Pediatric Vaccination During the COVID-19 Pandemic

Pediatric Vaccination During the COVID-19 Pandemic
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DOI:
10.1542/peds.2020-047092
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发表时间:
2021-07-01
期刊:
影响因子:
8
通讯作者:
Jacobsen, Steven J.
Jacobsen, Steven J.
中科院分区:
医学2区
文献类型:
--
作者:
Ackerson, Bradley K.;Sy, Lina S.;Jacobsen, Steven J.

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预防措施2019年冠状病毒病大流行对疫苗接种覆盖率的影响对于预防疫苗可预防的疾病至关重要,但在重新开放期间尚未进行评估。方法在2020年1月至8月期间,在南加州一个0至18岁的大型儿童队列中评估了里程碑年龄的推荐疫苗和含麻疹疫苗的疫苗接种率和疫苗接种覆盖率,并与2019年同期进行比较。比较了2020年和2019年大流行前(1月至3月)、居家(4月至5月)和重新开放(6月至8月)期间疫苗接种和接种覆盖率(推荐疫苗和含麻疹疫苗)的差异。与2019年相比,2020年大流行期间所有儿童的疫苗接种总量和含麻疹疫苗的接种量明显下降,但0至23个月的儿童有所恢复。在2至18岁的儿童中,麻疹疫苗的摄取量有所恢复,但总的疫苗摄取量仍然较低。疫苗接种覆盖率(推荐疫苗和含麻疹疫苗)下降,并在大多数里程碑年龄组中继续下降
OBJECTIVES The impact of the coronavirus disease 2019 pandemic on vaccination coverage, critical to preventing vaccine-preventable diseases, has not been assessed during the reopening period. METHODS Vaccine uptake and vaccination coverage for recommended vaccines and for measles-containing vaccines at milestone ages were assessed in a large cohort of children aged 0 to 18 years in Southern California during January to August 2020 and were compared with those in the same period in 2019. Differences in vaccine uptake and vaccination coverage (recommended vaccines and measles-containing vaccines) in prepandemic (January to March), stay-at-home (April to May), and reopening (June to August) periods in 2020 and 2019 were compared. RESULTS Total and measles-containing vaccine uptake declined markedly in all children during the pandemic period in 2020 compared with 2019, but recovered in children aged 0 to 23 months. Among children aged 2 to 18 years, measles-containing vaccine uptake recovered, but total vaccine uptake remained lower. Vaccination coverage (recommended and measles-containing vaccines) declined and remained reduced among most milestone age cohorts