Magoon M W, Belardo L J, Caldito G
Northeastern Ohio Universities College of Medicine, Division of Neonatology, Aultman Hospital, Canton 44710, USA.
J Perinatol. 1995 May-Jun;15(3):222-8.
Because experience in our newborn intensive care unit follow-up clinic since 1982 suggested that immunizations of newborn intensive care unit graduates in the first 2 years of life were inappropriately delayed, questionnaires were sent to families and to the four categories of primary care providers (family practitioners, pediatricians, local health clinics, and neonatalogists) in our region to assess immunization rates and practices. Delays in the first diphtheria, tetanus, and pertussis immunization and the polio vaccine were greater the less the birth weight and less the gestational age of the infant. Delays in subsequent immunizations were considerable and did not correlate with gestational age. A substantial proportion of primary care providers are not immunizing infants in compliance with the American Academy of Pediatrics recommendation, but some improvement is seen when the time period 1982 to 1986 is compared with 1987 to 1991.
由于1982年以来我们新生儿重症监护病房随访门诊的经验表明，新生儿重症监护病房出院患儿在生命的头两年进行免疫接种被不适当地推迟，因此我们向本地区的家庭以及四类初级保健提供者（家庭医生、儿科医生、当地卫生诊所和新生儿科医生）发送了问卷，以评估免疫接种率和接种情况。婴儿出生体重越低、胎龄越小，首次白喉、破伤风和百日咳免疫接种以及脊髓灰质炎疫苗接种的延迟就越大。后续免疫接种的延迟相当严重，且与胎龄无关。相当一部分初级保健提供者没有按照美国儿科学会的建议为婴儿进行免疫接种，但将1982年至1986年与1987年至1991年这两个时间段进行比较时，可以看到有一些改善。
