Pediatric rheumatology

Influenza knowledge and barriers to vaccination in immunosuppressed patients in the pediatric rheumatology clinic

Pediatr Rheumatol Online JPublished Cross-sectional study

Authors' conclusion

This survey indicates that respondents understand the potential severity of influenza and the increased risk of infection due to immunosuppressive medication use; however, many inaccurately identified the most common symptoms of influenza and also reported misconceptions of influenza vaccine risks.

Study context

Population
Pediatric rheumatology patients on immunosuppressive medication or their parent, July 2019–January 2020
Participants
226 completed surveys
Exposure
Parents vs patients
  • Parentsn = 145
  • Patientsn = 81reference
Outcome
Provider vaccine recommendations, influenza knowledge and barriers to influenza vaccination
Methodological detailssurvey, quality improvement
  • Survey
  • Quality improvement

Main finding

As reported in the abstract

Influenza vaccine reported as recommended
85%
Reason for not vaccinating: worry about disease flare
25.6%
Reason for not vaccinating: concern the vaccine will cause influenza
25.6%
Reason for not vaccinating: lack of vaccine effectiveness
20.5%
Answered gastrointestinal symptoms as most common influenza symptoms
23%
Answered joint swelling as most common influenza symptom
10.2%
Aware immunosuppressive medication increases infection risk
95.1%

Observational data: associations, not effects.

Further findings

Worry about disease flare

P = 0.024

Average weekly influenza vaccination rate · 2019-2020 flu season

2019-2020 flu season
85.5%
Previous year
72.0%

Vaccination by parental education

Parents with higher education status more likely to have their child receive the influenza vaccine than parents with less education

Original publication

Influenza knowledge and barriers to vaccination in immunosuppressed patients in the pediatric rheumatology clinic. Pediatr Rheumatol Online J. Published 18 December 2024. doi:10.1186/s12969-024-01048-1

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