Selective Vaccination Strategy with BCG: Are We Identifying All Eligible Newborns?

Introduction: In Portugal, a selective BCG vaccination strategy was adopted in January 2017. The efficacy of this strategy relies on the precise identification of high-risk groups. We designed a study to evaluate the implementation of the Portuguese guideline on BCG vaccination in the area of our h...

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Autores principales:	Zulmira K. Abdula, Susana Alexandre, Ana Rita Constante, Raquel Carreira, Alcina Sousa, Luísa Preto, Catarina Gomes
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Portuguesa de Pediatria 2021
Materias:	Pediatrics RJ1-570 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/36f5c5a742244fc69d4456423e4e0dc8
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spelling	oai:doaj.org-article:36f5c5a742244fc69d4456423e4e0dc82021-11-04T15:21:17ZSelective Vaccination Strategy with BCG: Are We Identifying All Eligible Newborns?2184-33332184-4453https://doaj.org/article/36f5c5a742244fc69d4456423e4e0dc82021-11-01T00:00:00Zhttps://pjp.spp.pt/article/view/23371https://doaj.org/toc/2184-3333https://doaj.org/toc/2184-4453 Introduction: In Portugal, a selective BCG vaccination strategy was adopted in January 2017. The efficacy of this strategy relies on the precise identification of high-risk groups. We designed a study to evaluate the implementation of the Portuguese guideline on BCG vaccination in the area of our hospital. Methods: Retrospective cohort study of a sample of children born in our hospital from January 2017 to June 2018. Data was collected through a telephone questionnaire. Results: There were 233 children included in the study. Of them, 46 (19.7%) were eligible for BCG immunization, most (82.6%) because they had a parent, cohabitant or frequent contact from a high-risk country. Of these eligible children, 21 (45.7%) had not been identified and were therefore unvaccinated. From the total sample, there were 38 vaccinated children, of which 47.4% were referred during the first month of age (age range of 0-20 months). Discussion: We identified 45.7% of unreferred high-risk children, a quarter of which with risk factors not often enquired - close contacts with substance abuse or HIV infection. About half of the parents denied or didn´t recall being asked about the criteria in our maternity or in further routine health consultations. Conclusions: The risk identification must be improved because a significant number of unreferred children was found. There is still a failure to reassess the risk in all routine visits and probably not all the risk criteria are excluded. Zulmira K. AbdulaSusana AlexandreAna Rita ConstanteRaquel CarreiraAlcina SousaLuísa PretoCatarina GomesSociedade Portuguesa de PediatriaarticlePediatricsRJ1-570Medicine (General)R5-920ENPTPortuguese Journal of Pediatrics , Vol 52, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Pediatrics RJ1-570 Medicine (General) R5-920
spellingShingle	Pediatrics RJ1-570 Medicine (General) R5-920 Zulmira K. Abdula Susana Alexandre Ana Rita Constante Raquel Carreira Alcina Sousa Luísa Preto Catarina Gomes Selective Vaccination Strategy with BCG: Are We Identifying All Eligible Newborns?
description	Introduction: In Portugal, a selective BCG vaccination strategy was adopted in January 2017. The efficacy of this strategy relies on the precise identification of high-risk groups. We designed a study to evaluate the implementation of the Portuguese guideline on BCG vaccination in the area of our hospital. Methods: Retrospective cohort study of a sample of children born in our hospital from January 2017 to June 2018. Data was collected through a telephone questionnaire. Results: There were 233 children included in the study. Of them, 46 (19.7%) were eligible for BCG immunization, most (82.6%) because they had a parent, cohabitant or frequent contact from a high-risk country. Of these eligible children, 21 (45.7%) had not been identified and were therefore unvaccinated. From the total sample, there were 38 vaccinated children, of which 47.4% were referred during the first month of age (age range of 0-20 months). Discussion: We identified 45.7% of unreferred high-risk children, a quarter of which with risk factors not often enquired - close contacts with substance abuse or HIV infection. About half of the parents denied or didn´t recall being asked about the criteria in our maternity or in further routine health consultations. Conclusions: The risk identification must be improved because a significant number of unreferred children was found. There is still a failure to reassess the risk in all routine visits and probably not all the risk criteria are excluded.
format	article
author	Zulmira K. Abdula Susana Alexandre Ana Rita Constante Raquel Carreira Alcina Sousa Luísa Preto Catarina Gomes
author_facet	Zulmira K. Abdula Susana Alexandre Ana Rita Constante Raquel Carreira Alcina Sousa Luísa Preto Catarina Gomes
author_sort	Zulmira K. Abdula
title	Selective Vaccination Strategy with BCG: Are We Identifying All Eligible Newborns?
title_short	Selective Vaccination Strategy with BCG: Are We Identifying All Eligible Newborns?
title_full	Selective Vaccination Strategy with BCG: Are We Identifying All Eligible Newborns?
title_fullStr	Selective Vaccination Strategy with BCG: Are We Identifying All Eligible Newborns?
title_full_unstemmed	Selective Vaccination Strategy with BCG: Are We Identifying All Eligible Newborns?
title_sort	selective vaccination strategy with bcg: are we identifying all eligible newborns?
publisher	Sociedade Portuguesa de Pediatria
publishDate	2021
url	https://doaj.org/article/36f5c5a742244fc69d4456423e4e0dc8
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Selective Vaccination Strategy with BCG: Are We Identifying All Eligible Newborns?

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