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一岁以内儿童接种疫苗的安全性——一家综合医学中心的经验

Safety of Vaccination within First Year of Life-The Experience of One General Medicine Center.

作者信息

Pop Claudia Felicia, Coblisan Petronela, Capalna Ligia, Panța Paraschiva Cherecheș, Buzoianu Anca Dana, Bocsan Ioana Corina

机构信息

Department of Mother and Child, Nursing Discipline, Faculty of Medicine, University of Medicine and Pharmacy Ïuliu Hatíeganu, 400124 Cluj-Napoca, Romania.

Intensive Care Unit, "Octavian Fodor" Institute of Gastroenterology and Hepatology, 400124 Cluj-Napoca, Romania.

出版信息

Children (Basel). 2023 Jan 4;10(1):104. doi: 10.3390/children10010104.

Abstract

Vaccines represent an important preventive strategy in paediatric populations, but the rate of vaccination has been constantly declining in the last decade. Concerns about vaccines' safety represent one of the main causes of vaccine hesitancy among parents. The aim of this study was the analysis of the immediate adverse reactions induced by vaccines included in the national program of immunization for the first year of life. Method: Eighty-one children born between 1st of January 2018 and 31st of March 2019 were included. The vaccination refusal rate, and incidence and severity of adverse effects induced by three mandatory vaccines (Hexavalent, Prevenar 13 and MMR) were analyzed. The level of parents' education and the sources of information that were consulted in order to understand the adverse effects were also analyzed. Results and conclusions: The rate of adverse events was lower than 30% of the total number of doses, and most of them were mild. The incidence and severity of vaccine-induced adverse effects were correlated with prematurity. The vaccine hesitancy rate was lower than the national one, possibly due to a high level of education and good information provided by doctors that might have led to parents' concerns regarding vaccination being answered.

摘要

疫苗是儿科人群重要的预防策略,但在过去十年中疫苗接种率持续下降。对疫苗安全性的担忧是家长疫苗犹豫的主要原因之一。本研究旨在分析国家一岁儿童免疫规划中所包含疫苗引起的即时不良反应。方法:纳入2018年1月1日至2019年3月31日出生的81名儿童。分析三种强制疫苗(六联疫苗、沛儿13疫苗和麻腮风疫苗)的接种拒绝率以及不良反应的发生率和严重程度。还分析了家长的教育程度以及为了解不良反应所咨询的信息来源。结果与结论:不良事件发生率低于总接种剂量数的30%,且大多数为轻度。疫苗引起的不良反应的发生率和严重程度与早产有关。疫苗犹豫率低于全国水平,这可能是由于家长受教育程度高以及医生提供了充分信息,从而解答了家长对疫苗接种的担忧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2911/9856298/4a3a3478132f/children-10-00104-g001.jpg

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