美国儿童额外接种疫苗
S M Feikema1, R M Klevens, M L Washington
1Medical Management Department, Children's Healthcare of Atlanta, GA, USA.
JAMA
|March 14, 2000
概括
额外的免疫接种,或超过推时间表的疫苗剂量,影响了21%的儿童,每年花费数百万美元. 改善记录管理可以帮助减少不必要的疫苗剂量.
科学领域:
- 儿科健康 儿科健康
- 公共卫生政策 公共卫生政策
- 免疫接种实践 免疫接种实践
背景情况:
- 额外接种疫苗,定义为超过推时间表的疫苗剂量,尚不清楚.
- 额外免疫接种对公共卫生的影响需要进一步调查.
研究的目的:
- 量化儿童额外免疫接种的流行率和财务成本.
- 确定与接受额外免疫接种相关的因素.
主要方法:
- 对1997年美国全国免疫调查数据的分析.
- 包括32,742名19至35个月龄的儿童,以及22806名医疗保健提供者的疫苗接种史.
- 权重估计以代表国家人口.
主要成果:
- 脊髓灰质炎疫苗接种具有最高的额外免疫率 (14.1%).
- 总体而言,21%的儿童至少接种了一剂额外的疫苗,而31%的儿童接种的疫苗少于推剂量.
- 拥有多个免疫供应商显著增加了额外免疫接种的可能性 (OR 2.8).
- 额外免疫接种的年度成本估计为2650万美元.
结论:
- 额外接种疫苗代表着相当大的财务负担.
- 减少额外免疫的策略不应损害对免疫不足的努力.
- 加强免疫记录和数据共享对于尽量减少不必要的疫苗剂量至关重要.
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