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[Adherence to immunizations in newborns less than 1500 gr at birth and/or younger than 32 weeks, in two chilean
Gonzalo Calderón C1, Rosario Moore V, Enrica Pittaluga P
1Departamento de Pediatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. gonzaloc82@hotmail.com
Insights
Vaccination rates for premature infants are frequently delayed due to oversight, impacting infant health. Improvements in healthcare systems and parental education are crucial for timely immunization of high-risk neonates.
Area of Science:
- Neonatology
- Immunology
- Public Health
Context:
- Premature neonates (<1500g or <32 weeks) face higher risks of infectious diseases.
- Immunization is critical for these vulnerable infants but often incomplete and delayed.
Purpose:
- To assess adherence to scheduled and additional vaccine recommendations in preterm infants (<1500g).
- To compare vaccination compliance levels between a private and a public healthcare center.
Summary:
- A study reviewed 92 preterm infants (HCPUC) and 246 (HSR), finding 60-70% experienced delayed immunizations.
- Unjustified delays, primarily due to oversight or parental time constraints, were common. Use of additional vaccines remains low in both centers.
- Vaccination of preterm infants in Chile needs significant improvement, including better record-keeping and accessible vaccines.
Impact:
- Highlights critical gaps in preterm infant immunization programs in Chile.
- Underscores the need for enhanced healthcare provider and parental education.
- Suggests systemic changes, including computerized records and cost-free vaccine access, to improve outcomes for high-risk neonates.
Unlabelled:
Preterm neonates less than 1500 gr. or younger than 32 weeks have an increased morbidity and mortality due to infectious diseases. Immunization of these children is critical but is often incomplete and delayed.
Objectives:
To describe the adherence of scheduled and additional vaccines recommended in preterms less than 1500 gr. and to compare the level of compliance in two centers.
Patients And Methods:
Prematures less than 1500 gr. born between January 2006 and December 2008 in a private center (HCPUC) and in a public health system (HSR) were included. Neonatal charts and follow up records were reviewed. Demographic data, diagnosis, scheduled vaccines, delays and its causes, prescription of additional vaccines were registered.
Results:
92 children were included in HCPUC and 246 in HSR. Among these 60-70% respectively had delayed immunizations. The reasons for these were considered not justified in almost 80% of the cases, being the primary reason oversight or lack of parental time. The use of additional vaccines is still low in both centers.
Conclusions:
Vaccination of prematures in Chile requires important improvements; education of healtheare personnel and parents, inclusión of modern computerized records and inclusión of new efficacious and safe vaccines in the regular immunization program with no cost to the patient.
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