在幼儿时代完成多剂量疫苗系列:当前的挑战和机遇
Sarah Y Michels1, Matthew F Daley2,3, Sophia R Newcomer1,4
1Center for Population Health Research, University of Montana, Missoula, Montana.
Current opinion in infectious diseases
|March 1, 2024
概括
完成多剂量疫苗系列对于最佳保护至关重要. 解决社会经济因素和改善接种疫苗服务的机会,可以提高儿童疫苗接种完成率.
科学领域:
- 公共卫生 公共卫生
- 免疫学 免疫学 免疫学
- 儿科 儿科 儿科
背景情况:
- 多剂量疫苗系列对于对传染病的最佳保护至关重要.
- 虽然初始疫苗接种覆盖率通常很高,但多剂量疫苗的完成率较低.
- 不完成提出了重大的公共卫生挑战,影响群体免疫力和疾病预防.
研究的目的:
- 审查不完整的多剂量疫苗系列的临床和公共卫生影响.
- 确定当前在确保儿童接种所有推疫苗方面面临的挑战.
- 突出可行的策略,以实现幼儿免疫目标.
主要方法:
- 本综述综合了当前关于疫苗系列未完成的研究.
- 它检查了与遗漏的疫苗剂量相关的社会经济和后勤因素.
- 讨论了改善免疫率的基于证据的干预措施.
主要成果:
- 较低的社会经济地位,缺乏保险,多个孩子和频繁的搬家与不完整的疫苗系列有关.
- 接种免疫服务的实际障碍阻碍了系列完成.
- 有效的策略包括提醒/召回系统,免疫信息系统和临床医生提示.
结论:
- 完成多剂量疫苗系列仍然是免疫服务提供的一个挑战.
- 重新投资经过验证的干预措施和现代化公共卫生基础设施是必要的.
- 需要有针对性的努力来克服障碍,改善美国的疫苗接种覆盖率.
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