Showing posts with label immunizations. Show all posts
Showing posts with label immunizations. Show all posts

Thursday, March 18, 2010

Role of the pediatric dentist in optimization of childhood immunization

Department of Pediatric Dentistry
Lutheran Medical Center
Date: 03/19/2010
Article title: Role of the pediatric dentist in optimization of childhood immunization
Author(s):Hicks, Flaitz
Journal: Pediatric Dentistry
Volume (number): 18:5
Month, Year: 1996

Major topic: Childhood immunization
Minor topics: Role of pediatric dentists beyond just dentistry
Type of Article: informative

Main Purpose: To encourage pediatric dentists to play an active role in assisting children to obtain immunizations.
Overview of method of research: Professional opinion and presentation of statistics derived from other sources.

Findings:
Pediatric detists should keep immunization records of their patients and encourage parents under-immunized children to get immunized. Pediatric dentists can also provide proper referrals to assist in the process. Overall, this could diminish the spread of disease.

Key points/Summary :
  • Many children are under-immunized.
  • Parents often don’t know if their child has been properly immunized.
  • Many children obtain immunizations from a variety of sources, making it harder to track.
  • Dentists need to determine their own policies for treating under-immunized patients.

Assessment of article: A lot of text to make a very simple point, but this is good to keep in mind.


Scenario 1:
Autistic child whose parents think MMR caused autism and desire no future Immunizations. Does this matter:
If a parent believes that the MMR caused their child’s autism, then you aren’t going to change their mind. I would say “hey, your kid already has autism, so why not at least keep him from getting disease?”
From a public health standpoint it obviously does matter if the kid is immunized, but I personally could see why the parents would choose not to immunize.

Scenario 2:
trauma case with a dirty wound, no recored of a tetanus booster, what do you recommend?
Pt should be referred to PCP for tetanus booster per AAPD trauma guidelines.