Vacinação oportuna da série primária da vacina pentavalente no município de Goiânia, Goiás
Autor(a) principal: | |
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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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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). No. of bitstreams: 2 Dissertação - Natália Alves Martins - 2018.pdf: 4568534 bytes, checksum: 15ff32b11b6f167376c8b048da337f7c (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-08-30Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Enfermagem (FEN)UFGBrasilFaculdade de Enfermagem - FEN (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessVacina pentavalenteVacina pneumocócicaProgramas de imunizaçãoVacinação oportunaAtraso vacinalDtwP-HepB-Hib vaccinePneumococcal vaccinesImmunization programsTimeliness vaccinationVaccination delayIMUNOLOGIA::IMUNOLOGIA APLICADAVacinação oportuna da série primária da vacina pentavalente no município de Goiânia, GoiásTimely vaccination of the primary series of pentavalent vaccination in the city of Goiânia, Goiás GOinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis45061628303650419816006006006002756753233336908714-79233062370589078342075167498588264571reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALDissertação - Natália Alves Martins - 2018.pdfDissertação - Natália Alves Martins - 2018.pdfapplication/pdf4568534http://repositorio.bc.ufg.br/tede/bitstreams/988b5392-bda7-4de6-9970-7338a48b1df0/download15ff32b11b6f167376c8b048da337f7cMD55LICENSElicense.txtlicense.txttext/plain; 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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 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
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. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/8954 |
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 |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/8954 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
4506162830365041981 |
dc.relation.confidence.fl_str_mv |
600 600 600 600 |
dc.relation.department.fl_str_mv |
2756753233336908714 |
dc.relation.cnpq.fl_str_mv |
-7923306237058907834 |
dc.relation.sponsorship.fl_str_mv |
2075167498588264571 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
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application/pdf |
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 |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
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Universidade Federal de Goiás (UFG) |
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UFG |
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Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/988b5392-bda7-4de6-9970-7338a48b1df0/download http://repositorio.bc.ufg.br/tede/bitstreams/949522da-d3b6-49ee-8eec-6d4694689c3d/download http://repositorio.bc.ufg.br/tede/bitstreams/c8a416ce-4d0b-46bc-8225-747493927a55/download http://repositorio.bc.ufg.br/tede/bitstreams/40990164-a324-4a59-8e79-4863d6fa5baf/download http://repositorio.bc.ufg.br/tede/bitstreams/ea36c45c-4c64-4204-9242-c2eab59c91b6/download |
bitstream.checksum.fl_str_mv |
15ff32b11b6f167376c8b048da337f7c bd3efa91386c1718a7f26a329fdcb468 4afdbb8c545fd630ea7db775da747b2f d41d8cd98f00b204e9800998ecf8427e d41d8cd98f00b204e9800998ecf8427e |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1815172530722308096 |