Your browser doesn't support javascript.
loading
Cobertura vacinal contra influenza e motivos da não vacinação em crianças com idade de risco internadas em hospital terciário / Immunization against influenza and the reasons for non-immunization in children under age of risk hospitalized in tertiary hospital
Lopes, Paula de Souza Dias; Scheibel, Ilóite Maria.
Affiliation
  • Lopes, Paula de Souza Dias; Hospital de Clínicas de Porto Alegre. Porto Alegre. BR
  • Scheibel, Ilóite Maria; Hospital da Criança Conceição. Porto Alegre. BR
Rev. AMRIGS ; 59(2): 73-77, abr.-jun. 2015. tab
Article in Portuguese | LILACS | ID: biblio-833926
Responsible library: BR18.1
Localization: BR18.1
RESUMO

Introdução:

As crianças menores de 2 anos de idade apresentam importante fator de risco para internação e mortalidade por Influenza A H1N1. Morte é um desfecho incomum, mas seu risco é maior nesta faixa etária, especialmente, se há comorbidades associadas. As complicações incluem pneumonia viral e infecção bacteriana secundária. A principal intervenção preventiva é a imunização. O objetivo deste estudo foi descrever o percentual pediátrico imunizado, em duas campanhas consecutivas, verificar o motivo da não vacinação e comparar a frequência vacinal nos anos de 2012 e 2013.

Métodos:

Estudo de série histórica, abrangendo crianças internadas na faixa etária de risco - seis meses a dois anos. Foram feitos a revisão da caderneta vacinal e o inquérito aos responsáveis pelo paciente para identificar quem havia indicado a vacinação e qual o motivo da não vacinação.

Resultados:

Foram estudadas 191 crianças em 2012, e 226 em 2013, que se encontravam na faixa etária de risco. Em 2012, 71,2% dos pacientes foram vacinados e em 2013, 79,5% (P=0,05). A campanha foi o maior estímulo para a vacinação em 69% dos casos, e as principais causas da não vacinação foram gripe (31,4%) e desinformação (22,5%).

Conclusão:

Comparando os dois anos, verificou-se não haver diferença entre as coberturas vacinais, embora ainda permaneçam aquém do resultado registrado nacionalmente. A perda da campanha ainda está relacionada à gripe, neste período, fato que não é contraindicação. No entanto, ainda permanece um fator importante de impedimento, inclusive dos centros de referência em vacinação, como as Unidades Básicas de Saúde (AU)
ABSTRACT

Introduction:

Children under 2 years of age present a significant risk factor for hospitalization and mortality from influenza A, H1N1. Death is an unusual outcome, but the risk is higher in this age group, especially if there are associated comorbidities. Complications include viral pneumonia and secondary bacterial infection. The main preventive intervention is immunization. The aim of this study was to describe the percentage of immunized children in two consecutive campaigns, check the reason for non-vaccination and compare the vaccination rate in years 2012 and 2013.

Methods:

Historical series study, including hospitalized children in the age group of risk, i.e., from six months to two years. Vaccination records were reviewed and a survey was carried out with parents/caregivers to identify who had indicated vaccination and the reason for non-vaccination.

Results:

191 children were studied in 2012 and 226 in 2013, who were in the age group of risk. In 2012, 71.2% of patients were vaccinated and in 2013, 79.5% (P = 0.05). The campaign was the greatest stimulus for vaccination in 69% of cases, and the main causes of non-vaccination were influenza A (31.4%) and lack of information (22.5%).

Conclusion:

Comparing the two years, no difference in vaccination coverage was found, although the vaccination rates still remained below the nationally reported outcomes. During this period, missing the campaign was still related to the flu, a condition that is not a contraindication. However, it still remains an important factor of non-vaccination, even in the referral centers for vaccination, such as Basic Health Units (AU)
Subject(s)

Search on Google
Collection: International databases Health context: Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being / SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases / SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5 Health problem: Goal 10: Communicable diseases / Target 3.3: End transmission of communicable diseases / Target 3.4: Reduce premature mortality due to noncommunicable diseases / Target 3.2: Reduce avoidable death in newborns and children under 5 / Other Respiratory Diseases / Infections / Noncommunicable Diseases Database: LILACS Main subject: Vaccination Coverage / Influenza, Human / Influenza A Virus, H1N1 Subtype Type of study: Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Humans / Infant Language: Portuguese Journal: Rev. AMRIGS Journal subject: Medicine Year: 2015 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital da Criança Conceição/BR / Hospital de Clínicas de Porto Alegre/BR
Search on Google
Collection: International databases Health context: Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being / SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases / SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5 Health problem: Goal 10: Communicable diseases / Target 3.3: End transmission of communicable diseases / Target 3.4: Reduce premature mortality due to noncommunicable diseases / Target 3.2: Reduce avoidable death in newborns and children under 5 / Other Respiratory Diseases / Infections / Noncommunicable Diseases Database: LILACS Main subject: Vaccination Coverage / Influenza, Human / Influenza A Virus, H1N1 Subtype Type of study: Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Humans / Infant Language: Portuguese Journal: Rev. AMRIGS Journal subject: Medicine Year: 2015 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital da Criança Conceição/BR / Hospital de Clínicas de Porto Alegre/BR
...