van der Meer H, Kimpen J L
Academisch Ziekenhuis Groningen-Beatrix Kinderkliniek, afd. Kindergeneeskunde.
Ned Tijdschr Geneeskd. 1996 Jul 6;140(27):1402-6.
To determine whether the vaccination status of children with a chronic disease in adequate, what amount of delay occurs and whether vaccination opportunities are missed.
Retrospective descriptive.
Department of Pediatrics, University Hospital, Groningen, the Netherlands.
Vaccination data of all 79 children with chronic diseases admitted to the infant and toddler ward of the Beatrix Children's Hospital between January 1 and December 31 1993 were obtained through review of hospital admission charts and local Vaccination Administration records, as well as through telephone contacts with the parents. The data of 71 children were complete; these were compared with the vaccination guidelines with respect to diphtheria-tetanus-pertussis-poliomyelitis (DTPP) vaccination and mumps-measles-rubella (MMR) vaccination.
Vaccination coverage for DTPP reached over 90% although for DTPP 3 and 4 with a delay of more than 3 months. MMR vaccination coverage was 86%. Only 21% of the patients received all vaccinations within a period of 1 month after the recommended age. Among the remaining 79% of children 56 opportunities were missed to administer vaccines during admission. Twenty-one times the possibility to administer DTPP and MMR simultaneously was missed.
Children with a chronic disease run a high risk of incomplete and delayed immunization.
确定患有慢性病儿童的疫苗接种状况是否充足、延迟接种的情况以及是否错过接种机会。
回顾性描述性研究。
荷兰格罗宁根大学医院儿科。
通过查阅贝娅特丽克丝儿童医院婴幼儿病房1993年1月1日至12月31日期间收治的所有79名慢性病儿童的住院病历、当地疫苗接种管理记录以及与家长电话联系，获取疫苗接种数据。71名儿童的数据完整；将这些数据与白喉 - 破伤风 - 百日咳 - 脊髓灰质炎（DTPP）疫苗接种和腮腺炎 - 麻疹 - 风疹（MMR）疫苗接种的指南进行比较。
DTPP疫苗接种覆盖率超过90%，尽管DTPP 3和4剂次延迟超过3个月。MMR疫苗接种覆盖率为86%。只有21%的患者在推荐年龄后的1个月内完成了所有疫苗接种。在其余79%的儿童中，住院期间有56次错过接种疫苗的机会。有21次同时接种DTPP和MMR的机会被错过。
患有慢性病的儿童存在免疫接种不完整和延迟的高风险。
