Silveira Isabela Oliveira da, Silva Thales Philipe Rodrigues da, Luvisaro Bianca Maria Oliveira, Silva Roberta Barros da, Gusmão Josianne Dias, Vimieiro Aline Mendes, Oliveira Valéria Conceição de, Souza Karina Cristina Rouwe de, Faria Ana Paula Vieira, Matozinhos Fernanda Penido
Universidade Federal de Minas Gerais. Escola de Enfermagem. Graduação em Enfermagem. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Faculdade de Medicina. Programa de Pós-Graduação em Ciências da Saúde - Saúde da Criança e do Adolescente. Belo Horizonte, MG, Brasil.
Rev Saude Publica. 2021 May 17;55:24. doi: 10.11606/s1518-8787.2021055002592. eCollection 2021.
To analyze the distribution of adverse events following immunization (AEFI) in pregnant women in the state of Minas Gerais, between 2015 and 2019.
This is an epidemiological, descriptive study conducted with AEFI data from 2015 to 2019, recorded in the Adverse Events Surveillance Information System, in the state of Minas Gerais (MG), Brazil. A total of 670 AEFI were analyzed in pregnant women. The estimates were presented in proportions, according to the year of occurrence, health macro-region of Minas Gerais and immunobiological administered.
The year in which there were the most records was 2017 (36.8%). Among the 14 macro-regions, the ones with the lowest and highest number of records were the Vale do Jequitinhonha (0.5%) and Center (31.8%), respectively. The vaccines contraindicated during pregnancy represented 27.6% of the total notifications. The total of 69.5% of the cases were considered immunization errors. In 75.9% of the records, the variable of medical care was ignored, and in 73.7% of the cases no information on the evolution was presented.
This study shows the need for continuing education for the multidisciplinary team, in order to reduce cases of AEFI and ensure the adequate completion of notifications by health professionals.
分析2015年至2019年米纳斯吉拉斯州孕妇免疫接种后不良事件（AEFI）的分布情况。
这是一项流行病学描述性研究，采用巴西米纳斯吉拉斯州（MG）不良事件监测信息系统中记录的2015年至2019年AEFI数据。共分析了670例孕妇的AEFI。根据发生年份、米纳斯吉拉斯州的健康宏观区域和所接种的免疫生物制品，以比例形式呈现估计结果。
记录最多的年份是2017年（36.8%）。在14个宏观区域中，记录数量最少和最多的分别是热基蒂尼奥尼亚河谷（0.5%）和中部地区（31.8%）。孕期禁忌的疫苗占总报告的27.6%。69.5%的病例被认为是免疫接种错误。在75.9%的记录中，医疗护理变量被忽略，73.7%的病例未提供关于病情发展的信息。
本研究表明，多学科团队需要持续开展教育，以减少AEFI病例，并确保卫生专业人员充分完成报告。
