Key role of pediatricians and disease for influenza vaccination in children with high-risk chronic diseases
Key role of pediatricians and disease for influenza vaccination in children with high-risk chronic diseases
复制标题
DOI：
10.1007/s00431-020-03751-z
复制
发表时间：
2020-07-28
影响因子：
3.6
通讯作者：
Dubus, Jean-Christophe
中科院分区：
文献类型：
--
作者：
Alauzet, Pierre;Morand, Aurelie;Dubus, Jean-Christophe
建议患有慢性病的儿童每年接种流感疫苗。继 2009 年 H1N1 流感相关争议之后，欧洲对流感疫苗的研究很少。我们的目的是评估法国三级医院此类儿童的流感疫苗接种覆盖率。次要目标是评估流感疫苗接种覆盖率趋势并确定影响疫苗接种状况的因素。 2017 年底，我们对 402 名患有各种基础慢性病且符合流感疫苗接种条件的法国医院门诊患者进行了一项前瞻性、描述性问卷调查。 2016-2017年疫苗接种覆盖率为46.5%。 75% 或更高的数字仅出现在囊性纤维化和镰状细胞病患者中。 CART分析发现，上一年接种情况、接种的医学建议、孕产妇流感疫苗接种情况是儿童是否接种流感疫苗的决定性因素。结论：慢性病住院随访儿童流感疫苗接种覆盖率仍然不足。其实施显然取决于儿科医生的疫苗接种建议和慢性疾病的类型。已知信息：中心点 尽管卫生政策提出建议，患有慢性病的儿童每年接种流感疫苗的比例很低新鲜事：中心点 流感疫苗接种覆盖率取决于慢性病的类型以及儿科医生对疫苗的咨询
Annual influenza vaccination is recommended for children with chronic diseases. Studies on influenza vaccines, following controversies related to the 2009 H1N1 influenza, are scarce in Europe. Our aim was to evaluate the influenza vaccination coverage in such children in a French tertiary hospital. Secondary objectives were the evaluation of the influenza vaccination coverage trend and the identification of factors influencing the vaccination status. A prospective and descriptive study by questionnaire was performed at the end of 2017 in 402 French hospital outpatients with various underlying chronic diseases eligible to the influenza vaccination. The 2016-2017 vaccination coverage was 46.5%. Figures of 75% or greater were only found in patients with cystic fibrosis and sickle cell disease. CART analysis identified vaccination in the previous year, medical recommendation for vaccination, and maternal influenza vaccination as a child's decisive factors for being vaccinated.Conclusion: Influenza vaccination coverage remains insufficient in children receiving hospital follow-up for chronic diseases. Its implementation clearly depends on pediatricians' recommendation to vaccinate and on the type of chronic disease.What is Known: center dot Despite health policy recommendations, the rate of annual influenza vaccination in children with chronic diseases is lowWhat is New: center dot Influenza vaccination coverage depends on the type of chronic disease and on the pediatricians' counseling to vaccine