Thompson S C, Kennedy R I
Epidemiology and Social Research Unit, Macfarlane Burnet Centre for Medical Research, Fairfield, Australia.
J Paediatr Child Health. 1998 Apr;34(2):175-8. doi: 10.1046/j.1440-1754.1998.00194.x.
To assess the record-keeping of child care centres in Victoria with respect to children's vaccination status.
A random sample of 113 centres from a list of over 800 registered Victorian child care centres received a mailed questionnaire on characteristics and policies of the centre, including documentation of attending children's vaccination status.
The response rate was 86.7%; more than 95% of centres had children under two in care. Only 85% of centres kept any record of children's immunisation status, with smaller centres and class 2 centres (occasional care centres) significantly less likely to keep records. Records were updated irregularly. Fewer than half of the centres studied kept a record of whether children had been vaccinated against Haemophilus influenzae type b.
Despite the importance of documenting children's vaccination status, many child care centres have failed to develop adequate systems to record or update records of children's immunisation. This makes exclusion during outbreaks of a vaccine-preventable disease difficult. The ongoing process of accreditation may eventually improve performance, but both legislation and a better educational strategy to improve practice in this area are needed.
评估维多利亚州儿童保育中心关于儿童疫苗接种状况的记录保存情况。
从800多家注册的维多利亚州儿童保育中心名单中随机抽取113家中心，向其邮寄一份关于中心特征和政策的问卷，包括在园儿童疫苗接种状况的记录。
回复率为86.7%；超过95%的中心有两岁以下儿童在园。只有85%的中心保存了儿童免疫状况的任何记录，规模较小的中心和2类中心（临时保育中心）保存记录的可能性明显更低。记录更新不规律。在所研究的中心中，不到一半的中心记录了儿童是否接种过b型流感嗜血杆菌疫苗。
尽管记录儿童疫苗接种状况很重要，但许多儿童保育中心未能建立足够的系统来记录或更新儿童免疫记录。这使得在可通过疫苗预防的疾病暴发期间进行排除变得困难。持续的认证过程最终可能会改善表现，但在这一领域既需要立法，也需要更好的教育策略来改进做法。
