Evidence map›Paper›PMID 30411430›Full record

ArticleJournal of paediatrics and child health2019

Paediatric immunisation and chemoprophylaxis in a Ugandan sickle cell disease clinic.

Chung-Jen Chen, Sabrina Bakeera-Kitaka, Ezekiel Mupere, Philip Kasirye, Deogratias Munube, Richard Idro, Heather Hume, Betsy Pfeffer, Philip LaRussa, Nancy S Green

Abstract read
In one paragraph

Article in Journal of paediatrics and child health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Chung-Jen ChenDepartment of Pediatrics, Columbia University Medical Center, New York, New York, United States.
Sabrina Bakeera-KitakaDepartment of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Ezekiel MupereDepartment of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Philip KasiryeDepartment of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Deogratias MunubeDepartment of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Richard IdroDepartment of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Heather HumeDepartment of Pediatrics, University of Montreal, Central University Hospital Saint Justine, Montreal, Quebec, Canada.
Betsy PfefferDepartment of Pediatrics, Columbia University Medical Center, New York, New York, United States.
Philip LaRussaDepartment of Pediatrics, Columbia University Medical Center, New York, New York, United States.
Nancy S GreenDepartment of Pediatrics, Columbia University Medical Center, New York, New York, United States.ORCID https://orcid.org/0000-0002-9877-1561

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Burden and Risk of Neurological and Cognitive Impairment in Pediatric Sickle Cell Anemia in UgandaR21HD089791 · NICHD · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI GREEN, NANCY S., IDRO, RICHARD IWA · 2016 to 2018
$318k
IFAP Global Program of Columbia University Medical CenterNCATS NIH HHS UL1 TR001873NICHD NIH HHS R21 HD089791NIH HHS 1R21HD089791NIH HHS 1UL1TR001873
6 · The paper itself

Abstract

aimWe aimed to assess the receipt of recommended care for young children with sickle cell disease (SCD) in a central SCD clinic in Kampala Uganda, focusing on standard vaccination and antibacterial and antimalarial prophylaxis.

methodsA cross-sectional assessment of immunisation status and timeliness and prescribed antibacterial and antimalarial prophylaxis was performed in a sample with SCD aged ≤71 months in Mulago Hospital SCD Clinic. Government-issued immunisation cards and clinic-issued visit records for prescribed prophylaxis were reviewed.

resultsVaccinations were documented by immunisation cards in 104 patients, mean age 31.7 months (range 3-70 months). Only 48 (46.2%) received all doses of each of the four recommended vaccine types, including pneumococcal 10-valent conjugate vaccine (pneumococcal conjugate vaccine (PCV)-10), which became available in 2014. Vaccination completion was associated with younger age and, for polio, maternal employment. PCV-10 series was completed in 54.8% of the sample and in 18.2% of those aged 48-71 months. Of children completing all vaccination types, an average 68.8% were immunised on time, defined as <60 days beyond the recommended age. Only 17 (13.5%) children were both fully and timely vaccinated. In an overlapping sample of 147 children, with a mean age of 38.4 months (4-70 months), 81.6% had ≥1 documented prescription for penicillin and/or antimalarial prophylaxis.

conclusionsStandardised vaccination and antibacterial and antimalarial protective measures for young children at this central SCD clinic were incomplete, especially PCV-10 for age ≥24 months, and often late. Child age, but not general maternal demographics, were associated with vaccination and chemoprophylaxis. Clinic-based oversight may improve timely uptake of these preventative measures.

Indexed as

Ambulatory CareAnemia, Sickle CellChemopreventionChildChild, PreschoolCommunicable Disease ControlCross-Sectional StudiesDeveloping CountriesFemaleHumansImmunization ProgramsIncidenceInfantMalariaMalePneumococcal Infections10-valent pneumococcal conjugate vaccinePneumococcal Vaccineshaematologyimmunisationinternational child healthsickle cell disease

Identifiers

PMID30411430
PMCPMC6509021

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.