Vaccination coverage and risk factors for incomplete vaccination in children with recurrent wheeze

E Ozkaya1, N Cambaz, L D Kolsuz

  • 1Department of Pediatrics, Vakıf Gureba Education and Research Hospital, Istanbul, Turkey. minozkaya@yahoo.com

Insights

Children with recurrent wheeze are at high risk for incomplete immunisation. This study highlights the need for ensuring adequate vaccination for infants experiencing recurrent wheezing episodes.

Area of Science:

  • Pediatric Pulmonology
  • Immunology
  • Public Health

Background:

  • Recurrent wheeze in early childhood is a common respiratory issue.
  • Immunisation status is crucial for preventing infectious diseases in infants.
  • The relationship between recurrent wheeze and vaccination adherence requires further investigation.

Purpose of the Study:

  • To assess the impact of recurrent wheeze on childhood immunisation rates.
  • To determine if children with recurrent wheeze are less likely to complete their vaccination schedules.
  • To identify specific vaccines potentially affected by recurrent wheeze.

Main Methods:

  • A case-control study comparing 288 children with recurrent wheeze to 190 controls under three years old.
  • Analysis of vaccination charts against the National Immunisation Schedule.
  • Parental questionnaires collected supplementary data.

Main Results:

  • Children with recurrent wheeze showed significantly lower vaccination rates for BCG, hepatitis B, Hib, and MMR.
  • An inverse relationship was observed between the frequency of wheezing episodes and the number of vaccine doses received.
  • The odds of incomplete vaccination were substantially higher (OR 10.6) in children with recurrent wheeze.

Conclusions:

  • Infants under three years old experiencing recurrent wheeze face a significant risk of incomplete immunisation.
  • Targeted interventions are necessary to ensure adequate vaccination coverage in this vulnerable pediatric population.
  • Addressing vaccination gaps in children with recurrent wheeze is essential for public health.
Abstract

Related Concept Videos

Vaccinations01:51

Vaccinations

Overview
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Smallpox01:24

Smallpox

Smallpox is a severe contagious disease caused by the Variola major virus, a double-stranded DNA member of the Poxviridae family.Variola major transmission occurs primarily via inhalation of virus-laden droplets or direct contact with infectious scabs. The incubation period averages approximately seven days, although it may range from 7 to 17 days depending on the inoculum and host factors.Clinically, the prodromal phase is marked by an abrupt onset of high fever, malaise, headache, and myalgia.