before InterventionDiscussed PreN after InterventionDiscussed Post
    Small FP 129180011218.218.2.136
    Small FP 21980011763.663.6.013
    Large FP17813153.8472246.843<.001
    Small OB 1996246.5372054.147.6<.001
    Small OB 220112332.4783544.942.4<.001
    Large OB1558103580.85236913.212.4<.001
    FP overall22615753.2693144.941.7<.001
    OB overall18581220151.263812419.418.2<.001
    Small practice overall34821173.31376446.743.4<.001
    Large practice overall17361166131.1570911614.8<.001
    Overall20841377201570715521.920.5<.001
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The Journal of the American Board of Family Medicine: 19 (4)
The Journal of the American Board of Family Medicine
Vol. 19, Issue 4
July-August 2006
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Increasing Rates of Influenza Vaccination During Pregnancy: A Multisite Interventional Study
David H. Wallis, Jennifer L. Chin, Denise K. C. Sur, Michael Y. Lee
The Journal of the American Board of Family Medicine Jul 2006, 19 (4) 345-349; DOI: 10.3122/jabfm.19.4.345

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Increasing Rates of Influenza Vaccination During Pregnancy: A Multisite Interventional Study
David H. Wallis, Jennifer L. Chin, Denise K. C. Sur, Michael Y. Lee
The Journal of the American Board of Family Medicine Jul 2006, 19 (4) 345-349; DOI: 10.3122/jabfm.19.4.345
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