Julia Stoeterau Moré, Daniel Rodrigo Serbena, Luiz Gustavo Gusson de Camargo, Pedro Augusto Clemente, Fernando Sluchensci Dos Santos, Juliana Sartori Bonini
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引用次数: 0
Abstract
Background: Child immunization plays a critical role in preventing numerous diseases. However, the COVID-19) pandemic has profoundly disrupted healthcare systems globally, including routine child vaccination programs.
Objective: To provide an overview of the reduction in vaccine coverage among infants and children during the pandemic and analyze the potential impacts of decreased child immunization during this period.
Methods: A comprehensive search was conducted using the MeSH terms "Child," "Vaccination", and "COVID-19," along with their synonyms. Systematic reviews published between March 11, 2020, and June 1, 2023, in Portuguese or English were included. Databases searched included PubMed, BVS (Biblioteca Virtual em Saúde), Embase, and Scopus. Two blinded independent reviewers performed the selection process, with conflicts resolved by a third reviewer. The AMSTAR-II tool was used to assess the methodological quality of the included studies.
Results: Of the 1,534 eligible articles, only 13 addressed the pandemic's impact on children's vaccination coverage. Most studies involved multiple countries and reported a significant decrease in children's vaccination coverage due to the COVID-19 pandemic.
Conclusion: The findings were heterogeneous but consistently highlighted the substantial impact of the COVID-19 pandemic on routine vaccination coverage in most countries. Further research is needed to explore the epidemiological consequences of disruptions to vaccination schedules, potentially guiding public policies and raising awareness about the importance of adhering to health protection programs.
背景:儿童免疫在预防许多疾病方面起着关键作用。然而,2019冠状病毒病(COVID-19)大流行严重扰乱了全球卫生保健系统,包括常规儿童疫苗接种计划。目的:概述大流行期间婴儿和儿童疫苗覆盖率下降的情况,并分析这一时期儿童免疫接种减少的潜在影响。方法:使用MeSH术语“儿童”、“疫苗接种”和“COVID-19”及其同义词进行全面搜索。纳入了2020年3月11日至2023年6月1日期间以葡萄牙语或英语发表的系统综述。检索的数据库包括PubMed、BVS (Biblioteca Virtual em Saúde)、Embase和Scopus。两名独立的盲法审稿人进行选择过程,冲突由第三名审稿人解决。采用AMSTAR-II工具评估纳入研究的方法学质量。结果:在1534篇符合条件的文章中,只有13篇涉及大流行对儿童疫苗接种覆盖率的影响。大多数研究涉及多个国家,并报告由于COVID-19大流行导致儿童疫苗接种覆盖率显著下降。结论:研究结果各不相同,但一致强调了COVID-19大流行对大多数国家常规疫苗接种覆盖率的重大影响。需要进一步的研究来探索疫苗接种计划中断的流行病学后果,这可能会指导公共政策并提高人们对坚持健康保护计划重要性的认识。