Advanced Nursing Practice & Education Department, College of Nursing, East Carolina University, Greenville, NC, USA.
College of Nursing, East Carolina University, Greenville, NC, USA.
Public Health Nurs. 2021 Sep;38(5):715-719. doi: 10.1111/phn.12900. Epub 2021 May 3.
The COVID-19 pandemic has impacted routine health care services including immunization delivery. The most common sexually transmitted infection in the United States is the human papillomavirus (HPV), and its sequelae may be prevented by vaccination. Sequelae that can develop if one's immune system is not able to clear the infection include warts, precancerous lesions, and cancer. The American College of Obstetricians & Gynecologists (ACOG) reports almost everyone who is sexually active will encounter the virus at some time during their life. Most of the estimated 79 million infections occur among people who are in their late teens or early 20s. Since 2006, there has been a vaccine available to prevent HPV infections in both males and females; however, administration of this vaccine has only been about half the rate of other vaccines and vaccine hesitancy may play a role. Public health nurses are vital in providing accurate and nonjudgmental vaccine education to their clients, especially unaccompanied minors seeking care in public health department clinics. This paper will explore the recommendations for providing this vaccine as well as a snapshot of current practice in two health departments in the Southeast region of the United States during the COVID-19 pandemic.
新冠疫情大流行影响了常规医疗服务，包括免疫接种服务。在美国，最常见的性传播感染是人乳头瘤病毒（HPV），其后果可以通过接种疫苗来预防。如果一个人的免疫系统无法清除感染，可能会发展出疣、癌前病变和癌症等后果。美国妇产科医师学会（ACOG）报告称，几乎所有有性行为的人在一生中的某个时候都会感染这种病毒。估计有 7900 万例感染发生在十几岁或二十出头的人群中。自 2006 年以来，已经有一种疫苗可用于预防男性和女性的 HPV 感染；然而，这种疫苗的接种率仅为其他疫苗的一半左右，疫苗犹豫可能也发挥了一定作用。公共卫生护士在向客户提供准确且无偏见的疫苗教育方面至关重要，尤其是在公共卫生部门诊所寻求护理的无人陪伴的未成年人。本文将探讨为这些人接种疫苗的建议，并介绍美国东南部两个卫生部门在新冠疫情大流行期间的当前实践情况。
