2021-2022年昆明市儿童医院预防接种咨询门诊特殊健康状态儿童预防接种服务分析

Vaccination services for children with underlying medical conditions who visited the consultation vaccination clinic of Kunming Children’s Hospital,2021-2022

目的分析特殊健康状态儿童预防接种服务。方法选择2021年7月-2022年12月昆明市儿童医院预防接种咨询门诊就诊的特殊健康状态儿童,收集医学评估后疫苗接种建议和接种信息,分析疾病分布特征、接种建议比例和接种后不良反应发生率。结果共纳入848例特殊健康状态儿童,其中1-6月龄、7-11月龄、1-2岁、3-12岁分别占40.56%、13.21%,20.52%、25.71%;神经系统疾病、新生儿疾病、心血管系统疾病患儿分别占32.19%(273例)、31.37%(266例)、13.21%(112例);经过医学评估,建议正常接种、正常接种但每次接种1剂次、接种灭活疫苗、接种灭活疫苗但每次接种1剂次、暂缓接种所有疫苗的患儿分别占48.94%(415例)、23.82%(202例)、9.43%(80例)、8.25%(70例)、9.55%(81例)。患儿疫苗接种后不良反应发生率为2.75%(20/727),均为轻度不良反应。结论大部分特殊健康状态儿童经医学评估后可实施疫苗接种,预防接种咨询门诊可为该人群提供良好的个性化预防接种服务。

Objective To analyze vaccination services for children with underlying medical conditions.Methods We selected children with underlying medical conditions who visited the consultation vaccination clinic of Kunming Children's Hospital between July 2021 and December 2022 and collected data on vaccination suggestions based on medical evaluation and vaccination implementation.We analyzed proportions of underlying medical conditions,proportions of vaccination suggestions,and incidences of adverse reactions following vaccination.Results A total of 848 children with underlying medical conditions were included,among which 40.56%,13.21%,20.52%,and 25.71%were aged 1-6 months,7-11 months,1-2 years,and 3-12 years,respectively.Children with neurological,neonatal,and cardiovascular conditions accounted for 32.19%(273 cases),31.37%(266 cases),and 13.21%(112 cases)of all children.Based on medical evaluation,48.94%(415 cases),23.82%(202 cases),9.43%(80 cases),8.25%(70 cases),and 9.55%(81 cases)of children were suggested to receive all schedule vaccines,receive schedule vaccines at one dose per visit,receive inactivated vaccines only,receive inactivated vaccines at 1 dose per visit,and receive no vaccinations.The incidence of adverse reactions after vaccination was 2.75%(20/727),and all reactions were mild.Conclusions The majority of children with underlying medical conditions could receive vaccines based on medical evaluation;the vaccination consultation clinic provided good,personalized vaccination services.