{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:07:40Z","timestamp":1780445260178,"version":"3.54.1"},"reference-count":5,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012161","name":"Faculty of Medicine, University of British Columbia","doi-asserted-by":"publisher","award":["Florence E Heighway Summer Research Award"],"award-info":[{"award-number":["Florence E Heighway Summer Research Award"]}],"id":[{"id":"10.13039\/100012161","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> An Infectious Disease vaccine specialist joined our institution's Cochlear Implant Team in 2010 in order to address the high percentage of non-compliance to immunization prior to surgery identified previously from an internal review. The purpose of this study was to (1) review the immunization status of cochlear implant recipients in 2010\u20132014, (2) assess if introducing a vaccine specialist made a significant change in vaccination compliance and (3) elucidate any barriers to vaccination compliance. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Retrospective chart review and a telephone survey. Medical records of 116 cochlear implant recipients between 2010 and 2014 were reviewed. A telephone survey was conducted to obtain the current vaccination status in children who required post-operative vaccinations with incomplete records on chart review and, if applicable, the reason for non-compliance. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Between 2010 and 2014, 98% of children were up-to-date at the time of surgery, compared to 67% up-to-date at the time of surgery between 2002 and 2007. 27 children were included in our post-operative immunization analysis. 29.6% (8\/27) failed to receive necessary vaccinations post-surgery. Pneumovax-23, a vaccine for high-risk patients (such as cochlear implant candidates) was missed in all cases. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> Pre-operative vaccination for cochlear implant recipients improved dramatically with the addition of a vaccine specialist. However, a significant proportion of patients requiring vaccinations post-surgery did not receive them. The main reason for non-compliance was due to parents being unaware that their children required this vaccine postoperatively by being \u201chigh-risk\u201d. Although improvement was demonstrated, a communication gap continued to impede the adequacy of vaccination uptake in pediatric cochlear implant recipients following surgery at age 2 when the high-risk vaccine was due. <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-018-0308-5","type":"journal-article","created":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T13:16:03Z","timestamp":1537190163000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Improving vaccination uptake in pediatric Cochlear implant recipients"],"prefix":"10.1177","volume":"47","author":[{"given":"Lisa","family":"Jin","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, V6T 1Z3, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"T\u00e9llez","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology-Head and Neck Surgery, BC Children's Hospital, 4480 Oak St, V6H 3N1, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Chia","sequence":"additional","affiliation":[{"name":"Department of Audiology, BC Children's Hospital, 4480 Oak St, V6H 3N1, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphne","family":"Lu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, V6T 1Z3, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil K.","family":"Chadha","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, V6T 1Z3, Vancouver, BC, Canada"},{"name":"Division of Pediatric Otolaryngology-Head and Neck Surgery, BC Children's Hospital, 4480 Oak St, V6H 3N1, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Pauwels","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology-Head and Neck Surgery, BC Children's Hospital, 4480 Oak St, V6H 3N1, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Dobson","sequence":"additional","affiliation":[{"name":"Sidra Medical and Research Centre, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazim","family":"Al Eid","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Otolaryngology King Fahad Specialist Hospital, Dammam, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7615-3041","authenticated-orcid":false,"given":"Frederick K.","family":"Kozak","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, V6T 1Z3, Vancouver, BC, Canada"},{"name":"Division of Pediatric Otolaryngology-Head and Neck Surgery, BC Children's Hospital, 4480 Oak St, V6H 3N1, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,1,1]]},"reference":[{"key":"bibr1-s40463-018-0308-5","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2010.05.020"},{"key":"bibr2-s40463-018-0308-5","volume-title":"CURRENT Diagnosis & Treatment in Otolaryngology\u2014Head & Neck Surgery","author":"Gluth MB","year":"2011","edition":"3"},{"key":"bibr3-s40463-018-0308-5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa031101"},{"key":"bibr4-s40463-018-0308-5","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31823dbb08"},{"key":"bibr5-s40463-018-0308-5","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000227898.80656.54"}],"container-title":["Journal of Otolaryngology - Head &amp; 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