Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás

Detalhes bibliográficos
Autor(a) principal: Martins, Natália Alves
Data de Publicação: 2018
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFG
dARK ID: ark:/38995/00130000023h6
Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/8954
Resumo: INTRODUCTION: Many countries have reported outbreaks of immunopreventable diseases, posing vaccination monitoring at a timely age as a strategic indicator for immunization programs to estimate actual protection. OBJECTIVE: To analyze the timely vaccination of the primary series of the pentavalent vaccine in children under 12 months of age, vaccinated in health units to the Unified Health System. METHODS: A population-based retrospective cohort study with children born in 2014 in the city of Goiânia, Goiás. Data from the Ambulatory Care Control System (SICAA) containing data from vaccines and the Live Birth Information System (SINASC) containing maternal and child data were used. The SICAA and SINASC databases were linked and re-structured through a deterministic linkage to identify the records of the same child. The follow-up time for each child was 365 days after the birth. Only doses and intervals between doses valid for analysis were used. The 10-valent pneumococcal vaccine (PCV10) was used as a vaccine to compare the receipt of the pentavalent vaccine. The timely endpoint vaccination of the three doses in the primary series was defined as the dose of vaccine given up to 30 days of the recommended age. Poisson regression was used to identify predictors of timely vaccination of the primary series of the pentavalent vaccine. RESULTS: Of the 13,523 children included, 77.0% (CI95% 76.3-77.7) and 79.1% (CI95% 78.4-79.8) received three valid doses of the primary series of the pentavalent vaccine and PCV10, respectively. Only 47.1% (95% CI 46.2-48.0) and 47.6% (CI 95% 46.8-48.4) received timely the three doses of pentavalent vaccine and PCV10, respectively. The predictive factors for timely vaccination of the pentavalent primary series and PCV10 were the same: married mother; 7 or more prenatal visits and the mother's age equal to or greater than 20 years. CONCLUSION: Almost 80% of children received valid three primary doses of pentavalent and PCV10 vaccines, but fewer than half of the birth cohort received them on time. New efforts are needed to improve timely vaccination and get the maximum benefit from vaccination.
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spelling Minamisava, Ruthhttp://lattes.cnpq.br/1723353638642281Minamisava, RuthJunqueira, Ana Luiza NetoPessoni, Grecia Carolinahttp://lattes.cnpq.br/6695531750042933Martins, Natália Alves2018-10-09T11:01:11Z2018-08-30MARTINS, N. A. Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás. 2018. 168 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018.http://repositorio.bc.ufg.br/tede/handle/tede/8954ark:/38995/00130000023h6INTRODUCTION: Many countries have reported outbreaks of immunopreventable diseases, posing vaccination monitoring at a timely age as a strategic indicator for immunization programs to estimate actual protection. OBJECTIVE: To analyze the timely vaccination of the primary series of the pentavalent vaccine in children under 12 months of age, vaccinated in health units to the Unified Health System. METHODS: A population-based retrospective cohort study with children born in 2014 in the city of Goiânia, Goiás. Data from the Ambulatory Care Control System (SICAA) containing data from vaccines and the Live Birth Information System (SINASC) containing maternal and child data were used. The SICAA and SINASC databases were linked and re-structured through a deterministic linkage to identify the records of the same child. The follow-up time for each child was 365 days after the birth. Only doses and intervals between doses valid for analysis were used. The 10-valent pneumococcal vaccine (PCV10) was used as a vaccine to compare the receipt of the pentavalent vaccine. The timely endpoint vaccination of the three doses in the primary series was defined as the dose of vaccine given up to 30 days of the recommended age. Poisson regression was used to identify predictors of timely vaccination of the primary series of the pentavalent vaccine. RESULTS: Of the 13,523 children included, 77.0% (CI95% 76.3-77.7) and 79.1% (CI95% 78.4-79.8) received three valid doses of the primary series of the pentavalent vaccine and