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Vaccination coverage in children with rheumatic diseases
Maša Bizjak1, Štefan Blazina2, Mojca Zajc Avramovič2
1Department of Allergology, Rheumatology and Clinical Immunology, University Children's Hospital, University Medical Centre Ljubljana, Slovenia.
Clinical and Experimental Rheumatology
|October 3, 2019
Summary
Many children with rheumatic diseases are incompletely vaccinated, increasing their risk for preventable illnesses. Physician recommendations significantly influence vaccination decisions in pediatric rheumatology care.
Area of Science:
- Pediatric Rheumatology
- Immunology
- Public Health
Background:
- Children with rheumatic diseases are often immunocompromised, necessitating thorough vaccination.
- Vaccination status and dropout reasons in this vulnerable population require careful evaluation.
Purpose of the Study:
- To assess vaccination coverage in children with rheumatic diseases.
- To identify common reasons for vaccination dropout in this cohort.
Main Methods:
- A questionnaire-based study was conducted on 187 pediatric patients with rheumatic diseases.
- Vaccination coverage was assessed at multiple time points (5, 10, 18 years, and last visit).
Main Results:
- Complete vaccination coverage decreased from 91.9% at 5 years to 64.7% at the last visit.
- Hepatitis B and MMR vaccines were most frequently omitted; rotavirus vaccine was most commonly added.
- Physician recommendation was the primary reason for vaccination dropout.
Conclusions:
- A significant proportion (35%) of pediatric rheumatology patients remain incompletely vaccinated.
- Physicians hold a critical role in influencing vaccination decisions for these children.
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