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Vaccination practice in children with rheumatic disease
Clovis Artur A Silva1, Maria Teresa R A Terreri, Nadia E Aikawa
1Children's Institute and Department of Rheumatology of Faculdade de Medicina da Universidade de São Paulo. clovis.silva@icr.usp.br
Revista Brasileira De Reumatologia
|December 3, 2010
Summary
Pediatric rheumatologists in São Paulo infrequently assess vaccination status after the initial visit, leading to low immunization rates in children with rheumatic diseases. Practice duration did not influence these vaccination patterns.
Area of Science:
- Pediatric Rheumatology
- Immunization Practices
- Vaccinology
Background:
- Children with rheumatic diseases often require specific vaccination schedules due to immunosuppressive therapies.
- Assessing vaccination status is crucial for preventing vaccine-preventable diseases in this vulnerable population.
Purpose of the Study:
- To evaluate the clinical practice of vaccination card assessment and vaccine recommendations in pediatric patients with rheumatic diseases.
- To determine the association between vaccination frequency and the duration of clinical practice among pediatric rheumatologists in São Paulo.
Main Methods:
- A questionnaire was administered to pediatric rheumatologists in São Paulo.
- The survey collected data on practice duration, vaccination practices for juvenile systemic lupus erythematosus (JSLE), juvenile idiopathic arthritis (JIA), and juvenile dermatomyositis (JDM), considering different treatment regimens.
Main Results:
- Vaccination cards were reviewed by 100% of professionals at the first visit, but only 36% reviewed them annually.
- Live agent vaccines were not recommended for 44% of JSLE, 64% of JIA, and 48% of JDM patients.
- No significant difference in vaccine recommendations or opinions on immunosuppression severity was found between rheumatologists with ≤15 years and ≥16 years of practice.
Conclusions:
- Immunization frequency among pediatric rheumatologists in São Paulo is low, particularly after the initial consultation.
- The duration of a pediatric rheumatologist's practice does not appear to influence their vaccination practices.
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