PCV10, respectively. Only 47.1% (95% CI 46.2-48.0) and 47.6% (CI 95% 46.8-48.4) received timely the three doses of pentavalent vaccine and PCV10, respectively. The predictive factors for timely vaccination of the pentavalent primary series and PCV10 were the same: married mother; 7 or more prenatal visits and the mother's age equal to or greater than 20 years. CONCLUSION: Almost 80% of children received valid three primary doses of pentavalent and PCV10 vaccines, but fewer than half of the birth cohort received them on time. New efforts are needed to improve timely vaccination and get the maximum benefit from vaccination.INTRODUÇÃO: Muitos países têm relatado surtos de doenças imunopreveníveis, colocando o monitoramento da vacinação em idade oportuna como indicador estratégico para os programas de imunização estimarem a real proteção. OBJETIVO: Analisar a vacinação oportuna da série primária da vacina pentavalente em crianças menores de doze meses de idade, vacinadas em unidades de saúde ao Sistema Único de Saúde. METODOLOGIA: Estudo de coorte retrospectiva de base populacional com crianças nascidas em 2014 no município de Goiânia, Goiás. Foram utilizados dados do Sistema de Controle do Atendimento Ambulatorial (SICAA) que contém dados de vacinas e do Sistema de Informação de Nascidos Vivos (SINASC) que contém dados maternos e da criança. As bases de dados SICAA e SINASC foram vinculadas e reestruturadas por meio de linkage determinístico para identificação dos registros de mesma criança. O tempo de seguimento de cada criança foi de 365 dias. Foram utilizadas apenas doses e intervalos entre doses válidos para análise. A vacina pneumocócica 10-valente (PCV10) foi empregada como vacina de comparação do recebimento da vacina pentavalente. O desfecho vacinação oportuna das três doses da série primária foi definida como a dose de vacina administrada até 30 dias após a idade recomendada. Utilizou-se regressão de Poisson para identificar os fatores preditores da vacinação oportuna da série primária da vacina pentavalente. RESULTADOS: Das 13.523 crianças incluídas, 77,0% (IC95% 76,3-77,7) e 79,1% (IC95% 78,4-79,8) receberam três doses válidas da série primária da vacina pentavalente e da PCV10, respectivamente. Apenas 47,1% (IC95% 46,2-48,0) e 47,6% (IC95% 46,8-48,4) receberam oportunamente as três doses da vacina pentavalente e da PCV10, respectivamente. Os fatores preditores à vacinação oportuna da série primária da pentavalente e da PCV10 foram os mesmos: mãe casada; 7 ou mais consultas de pré-natal e idade da mãe maior ou igual a 20 anos. CONCLUSÃO: Quase 80% das crianças receberam três doses primárias válidas de vacinas pentavalente e PCV10, mas menos da metade da coorte de nascimento receberam oportunamente. Novos esforços são necessários para melhorar a vacinação oportuna e obter o máximo benefício da vacinação.Submitted by Onia Arantes Albuquerque (onia.ufg@gmail.com) on 2018-10-08T14:21:29Z No. of bitstreams: 2 Dissertação - Natália Alves Martins - 2018.pdf: 4568534 bytes, checksum: 15ff32b11b6f167376c8b048da337f7c (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2018-10-09T11:01:11Z (GMT) No. of bitstreams: 2 Dissertação - Natália Alves Martins - 2018.pdf: 4568534 bytes, checksum: 15ff32b11b6f167376c8b048da337f7c (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2018-10-09T11:01:11Z (GMT). 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dc.title.eng.fl_str_mv Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás
dc.title.alternative.eng.fl_str_mv Timely vaccination of the primary series of pentavalent vaccination in the city of Goiânia, Goiás GO
title Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás
spellingShingle Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás
Martins, Natália Alves
Vacina pentavalente
Vacina pneumocócica
Programas de imunização
Vacinação oportuna
Atraso vacinal
DtwP-HepB-Hib vaccine
Pneumococcal vaccines
Immunization programs
Timeliness vaccination
Vaccination delay
IMUNOLOGIA::IMUNOLOGIA APLICADA
title_short Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás
title_full Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás
title_fullStr Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás
title_full_unstemmed Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás
title_sort Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás
author Martins, Natália Alves
author_facet Martins, Natália Alves
author_role author
dc.contributor.advisor1.fl_str_mv Minamisava, Ruth
