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Vaccine schedule compliance among very low birth weight infants in Lima, Peru
Theresa J Ochoa1, Alonso Zea-Vera2, Rossana Bautista3
1Universidad Peruana Cayetano Heredia, Lima, Lima, Peru; University of Texas School of Public Health, Houston, TX, United States.
Insights
Vaccination schedules for very-low-birth-weight infants in Peru are often delayed, particularly for those under 1000g. Improvements require targeted educational interventions for healthcare providers to enhance vaccination rates and timing.
Area of Science:
- Pediatrics
- Vaccinology
- Public Health
Background:
- Limited data exists on vaccine schedule adherence for very-low-birth-weight (VLBW) infants in developing nations.
- Peru lacks comprehensive information on vaccination compliance in this vulnerable population.
Purpose of the Study:
- To assess and describe vaccination schedule compliance among VLBW infants in Lima, Peru.
- To identify factors influencing vaccination timeliness in VLBW infants.
Main Methods:
- A prospective cohort study followed 222 VLBW infants (birth weight <1500g) from birth to 12 months in four Lima hospitals.
- Infant data, including birth weight, gestational age, and vaccination dates, were meticulously recorded every two weeks.
Main Results:
- VLBW infants, especially those <1000g, experienced significant delays in receiving primary vaccine doses (pentavalent, oral polio, rotavirus, pneumococcal).
- Mean ages for initial vaccine doses varied significantly by birth weight strata (e.g., pentavalent vaccine at 4.3 months for <1000g vs. 3.1 months for 1000-1500g).
- While 35% received complete initial doses by 7 months, 81% achieved this by 9 months, indicating a catch-up phenomenon.
Conclusions:
- Vaccination in Peruvian VLBW infants is significantly delayed, with lower birth weight and gestational age being key risk factors.
- Urgent educational interventions for healthcare professionals are crucial to improve vaccination timeliness and coverage in this high-risk group.
Objective:
There is little information about vaccine schedule compliance in very-low-birth-weight infants in developing countries. The aim of the study was to describe the compliance with the vaccine schedule among this population in Lima, Peru.
Patients And Methods:
We conducted a prospective cohort study in four hospitals in Lima in infants with a birth-weight of less than 1500 g, followed from birth up to 12 months of age every 2 weeks. The date and age at administration of each vaccine was recorded
Results:
222 infants were enrolled. The median birth-weight was 1250 g (range 550-1499 g) and the median gestational age was 30.0 weeks (range 23-37 weeks). The mean age for the first pentavalent (DPT, Hib, HepB) and oral polio vaccine administration was 4.3 ± 1.4 months in infants with a birth-weight of < 1000 g vs. 3.1 ± 1.0 in infants with a birth-weight 1000-1500 g (p < 0.001); 4.1 ± 0.9 vs. 3.3 ± 1.1 for rotavirus (p < 0.05); and 5.1 ± 2.1 vs. 4.3 ± 1.8 for the 7-valent pneumococcal conjugated vaccine. Only 35% had received the three doses of oral polio and pentavalent vaccine by seven months, although by nine months 81% had received these vaccines.
Conclusions:
Vaccination of very-low-birth-weight infants in Peru is significantly delayed, especially in infants with a birth-weight of < 1000 g and lower gestational age. Urgent educational interventions targeting physicians and nurses should be implemented in order to improve vaccination rates and timing in these high risk populations.
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