Abstract
Pneumococcal infections, pertussis, and influenza are vaccine-preventable diseases. The aim of this study was to determine vaccine coverage and compliance with the dosage regimen among children in Poland. We performed a retrospective chart analysis of 1,356 children in a large primary healthcare establishment. The complete primary pertussis vaccination, 3 doses in the first year of life, was administered to 1,310/1,356 patients (96.6 %). The self-paid combined acellular vaccine was given in 55.2 % of children. The first dose of the pertussis vaccine was administered in a timely manner to 67.1 % of children. The self–paid pneumococcal vaccine was administered in 499/1,356 (36.8 %) children. In 46.1 % of them immunization started within the first 6 months of life; in 12.6 % aged 7–11 months, in 12.6 % aged 12–23 months, and in 28.7 % aged over 24 months. The dosage regimen was compliant in 49.2 % of patients. Only 3.5 % of patients were immunized against both pneumococci and influenza. Compliance with the Polish immunization program should be increased by reducing the number of injections and the cost of vaccines. Education is essential to facilitate simultaneous administration of vaccines during one visit and to prepare the parents for judicious decision-making when it comes to vaccinations.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
ACIP – Advisory Committee on Immunization Practices of the National Center for Immunization and Respiratory Diseases (2011) General recommendations on immunization. Morb Mortal Wkly Rep Recomm Rep 60:1–64
Bedford H, Lansley M (2007) More vaccines for children? Parents’ views. Vaccine 25:7818–7823
Bennett P, Smith C (1992) Parents attitudinal and social influences on childhood vaccination. Health Educ Res 7:341–348
CDC – Centers for Disease Control and Prevention (2011) Final state-level influenza vaccination coverage estimates for the 2010–11 season–United States, National Immunization Survey and Behavioral Risk Factor Surveillance System, August 2010 through May 2011. Available online from: http://www.cdc.gov/flu/fluvaxview/coverage_1011estimates.htm. Accessed 30 Sept 2013
Chief Sanitary Inspector (2012) National Program on Immunization. Available online from: http://www.wsse.krakow.pl/Files/Attachments/phpvb5fSg_program%20szczepien.pdf. Accessed 30 Sept 2013
Cohen SA, Chui KK, Naumova EN (2011) Influenza vaccination in young children reduces influenza-associated hospitalizations in older adults, 2002–2006. J Am Geriatr Soc 59:327–332
Feikin DR, Lezotte DC, Hamman RF, Salmon DA, Chen RT, Hoffman RE (2000) Individual and community risks of measles and pertussis associated with personal exemptions to immunization. JAMA 284:3145–3150
Ganczak M, Dmytrzyk-Daniłów G, Karakiewicz B, Korzeń M, Szych Z (2013) Determinants influencing self-paid vaccination coverage in 0–5 years old Polish children. Vaccine 31:5687–5692
Grant CC, Roberts M, Scragg R, Stewart J, Lennon D, Kivell D, Ford R, Menzies R (2003) Delayed immunisation and risk of pertussis in infants: unmatched case-control study. Br Med J 326:852–853
Grant GB, Campbell H, Dowell SF, Graham SM, Klugman KP, Mulholland EK, Steinhoff M, Weber MW, Qazi S, World Health Organization Department of Child and Adolescent Health and Development (2009) Recommendations for treatment of childhood non-severe pneumonia. Lancet Infect Dis 9:185–196
Hurwitz ES, Haber M, Chang A, Shope T, Teo S, Ginsberg M, Waecker N, Cox NJ (2000) Effectiveness of influenza vaccination of day care children in reducing influenza-related morbidity among household contacts. JAMA 284:1677–1682
Jefferson T, Rivetti A, Di Pietrantonj C, Demicheli V, Ferroni E (2012) Vaccines for preventing influenza in healthy children. Cochrane Database Syst Rev 8:CD004879. doi:10.1002/14651858.CD004879.pub4
Jiménez-García R, Hernández-Barrera V, Carrasco-Garrido P, López de Andrés A, Pérez N, de Miguel AG (2008) Influenza vaccination coverages among children, adults, health care workers and immigrants in Spain: related factors and trends, 2003–2006. J Infect 57:472–480
Luman ET, Chu SY (2009) When and why children fall behind with vaccinations missed visits and missed opportunities at milestone ages. Am J Prev Med 36:105–111
Luman ET, Shaw KM, Stokley SK (2008) Compliance with vaccination recommendations for U.S. children. Am J Prev Med 34:463–470
Mahon BE, Ehrenstein V, Nørgaard M, Pedersen L, Rothman KJ, Sørensen HT (2007) Perinatal risk factors for hospitalization for pneumococcal disease in childhood: a population-based cohort study. Pediatrics 119:e804–812
Melman ST, Nguyen TT, Ehrlich E, Schorr M, Anbar RD (1999) Parental compliance with multiple immunization injections. Arch Pediatr Adolesc Med 153:1289–1291
Meszaros JR, Asch DA, Baron J, Hershey JC, Kunreuther H, Schwartz-Buzaglo J (1996) Cognitive processes and the decisions of some parents to forego pertussis vaccination for their children. J Clin Epidemiol 49:697–703
Neuzil KM, Wright PF, Mitchel EF Jr, Griffin MR (2000) The burden of influenza illness in children with asthma and other chronic medical conditions. J Pediatr 137:856–864
Neuzil KM, Hohlbein C, Zhu Y (2002) Illness among schoolchildren during influenza season: effect on school absenteeism, parental absenteeism from work, and secondary illness in families. Arch Pediatr Adolesc Med 156:986–991
Ozawa S, Stack ML (2013) Public trust and vaccine acceptance – international perspectives. Hum Vaccin Immunother 9:1774–1778
Poehling KA, Edwards KM, Weinberg GA, Szilagyi P, Staat MA, Iwane MK, Bridges CB, Grijalva CG, Zhu Y, Bernstein DI, Herrera G, Erdman D, Hall CB, Seither R, Griffin MR, New Vaccine Surveillance Network (2006) The underrecognized burden of influenza in young children. New Engl J Med 355:31–40
Tickner S, Leman PJ, Woodcock A (2006) Factors underlying suboptimal childhood immunization. Vaccine 24:7030–7036
Verma R, Khanna P (2012) Pneumococcal conjugate vaccine: a newer vaccine available in India. Hum Vaccin Immunother 8:1317–1320
Wendelboe AM, Njamkepo E, Bourillon A, Floret DD, Gaudelus J, Gerber M, Grimprel E, Greenberg D, Halperin S, Liese J, Muñoz-Rivas F, Teyssou R, Guiso N, Van Rie A, Infant Pertussis Study Group (2007) Transmission of Bordetella pertussis to young infants. Pediatr Infect Dis J 26:293–299
WHO. Poland: WHO and UNICEF estimates of immunization coverage: 2011 revision (2011) Available online from: http://www.who.int/immunizationmonitoring/data/pol.pdf. Accessed 30 Sept 2013
Conflicts of Interest
The authors have no financial or otherwise relations that might lead to a conflict of interest.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Miśkiewicz, K., Kuchar, E., Nitsch-Osuch, A., Preisner, K., Szenborn, L. (2014). Immunizations Against Respiratory Infections in Children in Primary Health Care in Poland: Coverage and Delays. In: Pokorski, M. (eds) Respiratory Virology and Immunogenicity. Advances in Experimental Medicine and Biology(), vol 836. Springer, Cham. https://doi.org/10.1007/5584_2014_37
Download citation
DOI: https://doi.org/10.1007/5584_2014_37
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-10017-3
Online ISBN: 978-3-319-10018-0
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)