G136(P) Immunisation of HIV Positive Children
Aims To determine if the immunisation schedules of thirty one children attending a tertiary paediatric HIV clinic in 2012 adhered to the Children’s HIV association guidelines on immunisation in HIV positive children.
Methods We looked at the immunisation records of the thirty one children attending the tertiary paediatric HIV clinic. A standard proforma was used for data collection from the health care records, clinic letters and ‘Red Book’. We also contacted the General Practice (GP) surgeries for those with inadequate information in the health records.
Results Children were aged between four and sixteen years with a fairly even distribution between sexes. 25/31 children were born abroad. Children were classed as fully immunised if they were vaccinated according to UKguidelines. Overall 48% received complete primary and 38% received complete booster immunisations. 83% of immunisations were complete in UK born children compared with 28% in non-UK born children. We were unable to obtain immunisation information in 25% of children who were born abroad, there was no information regarding immunisation status in either health records or in GP surgery records.
Figure 1 details the immunisation details for all our children. In addition, Human Papilloma Virus (HPV) vaccine was given in 56% of eligible patients. 52% of patients received a BCG vaccine and all of them were born abroad. 48% received an annual influenza vaccine and 68% of children had received the Hepatitis B vaccine.
Conclusions There is poor vaccination of children with HIV, especially those born abroad and there is an urgent need for strategies to be implemented in order to achieve better rates of immunisation. Recommendations include interface between hospitals and GP practises with improved access to immunisation records, reminder letters to GPs and families and possible opportunistic immunisation in hospitals.