Home

Practical issues of vaccination of children in a polyclinic

Written by Platonova T.A., Koltunova E.S., Golubkova A.A., Zhilyaeva I.V., Abdulvalieva V.V.

  UDK: 616-053.2/3–085.371–036.22:614.47 | Pages: 21-05-2018 | Full text PDF | Open PDF 

Annotation:

Objective. The aim of the study was to assess the completeness and timeliness of vaccination of children in outpatient settings within the time limits regulated by the National calendar of preventive vaccinations. Methods. The analysis of 631 child development stories and maps of preventive vaccinations of children under 18 months of age. The completeness and timeliness of vaccination coverage for hepatitis B, tuberculosis, poliomyelitis, diphtheria, tetanus, pertussis, measles, rubella and mumps were evaluated, and the reasons for the lack of vaccination and the timing and continuation of vaccination were analyzed. Results. Insufficient coverage of children with vaccinations in the decreed ages (for all vaccinations In the national calendar, which were subject to evaluation) was revealed. The reasons for the unattractiveness of children in the maternity hospital were parents' refusal to vaccinate and medical contraindications (prematurity and low birth weight, respiratory failure, neonatal jaundice, HIV infection in the mother). In the clinic the leading causes of violation of the schedule of vaccination was temporary medical branches (acute illness and exacerbation of chronic), delayed appearance to the vaccine, and failure of parents. Defects of filling of medical records in the nursing home and in the clinic. Conclusions. In this regard, at the present stage, the important areas of work on vaccine prophylaxis are: high-quality filling of medical documentation, the creation of a single electronic database on vaccinations of the population with the ability to work in it specialists of medical organizations and public and private health care system, and the work of medical personnel with the population to abandon vaccination and improve the Executive discipline of parents in terms of timely.

Links to authors:

T.A. Platonova1, E.S. Koltunova2, A.A. Golubkova1, I.V. Zhilyaeva2, V.V. Abdulvalieva1
1 Ural State Medical University (3 Repina St. Ekaterinburg 620028 Russian Federation),
2 Children›s City Clinical Hospital No. 11 (48 Nagornaya St. Ekaterinburg 620028 Russian Federation)


1. Briko N.I., Feldblyum I.V., Mikheeva I.V. [et al.]. Vaccination: study guide with simulation course. Moscow: GEOTAR-Media, 2017. 144 p.
2. Briko N.I. Evaluation of the quality and effectiveness of immunoprophylaxis // Attending physician: Medical scientific and methodological portal. URL: https://www.lvrach. ru/2012/10/15435557/ (date of access: 20.04.2018).
3. Golubkova A.A., Platonova T.A., Kharitonov A.N. [et al.]. Measles. Characteristics of the epidemic process and its determinants in real time (on the example of measles outbreak in Yekaterinburg in 2016) // Epidemiology and Vaccine Prophylaxis. 2017. No. 6. P. 54–58.
4. Medunitsyn N.V. Vaccinology. Moscow: Triada-X, 2004. 448 p.
5. Romanenko V.V. Immunoprophylaxis of infectious diseases in the health management system of the children›s population of the subject of the Russian Federation: Dissertation of the doctor of medical Sciences. Ekaterinburg, 2012. P. 19–29.
6. Tatochenko V.K., Ozeretskovsky N.A. Fedorov A.M. Immunoprophylaxis – 2014: Handbook. Moscow: Pediatr, 2014. 280 p.
7. Feldblyum I.V. Epidemiological surveillance of vaccine // Medial. 2014. No. 3. P. 37–55.
8. Feldblyum I.V. Modern problems of vaccine prophylaxis (scientific review) // Prophylactic and Clinical Medicine. 2017. No.
2. P. 20–27.
9. Tsvirkun O.V. Epidemic process of measles in different periods of vaccine prophylaxis: author›s abstract of dissertation of doctor of medical sciences. Moscow, 2014. 46 p.
10. Golubkova A.A., Platonova T.A., Olshvang O.Yu. [et al.]. Measles: manifestations at the stage of elimination of infection and directions for effective management of the epidemic process // The Medical-Surgical Journal of the Physicians and Naturalist Society from Iasi. 2018. Vol. 122, No. 1, P. 146–152.

PUBLISHER: "MEDITSYNA DV"

Founded in 1997  |  Editions in a year: 4, Articles in one issue: 30 |  ISSN of print version: 1609-1175  |  Ind.: 18410 (Agency "Rospechat’")  |  Edition: 1000 c.