意大利免疫接种日程实施：是否需要优化疫苗接种预约次数？
Italian immunization calendar implementation: Time to optimize number of vaccination appointments?
机构信息
UOC ISP Prevention and Surveillance of Infectious and Chronic Diseases, Department of Prevention, Local Health Authority (ASUR-AV2), Jesi, Italy.
Family care paediatrician, Local Health Unit 6 Palermo, Palermo, Italy.
出版信息
Hum Vaccin Immunother. 2023 Dec 31;19(1):2156745. doi: 10.1080/21645515.2022.2156745. Epub 2023 Mar 6.
Abstract
In the Italian vaccination schedule, at least six vaccination appointments are scheduled in the first year of life. This implies more discomfort for both the patient and the parents. This was particularly evident during the COVID-19 pandemic, during which several appointments were missed. A UK experience with three injectable vaccines and an oral one co-administered at the same appointment (4-in-1) at 2 and 4 months of age showed interesting results. The vaccination coverage was high, consistent with previous practice, and no relevant increase in adverse events was reported. Translating the UK experience into the Italian context would not be immediate, due to several organizational and social issues. Nevertheless, this option warrants some further considerations, which are discussed in this manuscript.
摘要
在意大利的疫苗接种计划中，婴儿在一岁前至少需要进行六次疫苗接种预约。这意味着无论是对患儿还是患儿家长来说，都会感到不便。这在 COVID-19 大流行期间尤为明显，在此期间，许多预约都被取消了。英国在 2 个月和 4 个月大时，同时接种了三种注射疫苗和一种口服疫苗（四合一疫苗），在同一预约中进行，这一经验显示出了有趣的结果。疫苗接种覆盖率很高，与以往的做法一致，且未报告发生任何相关的不良事件增加。将英国的经验转化为意大利的情况并不容易，因为存在一些组织和社会方面的问题。然而，这种选择值得进一步考虑，本文对此进行了讨论。
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