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拒绝新生儿期疫苗接种对生命第一年疫苗接种计划实施的影响。

Impact of refusal to vaccine in the neonatal period on the implementation of the vaccination calendar in the first year of life.

机构信息

Department of Neonatology, St. Hedwig of Silesia Hospital, Trzebnica, Poland.

Department and Clinic of Neonatology, Wroclaw Medical University, University Hospital, Wrocław, Poland.

出版信息

Hum Vaccin Immunother. 2021 Apr 3;17(4):1156-1161. doi: 10.1080/21645515.2020.1804246. Epub 2020 Oct 19.

DOI:10.1080/21645515.2020.1804246
PMID:33074768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8018495/
Abstract

INTRODUCTION

The level of vaccination coverage with obligatory preparations in Poland reaches 98%. This is facilitated by the introduction of the Individual Vaccination Calendar (IVC) compliant with medical contraindications to vaccination.

AIM

The aim of the study was to assess whether the refusal of vaccinations after birth has an impact on the proper implementation of the vaccination calendar in the first year of life.

METHODS

The study involved healthy, term newborns who were born in the Department of Neonatology in 2011-2015. There were 156 patients enrolled to the study. Among them, 133 were in the control group - vaccinated after birth, and 23 constituted the study group - not vaccinated after birth.

RESULTS

Not all healthy newborns are vaccinated after birth, statistical significance was obtained between the study and control group ( < 0,00001).Only 48% of patients not vaccinated after birth received TB-vaccine during the first year ( < 0,00053).Parents of 26% of infants in the study and of 2% of infants in the control group declared using the IVC ( < 0,001).

CONCLUSIONS

Proper implementation of the vaccination schedule in the first year of life results from the initiation of vaccinations after birth.Unreasonable introduction of the IVC promotes incorrect timing of mandatory vaccinations.

摘要

简介

波兰强制性疫苗接种的覆盖率达到 98%。这得益于符合医学疫苗接种禁忌的个体疫苗接种日历(IVC)的引入。

目的

本研究旨在评估出生后疫苗接种的拒绝是否会影响婴儿第一年疫苗接种日历的正确实施。

方法

本研究涉及 2011 年至 2015 年在新生儿科出生的健康足月新生儿。共纳入 156 名患者进行研究。其中,133 名在对照组 - 出生后接种疫苗,23 名在研究组 - 出生后未接种疫苗。

结果

并非所有健康的新生儿都在出生后接种疫苗,研究组和对照组之间存在统计学差异(<0.00001)。出生后未接种疫苗的患者中,只有 48%在第一年接受了结核菌素疫苗接种(<0.00053)。研究组中有 26%的婴儿的父母和对照组中有 2%的婴儿的父母声明使用了 IVC(<0.001)。

结论

婴儿第一年疫苗接种计划的正确实施源自出生后疫苗接种的开始。不合理地引入 IVC 会导致强制性疫苗接种的时间不正确。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c22/8018495/6ad92df6c766/KHVI_A_1804246_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c22/8018495/6ad92df6c766/KHVI_A_1804246_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c22/8018495/6ad92df6c766/KHVI_A_1804246_F0001_OC.jpg

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