Immunoprophylaxis of infectious diseases in children during the COVID-19 pandemic
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2022.2.13045Keywords:
children, immunoprophylaxis, vaccination schedule, COVID-19 pandemic, nurseAbstract
Summary. Restrictive rules during the COVID-19 pandemic and the desire to minimize children’s contact have reduced the coverage of routine vaccinations in all age groups. Interruptions in routine immunization can lead to outbreaks of vaccine-control infectious diseases, which will be an additional burden on the public health care system overloaded by the COVID-19 pandemic. In this situation, the role of medical staff as a source of objective information with the involvement of all motivational potential is exacerbated.
The aim of the study – to analyze the parents’ adherence to immunization with the definition of the role and place of various information sources of immunoprophylaxis, including health care professionals.
Materials and Methods. To achieve this goal, we conducted an anonymous survey of 87 parents whose children were hospitalized at the Chernivtsi Regional Children's Clinical Hospital or sought outpatient care at the Chernivtsi City Children's Polyclinic using a developed questionnaire containing 14 questions with answer options.
Results. The bigger part of parents (82 %) expressed a positive attitude to vaccination during the survey, the part of parents who have an ambiguous attitude to vaccination, so far refuse and those who have a negative attitude to some vaccines, reaches 16 %. The study also shows a certain imbalance between the personal vaccination history of parents and the history of vaccination of their own children. According to the parents’ view (79 %), the most important sources of information on immunization should be health workers, while the survey shows that the part of parents who receive the necessary information about the benefits of vaccination in medical institutions were 14 % lower and amounted to 65 %.
Conclusions. The paper shows positive parents’ adherence to vaccination and a high level of their trust in health care professionals as a source of relevant information. Health care professionals do not make full use of their own "vaccination potential" and in some cases are sources of negative information about vaccination. There is an urgent necessity in educational work of health care professionals to increase the population's adherence to immunization, especially in the context of the COVID-19 pandemic.
References
Horbachenko O. [Immunoprophylaxis as a guarantee of epidemic well-being of the population]. Biblioteka simeinoho likaria ta simeinoi medsestry. 2016;5: 43-5. Ukrainian.
On the procedure for preventive vaccinations in Ukraine and quality control and circulation of medical immunobiological drugs [Internet]. Standart of Public Health Ministry of Ukraine [cited 24.03.2022]. Available from: https://zakon.rada.gov.ua/laws/show/z1159-11#Text.
Dmytruk V.I., Zaslavska H.O [Immunoprophylaxis of infectious diseases in children: achievements and problems. Anti-vaccine movement as a barrier to immunization of the population]. Aktualna insektolohiia. 2017;5(4)): 166-71. Ukrainian.
Mamenko M.Ie. Vaccination for pneumococcal infection as an investment in the nation health. Zdorovia Ukrainy. 2020;3(54): 9. Ukrainian.
Vaccine schedules in all countries in the EU/EEA [Internet]. [cited 24.03.2022]. Available from: https://vaccine-schedule.ecdc.europa.eu/
Mahase E. Childhood vaccination: Access problems in UK began way before covid-19. BMJ. 2021; 373: 1436.
Bozzola E, Spina G, Russo R, Bozzola M, Corsello G, Villani A. Mandatory vaccinations in European countries, undocumented information, false news and the impact on vaccination uptake: the position of the Italian pediatric society. Ital J Pediatr. 2018;44: 67.
Sheikh S, Biundo E, Courcier S, Damm O, Launay O, Maes E, et al. A report on the status of vaccination in Europe. Vaccine. 2018;36(33): 4979-92.
Harmon SH, Faour DE, MacDonald NE, Graham JE, Steffen C, Henaff L, et al. Immunization governance: Mandatory immunization in 28 Global NITAG Network countries. Vaccine. 2020;38(46): 7258-67.
Orenstein WA, Cairns L, Hinman A, Nkowane B, Olivé J-M,. Reingold AL. Measles and Rubella Global Strategic Plan 2012–2020 midterm review report: Background and summary. Vaccine. 2018;36(1): A35-A42.
Ghildayal, N. Cost-effectiveness of Hepatitis A vaccination in a developed and developing country. Int J of Health Care Quality Ass. 2019;32(8): 1175-99.
Cernuschi T, Malvolti S, Nickels E, Friede M. Bacillus Calmette-Guérin (BCG) vaccine: A global assessment of demand and supply balance. Vaccine. 2018;36(4): 498-506.
Burke RM, Tate JE, Kirkwood CD, Steele AD, Parashar UD. Current and new rotavirus vaccines. Curr Opin Infect Dis. 2019;32(5): 435-444.
Varela FH, Pinto AL, Scotta MC. Global impact of varicella vaccination programs. Human Vaccines & Immunotherapeutics. 2019;15(3): 645-57.
Bruni L, Saura-Lázaro A, Montoliu A, Brotons M, Alemany L, Diallo MS, et al. HPV vaccination introduction worldwide and WHO and UNICEF estimates of national HPV immunization coverage 2010–2019. Prev Med. 2021;144: 106.
Sambala EZ, Ngcobo N, Machingaidze S, Wiyeh AB,. Mahasha PW, Jaca A, et al. A global review of seasonal influenza vaccine introduction: analysis of the WHO/UNICEF Joint Reporting Form. Expert Rev of Vaccines. 2019;18(8): 859-65.
Schmid-Küpke NK, Matysiak-Klose D, Siedler A, Felgendreff L, Wieler L, Thaiss HM. et al. Cancelled routine vaccination appointments due to COVID-19 pandemic in Germany. Vaccine. 2021;8: 094-100.
Volianska LA, Boiarchuk OR, Burbela EI, Pavelieva MM. [Organization of immunoprophylaxis of controlled re-emergent infections in the context of the SARS-COV-2 pandemic]. Infektsiini khvoroby. 2021;3: 55-62. Ukrainian.
Infectious diseases of the population of Ukraine Center for Public Health [Internet]. [cited 24.03.2022]. Available from: https://phc.org.ua/kontrol-zakhvoryuvan/inshi-infekciyni-zakhvoryuvannya/infekciyna-zakhvoryuvanist-naselennya-ukraini
Dolzhenkova O. Research and forecasting of measles incidence in Ukraine depending on vaccination statistics. Molodyi vchenyi. 2021;12(100): 87-91. Ukrainian.
Boyarchuk OR, Mishchanchuk VA. Assessment of factors influencing the attitude of parents to immunoprophylaxis. Modern Pediatrics. Ukraine. 2020;5(109): 19-23. Ukrainian.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Bulletin of Medical and Biological Research

This work is licensed under a Creative Commons Attribution 4.0 International License.