Bir askeri hastanenin çocuk polikliniğine başvuran çocukların 0-24 ay arasındaki aşılama durumlarının değerlendirilmesi

Gülgün, Mustafa; Fidancı, Kürşat; Karaoğlu, Abdülbaki; Güneş, Ömer; Kesik, Vural; Altun, Salih; Babacan, Oğuzhan; Saldır, Mehmet
March 2014
Gulhane Medical Journal;Mar2014, Vol. 56 Issue 1, p13
Academic Journal
Vaccination is a safe and effective public health practice with low cost. This study was performed to determine vaccination status and factors affecting vaccination in children admitted to our outpatient pediatric clinic. Material and Method In this study, the vaccination records of children applied to pediatric outpatient clinic in Kayseri Military Hospital were analysed and a total of 372 patients, aged 7-18 years, having complete 0-24 months vaccination records were included. Data was obtained from the patient's medical records about age, sex, delivery type, 0-24 months vaccination status, number of sibling, maternal age at birth, educational level of parents, mother's employment status, The National vaccination schedule of the Health Ministry in 2006 was used for criterion for children aged 7 years and the vaccination schedule of the Health Ministry in 2005 for children. Children was accepted as incomplete vaccinated if they had missed at least one vaccine dose in the schedule. Children vaccinated with a vaccine not in the National vaccination schedule such as Measles-Rubella-Mumps, Haemophilus influenzae type B, Chickenpox, Hepatitis-A virus, combination vaccine including five different pathogen, influenza, pneumococcal conjugate vaccine. ve pneumococcal 23 were accepted as private vaccinated. This study was approved by Ethics Committee of Gulhane Military Medical Academy. Results The mean age of children was 8.36 ± 2.52 (7-18 years). It was determined that a total of 317 (85,2%) children were complete vaccinated and 55 (14.8%) were incomplete vaccinated. The most important factor affecting the increase of ratio of incomplete vaccination was Haemophilus influenzae type B vaccine which had been a new member of The National vaccination schedule and it was the most missed vaccine with ratio of 78,2%. It was detected that a total of 324 (85,2%) children were immunized at least one private vaccine and 48 (12.%9) children were not immunized with any private vaccine. When we examined the factors inluencing vaccination status, incomplete vaccinations were more prevalent in the children aged 7 years (p < 0.05). The ratio of complete vaccination in the children having -3 siblings was more higher than those having <3 siblings (p < 0.05). Conclusion Vaccination is one of the most important parts of preventive health services. To be more successful in vaccination studies, informative programs reaching to all public in local and national level should be considered about the vaccines especially new ones in pratice.



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