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1175. Influenza Vaccine Hesitancy in Hospitalized Children, Before and During the COVID-19 Pandemic
In: Open Forum Infect Dis (2021)
Abstract: BACKGROUND: Influenza vaccine is recommended for all children ≥6 months, yet uptake is suboptimal. We aimed to quantify child influenza vaccine coverage and identify factors associated with influenza vaccine hesitancy (VH) before and during the COVID-19 pandemic. METHODS: We conducted a prospective, repeated cross-sectional assessment in English and Spanish of caregiver influenza knowledge, attitudes, behaviors, and associated VH among hospitalized children 6 months through 18 years at a large pediatric medical institution. Caregivers were enrolled 4-5 days per week, between 12/11/2019--1/31/2020 and 12/8/2020--4/5/2021. VH was assessed using the Parent Attitudes about Childhood Vaccines (PACV) survey; PACV score ≥50 denoted VH. Descriptive statistics and multivariable logistic regression were used. RESULTS: During 2019-2020 and 2020-2021 influenza seasons, 269/282 (95%) and 295/307 (96%) of approached caregivers enrolled, respectively. By caregiver report, 94% of children in 2019-2020 and 91% in 2020-2021 were up-to-date with routine childhood vaccines (p=0.13). Specific to influenza vaccine, 73% and 68% of children received or planned to receive influenza vaccine in 2019-2020 and 2020-2021, respectively (p=0.13). Based on PACV score, 13% of parents were VH in 2019-2020 compared with 17% in 2020-2021 (p=0.24; Figure 1). Caregivers who had not/did not intend to vaccinate their children had a higher family income (71% vs. 57% >&30,000, p< 0.01) and were less likely to be Hispanic/Latino (35% vs. 47%, p=0.02). 77% of caregivers were satisfied with information about influenza vaccine received from healthcare providers. Overall, 36% believed “you can get the flu from the flu shot.” In 2020-2021, caregivers were less likely to believe that “flu can be a dangerous infection in children,” to be “scared of my child getting the flu” and to agree that “all children over 6 months of age should receive the flu shot every year” (Table 1). Table 1. Caregiver knowledge and attitudes about seasonal influenza vaccine, 2019-20 versus 2020-21 [Image: see text] Figure 1. Influenza vaccine uptake by PACV score during 2019-2020 (a) and 2020-2021 (b) seasons [Image: see text] CONCLUSION: During the COVID-19 pandemic, caregivers of hospitalized children were less concerned about influenza than pre-pandemic and misinformation about influenza and influenza vaccine persisted. Increased efforts may be needed to educate caregivers about the importance of influenza immunization during the 2021-22 season. DISCLOSURES: C. Mary Healy, MD, Dexcom (Shareholder)Intuitive (Shareholder)Quidel Corporation (Shareholder)Up to Date (Other Financial or Material Support, Honorarium)Vapotherm (Shareholder)
Keyword: Poster Abstracts
URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8644817/
https://doi.org/10.1093/ofid/ofab466.1368
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2
412. Estimating the Impact of School Classroom Sizes on the Probability of Severe Acute Respiratory Syndrome Coronavirus-2 Infectivity or Exposure
In: Open Forum Infect Dis (2021)
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3
960. Creation of an Infection Prevention and Control (IPAC) Elective for Infectious Disease (ID) Fellows
In: Open Forum Infect Dis (2021)
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4
1338. Before and After: The Impact of the COVID-19 Pandemic on Influenza-Like Illness Trends in PAIVED
In: Open Forum Infect Dis (2021)
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5
566. Impact of a Culturally Sensitive Multilingual Community Outreach Model on COVID-19 Vaccinations at an Urban Safety-net Community Hospital
In: Open Forum Infect Dis (2021)
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6
865. Social Media Secret Facebook Groups for HIV Pre-Exposure Prophylaxis Awareness among Female Sex Workers in Cameroon
In: Open Forum Infect Dis (2021)
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7
574. High Acceptance and Rapid Implementation of COVID-19 Vaccine in a Public HIV Clinic in Northern California: An Initial Analysis of Social Determinants
In: Open Forum Infect Dis (2021)
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925. Adverse Events Due to Inappropriate Prescribing in Older Adults Living with HIV
In: Open Forum Infect Dis (2020)
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1358. Using natural language processing to optimize case ascertainment of acute otitis media in a large, state-wide pediatric practice network
In: Open Forum Infect Dis (2020)
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10
486. Understanding Public Perception of COVID-19 Social Distancing on Twitter
In: Open Forum Infect Dis (2020)
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11
1028. Long-term Follow-up After a Switch to Bictegravir, Emtracitabine, Tenofovir Alafenamide from Dolutegravir, Abacavir, Lamivudine
In: Open Forum Infect Dis (2020)
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1121. Implementation and Evaluation of a Virtual Microbiology Laboratory for Pharmacy Students
In: Open Forum Infect Dis (2020)
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13
1124. Increasing Student Confidence in Antimicrobial Prescribing with a Novel Teaching Framework
In: Open Forum Infect Dis (2020)
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14
899. Reduction of Surgical Site Infections Post Cesarean Section through Implementation of Novel Evidenced Based Bundle
In: Open Forum Infect Dis (2020)
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15
1501. Pragmatic Assessment of Influenza Vaccine Effectiveness in the DoD (PAIVED): Updates from Year 2 of multi-site trial
In: Open Forum Infect Dis (2020)
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16
38. Strategies to Improve HPV Vaccination Rates Among Eligible Undergraduates and Graduate Students at Johns Hopkins University
In: Open Forum Infect Dis (2020)
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