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/1723353638642281
dc.contributor.referee1.fl_str_mv Minamisava, Ruth
dc.contributor.referee2.fl_str_mv Junqueira, Ana Luiza Neto
dc.contributor.referee3.fl_str_mv Pessoni, Grecia Carolina
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/6695531750042933
dc.contributor.author.fl_str_mv Martins, Natália Alves
contributor_str_mv Minamisava, Ruth
Minamisava, Ruth
Junqueira, Ana Luiza Neto
Pessoni, Grecia Carolina
dc.subject.por.fl_str_mv Vacina pentavalente
Vacina pneumocócica
Programas de imunização
Vacinação oportuna
Atraso vacinal
topic Vacina pentavalente
Vacina pneumocócica
Programas de imunização
Vacinação oportuna
Atraso vacinal
DtwP-HepB-Hib vaccine
Pneumococcal vaccines
Immunization programs
Timeliness vaccination
Vaccination delay
IMUNOLOGIA::IMUNOLOGIA APLICADA
dc.subject.eng.fl_str_mv DtwP-HepB-Hib vaccine
Pneumococcal vaccines
Immunization programs
Timeliness vaccination
Vaccination delay
dc.subject.cnpq.fl_str_mv IMUNOLOGIA::IMUNOLOGIA APLICADA
description INTRODUCTION: Many countries have reported outbreaks of immunopreventable diseases, posing vaccination monitoring at a timely age as a strategic indicator for immunization programs to estimate actual protection. OBJECTIVE: To analyze the timely vaccination of the primary series of the pentavalent vaccine in children under 12 months of age, vaccinated in health units to the Unified Health System. METHODS: A population-based retrospective cohort study with children born in 2014 in the city of Goiânia, Goiás. Data from the Ambulatory Care Control System (SICAA) containing data from vaccines and the Live Birth Information System (SINASC) containing maternal and child data were used. The SICAA and SINASC databases were linked and re-structured through a deterministic linkage to identify the records of the same child. The follow-up time for each child was 365 days after the birth. Only doses and intervals between doses valid for analysis were used. The 10-valent pneumococcal vaccine (PCV10) was used as a vaccine to compare the receipt of the pentavalent vaccine. The timely endpoint vaccination of the three doses in the primary series was defined as the dose of vaccine given up to 30 days of the recommended age. Poisson regression was used to identify predictors of timely vaccination of the primary series of the pentavalent vaccine. RESULTS: Of the 13,523 children included, 77.0% (CI95% 76.3-77.7) and 79.1% (CI95% 78.4-79.8) received three valid doses of the primary series of the pentavalent vaccine and PCV10, respectively. Only 47.1% (95% CI 46.2-48.0) and 47.6% (CI 95% 46.8-48.4) received timely the three doses of pentavalent vaccine and PCV10, respectively. The predictive factors for timely vaccination of the pentavalent primary series and PCV10 were the same: married mother; 7 or more prenatal visits and the mother's age equal to or greater than 20 years. CONCLUSION: Almost 80% of children received valid three primary doses of pentavalent and PCV10 vaccines, but fewer than half of the birth cohort received them on time. New efforts are needed to improve timely vaccination and get the maximum benefit from vaccination.
publishDate 2018
dc.date.accessioned.fl_str_mv 2018-10-09T11:01:11Z
dc.date.issued.fl_str_mv 2018-08-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.citation.fl_str_mv MARTINS, N. A. Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás. 2018. 168 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018.
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dc.identifier.dark.fl_str_mv ark:/38995/00130000023h6
identifier_str_mv MARTINS, N. A. Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás. 2018. 168 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018.
ark:/38995/00130000023h6
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dc.publisher.none.fl_str_mv Universidade Federal de Goiás
dc.publisher.program.fl_str_mv Programa de Pós-graduação em Enfermagem (FEN)
dc.publisher.initials.fl_str_mv UFG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Faculdade de Enfermagem - FEN (RG)
publisher.none.fl_str_mv Universidade Federal de Goiás
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MD5
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repository.name.fl_str_mv Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)
repository.mail.fl_str_mv tasesdissertacoes.bc@ufg.br
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