Immunization History of Children with Inflammatory Bowel Disease

Ing Shian Soon · Jennifer CC deBruy · Iwona T. Wrobel

18 citations0/0 files storedCanadian Journal of Gastroenterology

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Vaccine Coverage and Hesitancy Inflammatory Bowel Disease Child and Adolescent Health

Abstract

BACKGROUND: Protection against vaccine-preventable diseases is important in children with inflammatory bowel disease (IBD) due to frequent immunosuppressive therapy use. The chronic relapsing nature and treatment regimen of IBD may necessitate modified timing of immunizations. OBJECTIVE: To evaluate the completeness of immunizations in children with IBD. METHODS: Immunization records of all children with IBD followed at the Alberta Children's Hospital (Calgary, Alberta) were reviewed. For children with incomplete immunization according to the province of Alberta schedule, the reasons for such were clarified. Demographic data and age at diagnosis were also collected. RESULTS: Immunization records were obtained from 145 (79%) children with IBD. Fifteen children had incomplete routine childhood immunizations, including two with no previous immunizations. The most common incomplete immunizations included hepatitis B (n=9), diphtheria, tetanus, acellular pertussis at 14 to 16 years of age (n=7), and diphtheria, tetanus, acellular pertussis, inactivated polio at four to six years of age (n=6). The reasons for incomplete immunization included use of immunosuppressive therapy at time of scheduled immunization; IBD-related symptoms at time of scheduled immunization; parental refusal; recent move from elsewhere with different immunization schedule; unawareness of routine immunization; and needle phobia. CONCLUSIONS: Although the majority of children with IBD had complete childhood immunizations, suboptimal immunizations were present in 10%. With increasing use of immunosuppressive therapy in IBD, physicians caring for children with IBD must periodically evaluate immunization status and ensure the completeness of childhood immunizations.

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2006Patients with Inflammatory Bowel Disease Are at Risk for Vaccine-Preventable Illnesses 1989Canadian Immunization Guide.2000Immunization of Pediatric Solid Organ Transplant Candidates and Recipients 2003Factors influencing uptake of influenza vaccination in patients with rheumatoid arthritis

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2013Immunization status in children with inflammatory bowel disease 2023Vaccination coverage in children with juvenile idiopathic arthritis, inflammatory bowel diseases, and healthy peers: Cross-sectional electronic survey data 2022Immunisation status of children and adolescents with a new diagnosis of inflammatory bowel disease

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