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Vaccination in preterm and low birth weight infants in India
Santosh Soans1, Attila Mihalyi2, Valerie Berlaimont3
1Paediatrics, AJ Institute of Medical Sciences, Mangalore, India.
Insights
Vaccination delays in preterm and low birth weight (LBW) infants in India increase their risk of death from vaccine-preventable diseases (VPDs). Increased awareness and addressing barriers are crucial for timely immunization.
Area of Science:
- Pediatrics
- Immunology
- Public Health
Background:
- India faces high neonatal and infant mortality, partly due to rising preterm and low birth weight (LBW) births.
- Immune system immaturity in these infants heightens their vulnerability to vaccine-preventable diseases (VPDs).
Purpose of the Study:
- To review the scientific literature on VPD risks, vaccination delays, and associated factors in Indian preterm and LBW infants.
Main Methods:
- A narrative review of the scientific literature was conducted.
- Data on VPD risks and vaccination patterns in Indian preterm and LBW infants were screened.
Main Results:
- Vaccination is frequently delayed in preterm and LBW infants despite recommendations.
- Barriers include post-birth complications, lack of awareness, and safety concerns.
- Delayed vaccination increases infection risk, complications, and mortality.
Conclusions:
- Addressing barriers and increasing awareness are essential to improve vaccination rates in vulnerable Indian infants.
- Timely vaccination is critical to reduce mortality from VPDs in preterm and LBW infants.
Abstract:
In India, the high neonatal and infant mortality rate is due in part to an increasing number of preterm and low birth weight (LBW) infants. Given the immaturity of immune system, these infants are at an increased risk of hospitalization and mortality from vaccine-preventable diseases (VPDs). In this narrative review, we screened the scientific literature for data on the risk of VPDs, vaccination delay and factors related to it in Indian preterm and LBW infants. Although routine childhood vaccinations are recommended regardless of gestational age or birth weight, vaccination is often delayed. It exposes these infants to a higher risk of infections, their associated complications, and death. After-birth complications, lack of awareness of recommendations, vaccine efficacy and effectiveness and concerns related to safety are some of the common barriers to vaccination. Awareness campaigns might help substantiate the need for (and value of) vaccination in preterm and LBW infants.
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