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Special Immunization Service: A 14-year experience in Italy
Daniele Donà1, Susanna Masiero2, Sara Brisotto2
1Division of Pediatric Infectious Diseases, Department for Woman and Child Health, University of Padua, Padua, Italy.
Plos One
|April 13, 2018
Summary
A Special Immunization Service (SIS) improved vaccination compliance in high-risk children. The service demonstrated safety, with few mild adverse events, enhancing vaccine coverage.
Area of Science:
- Pediatrics
- Immunology
- Public Health
Background:
- Growing concerns about vaccine safety impact vaccination schedule adherence.
- Assessing vaccination risks and compliance is crucial for public health.
Purpose of the Study:
- To evaluate vaccination-related risks in children attending a Special Immunization Service (SIS).
- To determine the impact of the SIS at the Pediatric Emergency Department (PED) on vaccination compliance.
Main Methods:
- Retrospective cohort study of children attending the SIS from 2002-2015.
- The SIS included a pre-vaccination clinic (SIS-C) and a vaccination area (SIS-PED).
- Data collected included admission criteria, vaccinations, adverse events, and follow-up for plan completion.
Main Results:
- 359 children received 560 vaccine administrations; 27.2% admitted for prior adverse events, 42.7% for allergies.
- Only 2.7% of vaccinations resulted in mild adverse events.
- Vaccination at SIS-PED led to 96.3% completion of vaccination plans versus 55.5% for those not vaccinated at SIS-PED.
Conclusions:
- Vaccination at the SIS-PED significantly increased vaccination plan completion rates.
- The SIS is a safe and effective service for vaccinating high-risk children, improving vaccine coverage.
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