Seasonal influenza vaccination in chronically ill children : the experience of a tertiary healthcare center

Öz

Kronik hastalığı olan çocuklarda mevsimsel influenza aşılaması :bir üçüncü basamak sağlık merkezi deneyimi ÖZET Amaç: Kronik hastalığı olan çocuklarda mevsimsel influenza aşılaması önemlidir. Bununla birlikte, bu grupta aşılanma oranı olması gerekenin altındadır ve halk sağlığı hedefinden uzaktır. Bu çalışmanın amacı; kronik hastalığı olan çocukların mevsimsel influenza aşılaması ihtiyaçlarının merkezimizde daha yüksek oranda karşılanabilmesine yönelik çalışmalara katkı sağlamaktır. Gereç ve Yöntem: Bu çalışma Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesi'nde yapılmıştır ve tek merkezli, retrospektif bir çalışmadır. Çalışma Ekim 2015 ile Mayıs 2018 tarihleri arasındaki ardışık 3 influenza sezonunu kapsamaktadır. Bulgular: Ardışık 3 influenza sezonunda 315 kronik hastalığı olan çocuğa mevsimsel influenza aşısı uygulandı. Hastanemize 1 Ekim 2015 ve 31 Mayıs 2018 tarihleri arasındaki üç sezonda, aşı uygulanan çocuklarla aynı tanılardaki 12.690 kronik hasta çocuk kabul edilmiştir. Bu 315 çocuğun %87'si Astım, %4.4'ü Selektif IgA eksikliği, %2.2'si Nefrotik Sendrom, %1.6'sı Diyabetes Mellitus, %1.3'ü Kistik Fibrozis, %1.3'ü Hematopoetik Kök Hücre Nakli yapılan hasta, %0.96'sı Serebral Palsi hastası, %0.64'ü Duchenne Müsküler Distrofi hastası ve %0.6'sı Akut Lenfoblastik Lösemi hastasıdır. Sonuç: Bu çalışmada; kronik hastalıklı çocukların mevsimsel influenza aşılama oranları bu 3 influenza sezonunda giderek artmıştır. Ancak sayı halen düşüktür. Merkezimizde bu hasta grubunun aşılama oranlarını artıracak planlar yapmamız gerektiği açıktır. Anahtar kelimeler: aşılama, çocuk, influenza, kronik hastalık Seasonal influenza vaccination in chronically ill children : the experience of a tertiary healthcare center. ABSTRACT Objective: Seasonal influenza vaccination is important in children with chronic disease. However, the vaccination rate in this group is sub-optimal and far from the public health goal. The aim of this study is to contribute to research addressing the need for a higher rate of seasonal influenza vaccination of chronically ill children at our center. Material and Methods: This study was conducted in Ankara Child Health and Diseases, Hematology Oncology Training and Research Hospital and is a single-center retrospective study. The study covers 3 consecutive flu seasons between October 2015 and May 2018. Results: Seasonal influenza vaccine was administered to 315 chronically ill children in 3 consecutive flu seasons. During three seasons between October 1, 2015 and May 31, 2018, 12,690 chronically ill children were admitted to our center in the same diagnoses as children who were vaccinated. Of these 315 children, 87.0% had asthma, 4.4% had selective deficiency of immunoglobulin A, 2.2% had nephrotic syndrome, 1.6% had diabetes mellitus, 1.3% had cystic fibrosis, 1.3% were hematopoietic stem cell transplantation patients, 0.96% had cerebral palsy, 0.64% had Duchenne muscular dystrophy, and 0.6% had acute lymphoblastic leukemia. Conclusion: In this study, seasonal influenza vaccination rates of chronically ill children increased gradually in these 3 influenza seasons. However, the number is still low. It is clear that we need to plan to increase the vaccination rates of this patient group at our center. Keywords: Influenza, vaccination, child, chronic illness

Anahtar Kelimeler

• Influenza,vaccination,child

Kaynakça

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