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Infectious diseases and vaccination strategies: how to protect the "unprotectable"?
Elena Bozzola1, Mauro Bozzola2, Valeria Calcaterra2
1Department of Pediatrics, Pediatric and Infectious Disease Unit, Bambino Gesù Children's Hospital, 00100 Rome, Italy.
Insights
Infants too young for vaccines face severe risks from infectious diseases like pertussis, measles, and varicella. Vaccination strategies for adults and healthcare providers are crucial to protect vulnerable infants.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Infants too young for vaccination are highly susceptible to severe illness and death from common infectious diseases.
- Circulating infectious diseases pose a significant risk to unvaccinated infants, often necessitating hospitalization.
Purpose of the Study:
- To evaluate the severity and complications of pertussis, measles, and varicella in infants ineligible for vaccination.
- To highlight the need for enhanced immunization strategies to protect vulnerable infant populations.
Main Methods:
- Retrospective review of medical records for infants hospitalized with pertussis, measles, or varicella.
- Data collected from February 1, 2010, to February 1, 2012.
Main Results:
- 21 infants hospitalized for pertussis, 18 for measles, and 32 for varicella were analyzed.
- Complicated disease courses were observed in 42% of pertussis, 66% of measles, and 78% of varicella cases.
Conclusions:
- High rates of complicated illness underscore the danger infectious diseases pose to unvaccinated infants.
- Implementing comprehensive immunization strategies, including vaccinating healthcare providers and close contacts, is essential to prevent disease transmission to infants.
Abstract:
Introduction. The circulation of infectious diseases puts small infants too young to be vaccinated at risk of morbidity and mortality, often requiring prolonged hospitalization. Material and Methods. We have reviewed the medical records of children not eligible for vaccination because of age, admitted to hospital for pertussis, measles, or varicella from February 1, 2010, till February 1, 2012. Results. Of the case records scrutinized, 21 were hospitalized for pertussis, 18 for measles, and 32 for varicella. Out of them, 42%, 66%, and 78% diagnosed with, respectively, pertussis, measles, and varicella had a complicated course of the disease. Discussion. To avoid infectious disease circulation, childhood immunization strategies should be adopted, such as vaccination of healthcare givers, adult household contacts, and parents planning to have, or who have had, a newborn baby.
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