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Shoshana T. Melman, MD; Thuan T. Nguyen, MMS; Elizabeth Ehrlich, MMS; Marguerite Schorr, RN; Ran D. Anbar, MD

Arch Pediatr Adolesc Med. 1999;153:1289-1291.

Objective  To assess parents' (or caretakers') willingness to allow multiple immunization injections at a single visit.

Design  A survey of parental demographics and a medical record review to determine immunization status.

Setting  An inner-city pediatric clinic in Philadelphia, Pa.

Participants  A convenience sample of 1059 patients who were due to receive 2 to 5 immunization injections at a single visit and their parents. Patients were excluded if parents had not previously witnessed at least 1 immunization.

Main Outcome Measures  The number of immunizations due, the number of immunizations received, and the reasons for failure to immunize completely.

Results  Almost all (98.8%) of the children included in the study received all immunizations indicated at their visit.

Conclusion  Despite potential parental resistance to multiple simultaneous immunization injections, this inner-city population overwhelmingly complied with physicians' recommendations.

From the Department of Pediatrics, MCP Hahnemann School of Medicine (Dr Melman), Allegheny University of the Health Sciences (Mr Nguyen and Ms Ehrlich), and Department of Nursing, St Christopher's Hospital for Children (Ms Schorr), Philadelphia, Pa; and State University of New York at Syracuse Health Science Center (Dr Anbar). Mr Nguyen is now with the University of Vermont College of Medicine, Burlington; and Ms Ehrlich is now with the New York Medical College, Valhalla.

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