Rose Kathleen C
Consulting School Nurse, National Association of School Nurses.
NASN Sch Nurse. 2017 Jul;32(4):217-222. doi: 10.1177/1942602X17709319. Epub 2017 May 30.
The Advisory Committee on Immunization Practices recommends that the Tdap, HPV, and meningitis vaccines be administered to youth beginning between the ages of 11 and 12. The school nurse, knowledgeable about vaccine schedules and the rationale for the schedules, is in a unique position to advocate for all adolescent vaccines and their timely administration through addressing parent-guardian concerns and supporting other healthcare providers in completing the adolescent vaccines. This article reviews current recommendations for adolescent vaccinations and the actions needed to improve vaccination rates with a focus on Human Papillomavirus vaccine, the vaccine with the lowest completion rates among this age group. Additionally, school nurses are introduced to Middle School Health Starts Here, a program for school nurses designed to address the whole child as students progress from 5th grade to middle school. Public policy issues including school mandates, along with possible barriers to vaccine completion in adolescents, are discussed.
免疫实践咨询委员会建议，破伤风类毒素、白喉类毒素和无细胞百日咳疫苗（Tdap）、人乳头瘤病毒（HPV）疫苗和脑膜炎疫苗应接种给11至12岁开始的青少年。学校护士了解疫苗接种计划及其依据，在倡导所有青少年疫苗接种并通过解决家长监护人的担忧以及支持其他医疗服务提供者完成青少年疫苗接种方面处于独特地位。本文回顾了青少年疫苗接种的当前建议以及提高接种率所需采取的行动，重点关注人乳头瘤病毒疫苗，该疫苗在该年龄组中的完成率最低。此外，还向学校护士介绍了“中学健康从这里开始”项目，这是一个为学校护士设计的项目，旨在随着学生从五年级升入中学，关注学生的全面健康。讨论了包括学校强制要求在内的公共政策问题，以及青少年完成疫苗接种可能面临的障碍。
