ABSTRACT
AIM: to generalize the regional experience in implementing a package of organizational and methodical and antiepidemic measures for preventing pneumococcal infections. MATERIAL AND METHODS: How the prevention programs were implemented using the materials and methods of the epidemiological and statistical monitoring of the incidence of pneumonia in the Amur Region was analyzed. Pneumococcal conjugate vaccine (Prevenar-13) and influenza vaccines were used for immunoprophylaxis against acute respiratory viral and pneumococcal infections. Information on the incidence of acute respiratory viral infections and pneumonia over time in the period 2010 to 2015 must be taken into account. Indicators and special criteria are used to evaluate the efficiency of vaccination. RESULTS: The comparative statistical analysis revealed the high efficiency of regional programs using the methods for immunoprophylaxis against pneumococcal infections: the vaccination prophylactic efficiency index in terms of the incidence of pneumonia might be as high as 75-100%. Pneumonia morbidity rates became 2.3 times lower in the vaccinated population of the region. CONCLUSION: The results of the investigation suggest that the Program for the clinical and epidemiological monitoring and prevention of community-acquired pneumonias, by using the vaccine against pneumococcal infection in the Amur Region, has a high medical and socioeconomic efficiency.
Subject(s)
Immunization Programs , Pneumococcal Infections , Pneumonia , Preventive Health Services/organization & administration , Virus Diseases , Adult , Aged , Child , Epidemiological Monitoring , Female , Humans , Immunization Programs/methods , Immunization Programs/statistics & numerical data , Infant , Male , Pneumococcal Infections/complications , Pneumococcal Infections/epidemiology , Pneumococcal Infections/prevention & control , Pneumonia/epidemiology , Pneumonia/etiology , Pneumonia/prevention & control , Russia/epidemiology , Virus Diseases/complications , Virus Diseases/epidemiology , Virus Diseases/prevention & controlABSTRACT
The article presents the results of evaluation of resource support and organization of medical care of patients of pulmonological profile on the territory of the Amurskaia and Yaroslavskaia oblast. The data permits establishing the regional differences and reserves of the oblasts for increasing effectiveness of curative and preventive activities in the field of pulmonology. The analysis of study results testify necessity of implementing complex of organizational methodical activities targeted to development of medical care at the level of primary health care in accordance with acting regulations and standards.
Subject(s)
Health Care Rationing/organization & administration , Patient Care Management/organization & administration , Pulmonary Medicine , Humans , Needs Assessment , Pulmonary Medicine/methods , Pulmonary Medicine/organization & administration , Quality Improvement , RussiaABSTRACT
AIM: To study the effectiveness of anti-pneumococcal vaccination of children in the organiza- tion of anti-epidemic measures in the areas of the flood in the Amur region. MATERIAL AND METHODS: The monitoring program included 4988 children aged 2 to 5 years who have risk factors for pneu- mococcal infection. Pneumococcal conjugate vaccine Prevenar- 13 was used for immunization. Data on the incidence of child with acute respiratory infection, acute otitis media, pneumonia, meningitis during the post-vaccination period were taken into account. To evaluate the effective- ness of vaccination we used indicators and specific criteria (coefficient prophylactic vaccination and infection index). RESULTS: The level of total morbidity of children in post-immunization pe- riod decreased by 13.6%; the number of cases ofpneumonia in the population of observed children decreased by 2.3 times; the total duration of the illness in children decreased by 14.6%, the number of.courses of antibiotic therapy was reduced by 21.3%, the number of hospital admissions of children - 38.4%, the number of days of temporary disability ofparents - 11.1%. Direct dependence of the degree of effectiveness of vaccination against pneumococcal disease by the age of children is determined. CONCLUSION: The findings suggest that implementation of the program of clinical and epidemiological monitoring and prevention of community-acquired pneumonia with use of a vaccine against pneumococcal infections in the territory of the Amur Region has a high level of medical and socio-economic efficiency.
