Causes of violation of vaccination schedule in young children
- Authors: Chernova T.M.1, Timchenko V.N.1, Myskina N.A.2, Lapina M.A.1, Orekhova A.E.1, Kanina A.D.1
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Affiliations:
- St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
- Children’s Оutpatient Department No. 41
- Issue: Vol 10, No 3 (2019)
- Pages: 31-36
- Section: Original studies
- URL: https://journal-vniispk.ru/pediatr/article/view/15678
- DOI: https://doi.org/10.17816/PED10331-36
- ID: 15678
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Abstract
The high frequency of severe and complicated forms of infectious diseases in young children, with the possibility of death, confirms the importance of timely specific protection of this age group. In order to identify the causes of violation of the terms of vaccination of young children, 469 histories of children from 0 to 12 months of life were studied. The analysis showed that only 77% of the observed children in the first year of life were vaccinated according to the immunization schedule, whereas in 23% of cases, violations of the vaccination status were found. In 45% of children, the time of immunization was violated already at the stage of the maternity hospital: only every fifth child was not vaccinated because of health reasons, while 79% of children did not receive prophylactic vaccinations due to the mother’s refusal. Medical abductions prevailed in the structure of violations of vaccination terms in the сhildren’s оutpatient: 39% of children were vaccinated with deviations from the schedule due to temporary contraindications, 22% were vaccinated later than terms due to unreasonable medical leads. In 39% of cases of violation of vaccine status is associated with a misunderstanding of the parents of the risk of infectious diseases and the effectiveness of the child’s protection through immunization. Of these, 22% of children were denied, 10% of children were vaccinated with a significant delay, 7% of children did not reach the сhildren’s оutpatient during the year without an explanation of the reasons. Thus, the analysis showed that the majority of the observed children (57%) did not receive timely protection against infectious diseases due to attitudes towards vaccinations of parents, 43% of children were not vaccinated due to medical abductions.
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##article.viewOnOriginalSite##About the authors
Tatyana M. Chernova
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: t-chernova@mail.ru
MD, PhD, Associate Professor, Department of Infectious Diseases in Children named after Professor M.G. Danilevich
Russian Federation, Saint PetersburgVladimir N. Timchenko
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: timchenko22081953@yandexl.ru
MD, PhD, Dr Med Sci, Professor, Head, Department of Infectious Diseases in Children named after Professor M.G. Danilevich
Russian Federation, Saint PetersburgNadezhda A. Myskina
Children’s Оutpatient Department No. 41
Email: detinfection@mail.ru
Immunologist
Russian Federation, Saint PetersburgMaria A. Lapina
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: lma.96@mail.ru
Student, 6th year, Pediatric Faculty
Russian Federation, Saint PetersburgAnna E. Orekhova
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: myzikanya@mail.ru
Student, 6th year, Pediatric Faculty
Russian Federation, Saint PetersburgAnna D. Kanina
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: anya-nastos@mail.ru
Student, 6th year, Pediatric Faculty
Russian Federation, Saint PetersburgReferences
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