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Barriers to Pretransplant Immunization: A Qualitative Interview Study of Pediatric Solid Organ Transplant Stakeholders.
Feldman, Amy G; Marsh, Rebekah; Kempe, Allison; Morris, Megan A.
Afiliação
  • Feldman AG; Section of Gastroenterology, Hepatology and Nutrition and the Digestive Health Institute, Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine & Children's Hospital Colorado, Aurora, CO. Electronic address: amy.feldman@
  • Marsh R; Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado, Aurora, CO.
  • Kempe A; Department of Pediatrics, Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS) University of Colorado School of Medicine & Children's Hospital Colorado, Aurora, CO.
  • Morris MA; Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado & Children's Hospital Colorado, Aurora, CO.
J Pediatr ; 227: 60-68, 2020 12.
Article em En | MEDLINE | ID: mdl-32681988
OBJECTIVES: To describe the experiences and beliefs of pediatric transplant stakeholders regarding factors that contribute to low pretransplant immunization rates. STUDY DESIGN: Semistructured interviews were conducted with transplant team members (hepatologists, cardiologists, nephrologists, transplant nurse coordinators, and transplant infectious diseases physicians), primary care physicians, and parents of heart, liver, and kidney transplant recipients at 3 geographically diverse large pediatric transplant centers in the US. Interviews were conducted between July 2017 and February 2020 until thematic saturation was reached within each stakeholder subgroup. Content analysis methodology was used to identify themes. RESULTS: Stakeholders participated in 30- to 60-minute interviews (16 transplant subspecialists, 3 transplant infectious diseases physicians, 11 transplant nurse coordinators, 12 primary care physicians, and 40 parents). Five central themes emerged: (1) gaps in knowledge about timing and safety of pretransplant immunizations, (2) lack of communication, coordination, and follow-up between team members regarding immunizations, (3) lack of centralized immunization records, (4) subspecialty clinic functioning as the medical home for transplant candidates but unable to provide all needed immunizations, and (5) differences between organ type in prioritization and completion of pretransplant immunization. CONCLUSIONS: There are multiple factors that contribute to low immunization rates among pediatric transplant candidates. New tools are needed to overcome these barriers and increase immunization rates in transplant candidates.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Conhecimentos, Atitudes e Prática em Saúde / Transplante de Órgãos / Imunização Tipo de estudo: Clinical_trials / Prognostic_studies / Qualitative_research Limite: Child / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Conhecimentos, Atitudes e Prática em Saúde / Transplante de Órgãos / Imunização Tipo de estudo: Clinical_trials / Prognostic_studies / Qualitative_research Limite: Child / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos