[Insufficient vaccination status of children with a chronic disease].

Abstract

OBJECTIVE:

To determine whether the vaccination status of children with a chronic disease in adequate, what amount of delay occurs and whether vaccination opportunities are missed.

DESIGN:

Retrospective descriptive.

SETTING:

Department of Pediatrics, University Hospital, Groningen, the Netherlands.

METHODS:

Vaccination data of all 79 children with chronic diseases admitted to the infant and toddler ward of the Beatrix Children's Hospital between January 1 and December 31 1993 were obtained through review of hospital admission charts and local Vaccination Administration records, as well as through telephone contacts with the parents. The data of 71 children were complete; these were compared with the vaccination guidelines with respect to diphtheria-tetanus-pertussis-poliomyelitis (DTPP) vaccination and mumps-measles-rubella (MMR) vaccination.

RESULTS:

Vaccination coverage for DTPP reached over 90% although for DTPP 3 and 4 with a delay of more than 3 months. MMR vaccination coverage was 86%. Only 21% of the patients received all vaccinations within a period of 1 month after the recommended age. Among the remaining 79% of children 56 opportunities were missed to administer vaccines during admission. Twenty-one times the possibility to administer DTPP and MMR simultaneously was missed.

CONCLUSION:

Children with a chronic disease run a high risk of incomplete and delayed immunization.

• Authors: H van der Meer, J L Kimpen
• Journal: Nederlands tijdschrift voor geneeskunde (Ned Tijdschr Geneeskd) Vol. 140 Issue 27 Pg. 1402-6 (Jul 06 1996) ISSN: 0028-2162 [Print] Netherlands
• Vernacular Title: Ontoereikende vaccinatiestatus van kinderen met een chronische ziekte.
• PMID: 8766683 (Publication Type: English Abstract, Journal Article)

Chemical References

• Diphtheria-Tetanus-Pertussis Vaccine
• Measles Vaccine
• Measles-Mumps-Rubella Vaccine
• Mumps Vaccine
• Rubella Vaccine
• Vaccines, Combined

Topics

• Child, Preschool
• Chronic Disease
• Diphtheria-Tetanus-Pertussis Vaccine
• Humans
• Immunization Schedule
• Infant
• Measles Vaccine
• Measles-Mumps-Rubella Vaccine
• Mumps Vaccine
• Patient Compliance
• Retrospective Studies
• Rubella Vaccine
• Vaccination
• Vaccines, Combined