Programmatic challenges in obtaining and confirming the pneumococcal vaccination status of cochlear implant recipients

Background: Bacterial meningitis represents a substantial concern for individuals with cochlear implants (CIs). METHODS: Chart review and direct patient and family correspondence to ascertain vaccination status. Intervention: Information dissemination via brochure and electronic media, ongoing reminders of the importance of vaccination when confirmation of vaccination was not received. Results: Marked improvement in vaccination rates ranging from 49% to 99% across different patient populations. Importantly, many patients received their vaccinations only after follow-up reminders. Conclusion: Ensuring optimal vaccination of all CI recipients against high-risk pathogens is a significantly challenging task. Maximizing vaccination rates in CI users will require an ongoing, active effort of information dissemination, documentation of compliance, and well-designed behavioral systems to streamline the pragmatic challenges in vaccination delivery.