Evidence map›Paper›PMID 42341150›Full record

ArticleEuropean journal of public health2026

'Veni, Vidi, Vaccini': consensus-based vaccination pathway implementation in a paediatric tertiary hospital in Tuscany, Italy.

Walter Maria Sarli, Matilde Peri, Clementina Canessa, Francesca Lippi, Lorenzo Lodi, Francesca Menegazzo, Francesco Puggelli, Chiara Azzari, Silvia Ricci, FRAGI-le (Frontline Response Against Gaps in Immunisation) Group

Abstract read
In one paragraph

Article in European journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Walter Maria SarliImmunology Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Matilde PeriDepartment of Health Sciences, University of Florence, Florence, Italy.
Clementina CanessaImmunology Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Francesca LippiImmunology Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Lorenzo LodiImmunology Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Francesca MenegazzoHealth Management Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Francesco PuggelliHealth Management Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Chiara AzzariImmunology Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Silvia RicciImmunology Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
FRAGI-le (Frontline Response Against Gaps in Immunisation) Group

Funding

Current Research Annual Funding' of the Italian Ministry of HealthGlaxoSmithKline (GSK)
6 · The paper itself

Abstract

Fragile paediatric patients are at higher risk of vaccine-preventable diseases, yet coverage remains suboptimal. Hospitalisation offers an opportunity to review and update immunisation, but fragmented practices create inequities, with access depending more on hospital context than clinical need. This study aimed to design, implement, and evaluate an in-hospital vaccination pathway for these patients. A mixed-methods approach was undertaken at Meyer Children's Hospital IRCCS, Florence, Italy. Baseline assessment included nine focus groups and an online questionnaire with healthcare professionals from units managing fragile patients, exploring practices, barriers, and needs. Findings informed the co-design of a pathway integrating documentation review, catch-up planning, and in-hospital delivery coordinated by the Immunology Unit. Administrative data on non-SARS-CoV-2 vaccinations in fragile patients (2022-2025) were analysed. Most respondents supported hospital-based vaccination (94.2%) but reported gaps in registry access, spaces, and training. Only 67.6% collected vaccination history systematically, 14.4% always mentioned vaccination in discharge letters, and 15.9% always recommended family immunisation. Despite acknowledging low influenza coverage (60.9% declared coverage <50%), 15.9% expressed hesitancy in administering non-live vaccines, mainly due to efficacy concerns (55.9%). After implementation, vaccine administrations increased from 361 in the 2022-2023 season to 752 in the 2024-2025 season (+108.3%; P < .0001). Increases were observed after staff sensitisation, with further growth following the creation of the hospital vaccination centre. A structured hospital-based vaccination pathway for fragile paediatric patients is feasible, well accepted, and associated with increased vaccine administrations within the hospital care pathway. Broader adoption could reduce inequities and strengthen vaccine access for high-risk children.

Indexed as

Hospitals, PediatricImmunization ProgramsTertiary Care CentersVaccinationChildChild, PreschoolConsensusFemaleFocus GroupsHumansInfantItalyMaleSurveys and Questionnaires

Identifiers

PMID42341150
PMCPMC13293060

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.