Pediatrics. 2012 Jan;129(1):e247-53. doi: 10.1542/peds.2011-2937. Epub 2011 Dec 26.
Additional strategies are needed to protect children from vaccine-preventable diseases. In particular, very young infants, as well as children who are immunocompromised, are at especially high risk for developing the serious consequences of vaccine-preventable diseases and cannot be immunized completely. There is some evidence that children who become infected with these diseases are exposed to pathogens through household contacts, particularly from parents or other close family contacts. Such infections likely are attributable to adults who are not fully protected from these diseases, either because their immunity to vaccine-preventable diseases has waned over time or because they have not received a vaccine. There are many challenges that have added to low adult immunization rates in the United States. One option to increase immunization coverage for parents and close family contacts of infants and vulnerable children is to provide alternative locations for these adults to be immunized, such as the pediatric office setting. Ideally, adults should receive immunizations in their medical homes; however, to provide greater protection to these adults and reduce the exposure of children to pathogens, immunizing parents or other adult family contacts in the pediatric office setting could increase immunization coverage for this population to protect themselves as well as children to whom they provide care.
需要采取额外的策略来保护儿童免受可预防疫苗疾病的侵害。特别是非常年幼的婴儿以及免疫功能低下的儿童，他们面临着患上可预防疫苗疾病严重后果的极高风险，并且无法完全接种疫苗。有一些证据表明，感染这些疾病的儿童通过家庭接触（特别是父母或其他近亲）接触到病原体。这些感染很可能是由于成年人没有完全免受这些疾病的保护，要么是因为他们对可预防疫苗疾病的免疫力随着时间的推移而减弱，要么是因为他们没有接种疫苗。美国存在许多增加成年人免疫接种率的挑战。增加婴儿和弱势儿童的父母和近亲的免疫接种覆盖率的一种选择是为这些成年人提供替代的免疫接种场所，例如儿科办公室。理想情况下，成年人应该在他们的医疗保健机构接受免疫接种；然而，为了为这些成年人提供更大的保护，并减少儿童接触病原体的机会，在儿科办公室为父母或其他成年家庭成员接种疫苗可以提高该人群的免疫接种覆盖率，从而保护他们自己以及他们照顾的儿童。
