Prática de vacinação em crianças com doenças reumáticas

• Autor(a) principal: Silva, Clovis Artur Almeida da
• Data de Publicação: 2010
• Outros Autores: Terreri, Maria Teresa Ramos Ascensão [UNIFESP], Aikawa, Nadia Emi, Carvalho, Jozélio Freire de, Pileggi, Gecilmara Cristina Salviato, Ferriani, Virginia Paes Leme [UNIFESP], Barbosa, Cassia Maria Passarelli Lupoli [UNIFESP], Hilário, Maria Odete Esteves [UNIFESP], Jesus, Adriana A, Sallum, Adriana Maluf Elias, Lotito, Ana Paola Navarrette, Liphaus, Bernadete de Lourdes, Magalhães, Claudia S, Len, Claudio Arnaldo [UNIFESP], Okuda, Eunice Mitiko, Campos, Lucia Maria M, Carvalho, Luciana M, Ronchezel, Marcos Vinícius, Santos, Maria Carolina dos, Romanelli, Paulo Roberto Stocco, Marini, Roberto, Pereira, Rosa Maria Rodrigues, Sacchetti, Silvana Brasilia, Lotufo, Simone, Bastos, Wanda A
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0482-50042010000400002; http://repositorio.unifesp.br/handle/11600/5884
• topic: vaccination; Children; systemic lupus erythematosus; juvenile idiopathic arthritis; rheumatic disease; vacinação; criança; lúpus eritematoso sistêmico; artrite idiopática juvenil; doença reumática

INTRODUCTION/OBJECTIVES: Evaluate clinical practice through assessment of vaccination card and recommendation of specific vaccines in pediatric patients with rheumatic diseases in use of different drugs and reveal the possible association between vaccination frequency and time of the clinical practice of pediatric rheumatologists in the state of São Paulo. MATERIAL AND METHODS: A questionnaire was sent to pediatric rheumatologists of the Departamento de Reumatologia da Sociedade de Pediatria de São Paulo. This instrument included questions about practice time on Pediatric Rheumatology, vaccination of patients with juvenile systemic lupus erythematosus (JSLE), juvenile idiopathic arthritis (JIA), juvenile dermatomyositis (JDM), and immunization according to the treatments used. RESULTS: Vaccination card was seen by 100% of the professionals at the first visit and by 36% annually. Vaccines of live agents were not recommended for patients with JSLE, JIA, and JDM in 44%, 64%, and 48%, respectively. The professionals were divided into two groups: Group A (< 15 years of practice, n = 12) and B (> 16 years, n = 13). No statistical difference was observed in the use of live agent vaccine and vaccines with inactivated agents or protein components in the two treatment groups (P > 0.05). Moreover, the groups had similar opinion regarding severity of immunosuppression in patients with JSLE, JIA, and JDM (with or without activity) and treatment used (P > 0.05). CONCLUSIONS: The frequency of immunization by pediatric rheumatologists in São Paulo is low, especially after the first visit, and not influenced by time of professional practice.