Preza Iria, Subaiya Saleena, Harris Jennifer B, Ehlman Daniel C, Wannemuehler Kathleen, Wallace Aaron S, Huseynov Shahin, Hyde Terri B, Nelaj Erida, Bino Silvia, Hampton Lee M
Institute of Public Health, Tirana, Albania.
Epidemic Intelligence Service.
J Infect Dis. 2017 Jul 1;216(suppl_1):S146-S151. doi: 10.1093/infdis/jiw570.
Albania introduced inactivated polio vaccine (IPV) into its immunization system in May 2014, increasing the maximum recommended number of injectable vaccines given in a single visit from 2 to 3.
Health-care providers and caregivers were interviewed at 42 health facilities in Albania to assess knowledge, attitudes, and practices regarding injectable vaccine administration. Immunization register data were abstracted from December 2014 to July 2015 at the same facilities to explore the number of injectable vaccines children received during their 2- and 4-month visits.
The majority of children (87%) identified in the record review at either their 2- or 4-month immunization visit received all 3 injectable vaccines in a single visit. Almost all children who did not receive the vaccines in a single visit were subsequently fully immunized, most within a 2-week period. Over half of caregivers whose children got 3 or more injectable vaccines in a single visit reported being only comfortable with 1 or 2 injectable vaccines in a single visit.
Despite most caregivers expressing hesitation regarding children receiving multiple injectable vaccines in a single visit, most children received vaccines according to the recommended schedule. Almost all children eventually received all recommended vaccines.
阿尔巴尼亚于2014年5月将灭活脊髓灰质炎疫苗（IPV）纳入其免疫规划体系，使得单次就诊时推荐接种的注射疫苗最大数量从2种增加到3种。
对阿尔巴尼亚42家医疗机构的医护人员和儿童护理人员进行访谈，以评估他们在注射疫苗接种方面的知识、态度和做法。提取了这些机构在2014年12月至2015年7月期间的免疫登记数据，以探究儿童在2个月和4个月就诊时接种的注射疫苗数量。
在记录审查中，大多数儿童（87%）在2个月或4个月的免疫接种就诊时在单次就诊中接种了全部3种注射疫苗。几乎所有未在单次就诊中接种疫苗的儿童随后都完成了全程免疫，大多数在2周内完成。孩子在单次就诊中接种3种或更多注射疫苗的护理人员中，超过一半表示仅对单次接种1种或2种注射疫苗感到放心。
尽管大多数护理人员对儿童在单次就诊中接种多种注射疫苗表示犹豫，但大多数儿童仍按照推荐时间表接种了疫苗。几乎所有儿童最终都接种了所有推荐疫苗。
