Analysis of vaccination recommendations and follow-up for children with special health status
10.3760/cma.j.cn115624-20231129-00306
- VernacularTitle:特殊健康状态儿童预防接种建议及随访情况分析
- Author:
Wenjing JI
1
;
Jiongxian YANG
;
Ruiyun SHEN
;
Yang MA
;
Huimin HU
;
Yue LI
;
Yue QIAN
;
Huawei MAO
;
Aimin LIANG
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院保健中心，北京 100045
- Keywords:
Child;
Special health status;
Vaccine;
Vaccination;
Multidisciplinary team
- From:
Chinese Journal of Health Management
2024;18(8):576-580
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the vaccination recommendations and follow-up for children with special health status.Methods:In this retrospective cohort study, 509 children who attended the Consultation Clinic of Vaccination for Special Health Children in Beijing Children′s Hospital from August 2020 to February 2023 were selected, the children were given vaccination planning advice after the assessment. The clinical data were collected, including the general situation, special health conditions, vaccination recommendations and implementation status, occurrence and outcomes of suspected adverse events following immunization (AEFI) after vaccination. The vaccination situation and safety in these children were evaluated.Results:Among the 509 children, the most common special health conditions were cardiovascular system diseases (103 cases), followed by neurological diseases (88 cases) and neonatal problems (82 cases). After comprehensive evaluation and multidisciplinary collaboration, 399 children (78.4%) were recommended to receive vaccination/catch-up vaccination according to the immunization program, 63 children (12.4%) were recommended to receive some vaccines but temporarily suspend others, and 47 children (9.2%) were recommended to temporarily suspend vaccination. A total of 449 children (88.2%) were actually vaccinated, AEFI occurred in 49 children and 45 cases were considered as general reactions.Conclusions:The majority of children with special health status can be vaccinated, and the overall compliance and safety are high. The individualized immunization evaluation model of multidisciplinary collaboration is conducive to the completion of the immunization program of children with special health status.
