Do changes in policy affect vaccine coverage levels? Results of a national study to evaluate childhood vaccination coverage and reasons for missed vaccination in Italy

被引:46
作者
Atti, MLC [1 ]
Rota, MC [1 ]
Bella, A [1 ]
Salmaso, S [1 ]
Binkin, N [1 ]
Perra, A [1 ]
Bellomo, AR [1 ]
Di Giorgio, G [1 ]
Fiumalbi, C [1 ]
Frizza, J [1 ]
Frongia, O [1 ]
Cassiani, R [1 ]
Salvadei, M [1 ]
Cauzillo, G [1 ]
Locuratolo, F [1 ]
De Filippis, S [1 ]
Basile, C [1 ]
Pizzuti, R [1 ]
Romagna, E [1 ]
Grandori, L [1 ]
Ancarani, C [1 ]
Bertozzi, N [1 ]
Tominz, R [1 ]
Pompa, MG [1 ]
Bellomo, AR [1 ]
Ciuta, ST [1 ]
Crovari, P [1 ]
Icardi, GC [1 ]
De Luca, S [1 ]
Sensi, S [1 ]
Sebastiani, E [1 ]
Frizza, J [1 ]
Grilli, G [1 ]
Carducci, E [1 ]
Di Giorgio, G [1 ]
Kreidl, P [1 ]
Foppa, A [1 ]
Gamper, S [1 ]
Weiss, S [1 ]
Carraro, V [1 ]
Barale, A [1 ]
Lopalco, P [1 ]
Prato, R [1 ]
Novelli, G [1 ]
Fiongia, O [1 ]
Scondotto, S [1 ]
Di Giorgi, M [1 ]
Cernigliaro, A [1 ]
Fiumalbi, C [1 ]
Bidini, G [1 ]
机构
[1] Ist Super Sanita, Ctr Nazl Epidemiol Sorveglianza & Promoz Salute, I-00161 Rome, Italy
关键词
vaccine coverage; childhood; Italy;
D O I
10.1016/j.vaccine.2004.04.026
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To evaluate the impact of actions taken in Italy since 1998 to improve vaccination coverage, a national EPI-survey was performed in 2003. Overall. 4602 children aged 12-24 months participated in the study; coverage was calculated for three doses of DT, polio, HBV, pertussis, and Hib, and for one dose of MMR/measles vaccine for children greater than or equal to 16 months of age. Since 1998, when the last national survey was conducted, DT, polio, and HBV coverage have remained consistently high (95%), while pertussis, Hib, and MMR/measles significantly increased. Pertussis coverage reached the 95% target, and Hib is close to target (87%). Improving MMR coverage (77%), however, remains a national priority. (C) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:4351 / 4357
页数:7
相关论文
共 17 条
[1]  
[Anonymous], 1999, MMWR Recomm Rep, V48, P1
[2]  
[Anonymous], 1994, Bull World Health Organ, V72, P885
[3]  
BENNETT S, 1991, World Health Statistics Quarterly, V44, P98
[4]   Principles of pediatric combination vaccines and practical issues related to use in clinical practice [J].
Decker, MD .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2001, 20 (11) :S10-S18
[5]  
FABI F, 2003, MMWR-MORBID MORTAL W, V52, P1044
[6]   A controlled trial of two acellular vaccines and one whole-cell vaccine against pertussis [J].
Greco, D ;
Salmaso, S ;
Mastrantonio, P ;
Giuliano, M ;
Tozzi, AE ;
Anemona, A ;
Atti, MLCD ;
Giammanco, A ;
Panei, P ;
Blackwelder, WC ;
Klein, DL ;
Wassilak, SGF ;
Stefanelli, P ;
Bottone, M ;
Sofia, T ;
Luzi, S ;
Bellomi, G ;
Cobianchi, F ;
Canganella, G ;
Meduri, F ;
Scuderi, G ;
Chiarini, A ;
Maggio, M ;
Taormina, S ;
Genovese, M ;
Moiraghi, A ;
Barale, A ;
DiTommaso, S ;
Malaspina, S ;
Vasile, E ;
Ferraro, P ;
DalLago, P ;
DeMarzi, L ;
Robino, L ;
Giraldo, E ;
Coppola, N ;
Materassi, P ;
Castellani, GT ;
Basso, F ;
Barbuti, S ;
Quarto, M ;
Lopalco, P ;
DOrazio, P ;
Sanguedolce, A .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (06) :341-348
[7]  
*GRUPP IAV, 9833 ISTISAN
[8]  
*I NAZ STAT, 2003, RAPP ANN SIT PASES 2
[9]  
*MIN SAN, 1999, DECR 7 APR 1999 NUOV
[10]   Validity of reported vaccination coverage in 45 countries [J].
Murray, CJL ;
Shengelia, B ;
Gupta, N ;
Moussavi, S ;
Tandon, A ;
Thieren, M .
LANCET, 2003, 362 (9389) :1022-1027