Immunization against A/H1N1 pandemic flu (2009–2010) in pediatric patients at risk. What might be the most effective strategy? The experience of an health district of Northern Italy

Italian Journal of Pediatrics

Roberto Sacchetti¹  Ilario Maffini²  Ermanno Bongiorni²  Fabio Faccini³  Giuseppe Gregori¹ 

[1] Primary Care Pediatrician, Local Health Unit (AUSL), Piacenza, Italy;Primary Care Department, Local Health Unit (AUSL), Piacenza, Italy;Public Health Department, Local Health Unit (AUSL), Piacenza, Italy

关键词: Pediatric patients;    Immunization strategy;    Pandemic influenza;   

Others  :  825969
DOI  :  10.1186/1824-7288-38-18

 received in 2011-09-13, accepted in 2012-04-18,  发布年份 2012

【 摘 要 】

Background

Vaccination coverage rates against pandemic flu were far below those required by Italian Public Health Authorities.

The aim of this retrospective study was to assess how the management of vaccination against pandemic flu in the Health District of Piacenza (Northern Italy) had conditioned the adherence of patients at risk to the H1N1flu immunization program.

Methods

From a population of 27.018 children aged between 6 months and 16 years, 2361 pediatric patients considered at risk according to the guidelines of the Ministry of Health were enrolled to receive pandemic flu vaccination.

Children enrolled in the immunization program were vaccinated with one of the following three options:

A) by their pediatrician in his office after contacting him directly or by phone

B) by their pediatrician in his office or in a public Health District office with the assistance of a nurse after an appointment had been booked by patient’s parents using a dedicated free of charge phone number

C) by a doctor of the public Health District after an appointment had been booked as for option B

Results

The best outcomes of population vaccination coverage for pandemic flu were achieved when patients were vaccinated with option B (44.2%). For options A and C rates coverage results were 22.8% (OR 2,69) and 24.9% (OR 2, 39) respectively.

Conclusion

The results of this study may be taken into account by the public health Authorities when planning the management of future immunization campaigns out of the usual vaccination schedule or in an emergency event.

【 授权许可】

   
2012 Gregori et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Influnet. http://www.epicentro.iss.it/focus/h1n1/archivioflunews.asp-Flunews webcite
• [2]Greco L: Un miracolo solo italiano: una sanità di qualità a costo da saldi. Il Medico Pediatra 2002, 6:443-448.
• [3]Ministry of Health: Misure urgenti in materia di profilassi vaccinale dell’influenza pandemica A(H1N1). Ordinanza 11 settembre 2009. http://www.normativasanitaria.it/jsp webcite
• [4]Tuppin P, Samson S, Weill A, Ricordeau P, Allemand H: Seasonal influenza vaccination coverage in France during two influenza seasons (2007 and 2008) and during a context of pandemic influenza A(H1N1) in 2009. Vaccine 2011, 29:4632-4637.
• [5]Lau JTF, Yeung NCY, Choi KC, Cheng MYM, Tsui HY, Griffiths S: Acceptability of A/H1N1 vaccination during pandemic phase of influenza A/H1N1 in Hong Kong: population based cross sectional survey. BMJ 2009, 339:b4164.
• [6]Eastwood K, Durrheim DN, Jones A, Butler M: Acceptance of pandemic (H1N1) 2009 influenza vaccination by the Australian public. The Medical Journal of Australia 2010, 192:33-36.
• [7]Goodwin R, Haque S, Neto F, Myers LB: Initial psychological responses to Influenza A,H1N1 (“Swine flu”). BMC Infect Dis 2009, 9:166. BioMed Central Full Text
• [8]Zijtregtop EA, Wilshut J, Koelma N, Van Delden JJ, Stolk RP, Van Steenbergen Broer J, et al.: Which factors are important in adults’ uptake of a (pre)pandemic influenza vaccine ? Vaccine 2009, 28(1):207-227.
• [9]Sestini P, De Sario M, Bugiani M, Bisanti L, Giannella G, Kaisermann D, Gruppo Collaborativo SIDRIA 2, et al.: Frequency of asthma and allergies in Italian children and adolescents: results from SIDRIA-2. Epidemiol Prev 2005, 29(2 Suppl):24-31.
• [10]Sacchetti R, Gregori G, Righi O, Armani P, Balduzzi P, Boccellari R, et al.: Il bambino e l’inquinamento atmosferico: la percezione del problema da parte dei genitori nella provincia di Piacenza. Medico e Bambino 2004, 6:399-400.
• [11]Kass NE, Otto J, O’Brien D, Minson M: Ethics and severe pandemic influenza: maintaining essential functions through a fair and considered response. Biosecu Bioterror 2008, 6(3):227-236.