Pacheco Flávia Caselli, Domingues Carla Magda Allan Santos, Maranhão Ana Goretti Kalume, Carvalho Sandra Maria Deotti, Teixeira Antonia Maria da Silva, Braz Rui Moreira, Rebelo Renata Cristina Freitas, Guilhem Dirce Bellezi
Ministério da Saúde, Secretaria de Vigilância em Saúde, Coordenação Geral do Programa Nacional de Imunizações, Brasília (DF), Brasil.
Universidade de Brasília, Programa de Pós-Graduação em Ciências da Saúde, Brasília (DF), Brasil.
Rev Panam Salud Publica. 2018 Feb 28;42:e12. doi: 10.26633/RPSP.2018.12. eCollection 2018.
To describe the characteristics of vaccine adverse events (VAE) reports in the online VAE Reporting System (VAE-RS) after 2 years of operation.
A descriptive analysis of VAE reports entered into the VAE-RS between July 2014 and June 2016 was performed.
During the study period, 24 732 VAE were reported. Of 5 570 Brazilian municipalities, 2 571 (46.2%) reported at least one VAE; however, only 1 622 (6.6%) reports had been completed/closed at the end of the study period. Of these, 89.9% referred to mild VAE. Among the completed reports, 19.7% did not provide information on "type of medical care provided," and 98.7% had no information regarding laboratory tests. Systemic neurological symptoms were the most frequent serious VAE among closed reports (59.5% of serious signs/symptoms). Concerning age, the highest VAE reporting coefficients were recorded for children aged ≤ 4 years.
The VAE-RS is useful to monitor immunization safety. However, municipal services must increase adherence to the system and perform the required investigation and reporting of VAE, with timely and adequate completion of the VAE-RS form. Knowledge regarding VAE can be used in the daily routine of surveillance services, improving the safety of immunobiological agents.
描述在线疫苗不良事件报告系统(VAE-RS)运行2年后疫苗不良事件(VAE)报告的特征。
对2014年7月至2016年6月录入VAE-RS的VAE报告进行描述性分析。
在研究期间,共报告了24732例VAE。在5570个巴西城市中,2571个(46.2%)报告了至少1例VAE;然而,在研究期结束时,只有1622份(6.6%)报告已完成/结案。其中,89.9%涉及轻度VAE。在已完成的报告中,19.7%未提供“所提供医疗护理类型”的信息,98.7%没有关于实验室检查的信息。在结案报告中,全身性神经症状是最常见的严重VAE(占严重体征/症状的59.5%)。关于年龄,≤4岁儿童的VAE报告系数最高。
VAE-RS有助于监测免疫接种安全性。然而,市政服务部门必须提高对该系统的依从性,对VAE进行所需的调查和报告,并及时、充分地填写VAE-RS表格。关于VAE的知识可用于监测服务的日常工作中,提高免疫生物制品的安全性。