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Acta Pediátrica de México

Órgano Oficial del Instituto Nacional de Pediatría
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2012, Number 3

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Acta Pediatr Mex 2012; 33 (3)

Missed opportunities of vaccination in Pediatric Outpatient Service at the Instituto Nacional de Pediatría

Lombardo-AE, Hernández-OH, Lucas-RE
Full text How to cite this article

Language: Spanish
References: 9
Page: 133-136
PDF size: 175.18 Kb.


Key words:

Missed opportunities for vaccination, incorrect contraindications, vaccination course.

ABSTRACT

Introduction. An incomplete vaccination cover and missed opportunities of vaccination (MOV) in children are a source of unsatisfactory immunization. Pediatric consultation is one of the most important opportunities to apply preventive health measures, and also to verify the adequate immunization.
Objective. To evaluate missed opportunities for vaccination and the reason for it in children seen in the Outpatient Department of the Instituto Nacional de Pediatría (INP) (National Institute of Pediatrics).
Material and methods. Observational, prospective, cross study through the application of a survey of children seen in the Pediatric Outpatient Service of the INP in March 2012, to determine the frequency of complete and incomplete vaccination courses and related factors. Statistical analysis was performed in SPSS to determine frequencies and measures of central tendency; the risk of related factors was determined by odds ratio with confidence intervals of 95% IC 95.
Results. The study included 250 patients, median age 4 years, 57% male; 50.6 % from the Federal District (DF). We included 171 patients (68.4 %) with a vaccination card, of these, 53.2 % had an incomplete vaccination course. 17.5 % of mothers had no idea of the date for the next vaccine, a risk factor of p( ‹0.05 ). In 96.7 % of the patients, incomplete immunization was based on incorrect contraindications, of these, 26.3 % were attributed to a disease.
Conclusions. There was a significant proportion of MOV primarily related to incorrect contraindications and to the lack of information given to the parents with respect to vaccines. Therefore continuing education programs for the health staff should be carried out in order to strengthen such information


REFERENCES

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  2. Macías M, Jarquín GA, Gutiérrez P, Rodríguez MA, González N, Saltigeral P. Factores de riesgo para esquemas de vacunación incompletos en niños menores de 6 a 60 meses de edad en el Instituto Nacional de Pediatría. Rev Enferm Infecc Pediatr 2008;12(86):41-7.

  3. Reported coverage by country, year, and vaccine. WHO vaccine=preventable disease: monitoring system 2008. Global summary. Internet disponible en: http//www.who.int/immunization_monitoring/en/globalsummary/timessenes/tscoverage.bcg.htm. consultado 30 de septiembre, 2008.

  4. Gentile A, Bakir J, Firpo V, Caruso M. Esquemas atrasados de vacunación y oportunidades perdidas de vacunación en niños de hasta 24 meses: estudio multicéntrico. Arch Argent Pediatr 2011;109(3):219-25.

  5. Rodríguez G, MA .Magnitud y Causas de Oportunidades Perdidas en vacunación en población menor de dos años en América. Rev CES MEDICINA. 2001;15(1):71-80.

  6. Federicci MI, Rover GD, Gatica CI, Nalda G, Racioppi LF. Inmunizaciones en niños hospitalizados. Análisis de vacunación incompleta, Pediatría 1995;III(7).

  7. Federicci MI, Gatica CI, Nalda G, Pannocchia CG, Racioppi LF. Oportunidades perdidas de vacunación. Participación del personal de salud. Arch Argent Pediatr 1999;97(1):3-7.

  8. Brieschke R. Oportunidades perdidas de vacunación. Med Infant 2001;8(1):23-5.

  9. Lieu TA, Black S, Ray P, Chellino M, Shinefield HR, et al. Risk factors for delayed immunization among childrens in a HMO. Am J Pub Health 1994;84:1621-5.




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Acta Pediatr Mex. 2012;33