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[Modification of the vaccination technique with DTP in nursing infants after 1 intervention]
J Díez Domingo1, I Pereiró Berenguer, M D Guijarro Domínguez
1Centro de Salud Nazaret, Instituto de Vacunas de Valencia (VIVA), Valencia.
Objectives:
To evaluate alterations in techniques of DTP vaccination of nursing children after a two-year intervention and analyse the reasons for reluctance to change the norms.
Design:
A longitudinal and prospective study, with intervention before and after. Evaluation through two anonymous questionnaires of staff in charge of the vaccinations: a general survey for each centre and an individual one for each nurse.
Setting:
Primary care.
Participants:
The professionals in charge of vaccinations of nursing children in the 13 health centres and clinics in areas 11 and 12 of the Valencian Community in 1993.
Intervention:
Informative meetings with paediatricians and nurses to pass on the recommendations of experts on vaccination techniques, supported by written information to the person in charge of vaccinations at each centre.
Measurements And Main Results:
Out of the 13 centres 12 returned the general survey in 1993 and 11 in 1995. The individual questionnaire was returned by 49 nurses. From the 12 centres injecting in the gluteus in 1993, 5 changed to the thigh and all now use 25 mm-long needles. The reasons for not changing the site of the injection were basically the greater number of side-effects and that the paediatricians did not consider it necessary.
Conclusions:
Vaccination techniques are usually altered after the intervention, though still not sufficiently.