system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, METHODS, METHODS, RESULTS. Meshes: Cochlear Implantation, Cochlear Implants, Delivery of Health Care, Humans, Immunization Programs, Meningitis, Bacterial, Pneumococcal Infections, Pneumococcal Vaccines, Vaccination.
user
Do programmatic challenges in obtaining and confirming the pneumococcal vaccination status of cochlear implant recipients? Context: Bacterial meningitis represents a substantial concern for individuals with cochlear implants (CIs). Chart review and direct patient and family correspondence to ascertain vaccination status. Information dissemination via brochure and electronic media, ongoing reminders of the importance of vaccination when confirmation of vaccination was not received. 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.
assistant
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. Final Decision: yes