Dynamics of Timely Vaccination Among Tender-Age Infants in two Subjects of Russian Federation with the Lowest Immunization Coverage in 2020: Serial Cross-Sectional Study

R. A. Mukozheva, T. Kulichenko, Liudmila Yu. Semavina, Vera I. Bosikova, Alexandra V. Uarova
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Abstract

Background. It was revealed in 2020 that immunization of children in decreed times in several subjects of Russian Federation was below the standard level. Therefore, monitoring of timely vaccination in children of these regions was relevant. Objective. The aim of the study is to evaluate changes in the timeliness of vaccination in children of two subjects of Russian Federation with low immunization rates according to 2020 data. Methods. Immunization of children born in 2015–2017 and 2020–2022 were studied according to the form of federal statistical monitoring (FFSM) No. 6 and vaccination record cards (form No. 063/y) obtained from children's polyclinics of the Republic of Bashkortostan (two in 2020 and three in 2023) and the Republic of Sakha (Yakutia) (two in 2020 and four in 2023). The vaccination timeliness among children against infections from the national immunization schedule (NIS) list was determined. The timeliness of vaccination was evaluated by the proportion of children who received the required number of vaccine doses against each of the infection from the NIS list by the decreed age among all persons of the decreed age. Results. Data from 998 records was analyzed. The increase in timely vaccination against all vaccine-controlled infections in children was revealed. The proportion of children vaccinated according to the NIS has increased by 1.5–4 times. Timely vaccination of 95% children in the decreed age (by FFSM No. 6) was achieved in the Republic of Sakha (Yakutia) against tuberculosis, hepatitis B, measles, rubella, and mumps, and in the Republic of Bashkortostan against measles, rubella, and mumps. The increase in the multivalent vaccines’ usage and simultaneous administration of several vaccines has been discovered. Conclusion. Monitoring the level of documented immunization and timely vaccination in children allows effectively control routine immunization quality. Implementation of multivalent vaccines and simultaneous administration of several vaccines in routine immunization provides radical change in the vaccination rate in pediatric population.
2020 年免疫覆盖率最低的两个俄罗斯联邦主体中幼龄婴儿及时接种疫苗的动态:连续横断面研究
背景。2020 年的调查显示,俄罗斯联邦多个地区在规定时间内的儿童免疫接种率低于标准水平。因此,对这些地区的儿童及时接种疫苗情况进行监测具有重要意义。研究目的本研究旨在根据 2020 年的数据,评估俄罗斯联邦两个免疫接种率较低地区儿童接种疫苗及时性的变化情况。方法。根据联邦统计监测(FFSM)第 6 号表格和从巴什科尔托斯坦共和国(2020 年 2 例,2023 年 3 例)和萨哈共和国(雅库特)(2020 年 2 例,2023 年 4 例)儿童综合诊所获得的疫苗接种记录卡(第 063/y 号表格),对 2015-2017 年和 2020-2022 年出生儿童的疫苗接种情况进行了研究。确定了儿童接种国家免疫接种计划(NIS)清单所列传染病疫苗的及时性。疫苗接种的及时性是通过在所有法定年龄的儿童中,按法定年龄接种国家免疫规划表所列每种传染病所需疫苗剂量的比例来评估的。结果。对来自 998 份记录的数据进行了分析。结果显示,及时接种疫苗预防所有疫苗控制传染病的儿童人数有所增加。根据 NIS 接种疫苗的儿童比例增加了 1.5-4 倍。萨哈共和国(雅库特)95%的法定年龄儿童及时接种了肺结核、乙型肝炎、麻疹、风疹和流行性腮腺炎疫苗(FFSM 第 6 号),巴什科尔托斯坦共和国接种了麻疹、风疹和流行性腮腺炎疫苗。发现多价疫苗的使用和同时接种几种疫苗的情况有所增加。结论对记录在案的免疫接种水平和儿童及时接种疫苗的情况进行监测可有效控制常规免疫接种的质量。在常规免疫接种中接种多价疫苗和同时接种几种疫苗可彻底改变儿科人群的疫苗接种率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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