Vaccination uptake for pertussis and influenza vaccines in pregnancy among different practices at a single institution.

Abstract

OBJECTIVE:

The authors investigated tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) and influenza vaccination during pregnancy following Advisory Committee on Immunization Practices' (ACIP's) recommendation for antenatal pertussis vaccination.

METHODS:

A retrospective chart review was performed in 2019 of women receiving prenatal care at our institution between January 1, 2014 and December 31, 2018. Receipt of ACIP-recommended vaccines were examined using Current Procedural Terminology codes to identify initiation of prenatal care, then administration of Tdap and influenza vaccines. Data were examined by individual practice (university faculty, community physicians, obstetrics and gynecology (OBGYN) residents, and family medicine residents, practice staff composition, vaccination protocol use, and insurance status. Statistical analyses were performed using χ2 testing and χ2 testing of linear trend.

RESULTS:

Within our cohort (n = 17 973), highest vaccination uptake occurred in the university-based OBGYN faculty practice (Tdap = 58.2%, influenza = 56.5%) with lowest uptake in the OBGYN resident practice (Tdap = 28.6%, influenza = 18.5%). Higher uptake occurred in practices with standing orders, more advanced practice providers, lower provider to nursing ratios, and lower rates of Medicaid insurance.

CONCLUSION:

These data demonstrated higher vaccination uptake with standing orders, more advanced practice providers, and lower provider to nurse ratios. Future work optimizing practice staff composition and vaccination protocols may increase vaccine uptake.

• Authors: C Nieuwoudt, C F Reeder, H K Moss, J B van Nes, W W Schoutko, J W Jeter, K B Fortner
• Journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics (Int J Gynaecol Obstet) Vol. 162 Issue 1 Pg. 169-175 (Jul 2023) ISSN: 1879-3479 [Electronic] United States
• PMID: 37078486 (Publication Type: Journal Article)
• Copyright: © 2023 International Federation of Gynecology and Obstetrics.

Chemical References

• Influenza Vaccines
• Diphtheria-Tetanus-acellular Pertussis Vaccines
• Pertussis Vaccine

Topics

• United States
• Female
• Humans
• Pregnancy
• Influenza Vaccines
• Whooping Cough (prevention & control)
• Influenza, Human (prevention & control)
• Diphtheria-Tetanus-acellular Pertussis Vaccines
• Retrospective Studies
• Vaccination
• Pertussis Vaccine