Administiratiorý rates of routine vaccines for the infant inpatients in Sisli Etfal research and education hospital

Objective: The aim of this study is to evaluate the administration rates of BCG, diphteria- pertussis- tetanus (DPT), measles, polio and hepatitis B and the factors affecting these rates in 1-24 months old inpatients of the 3rd Pediatric Clinic ofSisli Etfal Research and Education Hospital which is located in downtown (central) Istanbul and has a patient profile largely composed of patients from low and very low socio-economic background.
Study Design: All of the 1-24 months old inpatients admitted in the first three months of2001to the 3rd pediatric clinic of the Sisli Etfal Research and Education Hospital were included in the study. Vaccination history for BCG, DPT, polio, measles and hepatitis B is investigated.
Results: The average age of the 250 patients included in the study was 7.6±5.4 months and the male: female ratio was 1.63. Proper vaccination rates for BCG, measles, DPT, polio, and hepatitis B were 70.5%, 47.5%, 35.9%, 35.0% and 22.4%, respectively. Four of five vaccines were found to be missed in 50% of the 250 patients and full vaccination schedule was completed by only one patient. Four (2%) infants in the study group were not administered any vaccines. The reasons for missing or absent vaccination were sickness in the vaccination time for 56.6% of cases, lack of information of the family in 42.1% of the cases and ignorance and lack of interest for 1.3% of the cases. It was also found that 30.6% of the 250 patients had at least one admission to a health care center in the past.
Conclusion: Administration rates of the routine vaccines is very low for the study group in question. It is believed that taking advantage of the chances to initiate the vaccination schedule might significantly increase the vaccination rates.

Þiþli Etfal Eðitim ve Araþtýrma Hastanesi süt çocuðu servisinde yatan çocuklarýn rutin aþýlarýnýn yapýlma oranlarý

Amaç: Bu çalýþmada Ýstanbul’un merkezi bir yerinde bulunan ve toplumun düþük ve çok düþük sosyo-ekonomik gruplarýnýn baþvurduðu Þiþli Etfal Eðitim ve Araþtýrma Hastanesi süt çocuðu servisine tedavi için yarmakta olan 1 - 24 aylýk çocuklarda rutin aþýlar olan BCG, Difteri-Boðmaca-Tetanoz karma aþýsý ( DBT), Kýzamýk, Polio ve Hepatit B aþýlarý ile aþýlanma oranlan ve bunu etkileyen çeþitli faktörler araþtýrýlmýþtýr.
Gereç ve Yöntem: Çalýþmaya Þiþli Etfal Eðitim ve araþtýrma Hastanesi Üçüncü Çocuk Hastalýklarý Kliniðinde yatarak tedavi gören 1-24 ay çocuklar alýnmýþtýr. Bu amaçta 2001 yýlýnýn ilk üç ayýnda ilgili servise yatan her vaka çalýþmaya alýnmýþ ve BCG, DBT, Oral Polio, Kýzamýk ve Hepatit B aþýlarýnýn yapýlma oranlarý öðrenilmiþtir.
Bulgular: Çalýþmaya alýnan 250 çocuðun ortalama yaþlarý 7.6±5.4 ay ve erkek kýz oraný 1.63 olarak bulunmuþtur. BCG, Kýzamýk, Difteri-Boðmaca- Tetanoz karma aþýsý, Polio ve Hepatit B aþýlarý ile tam aþýlanma oranlarý sýrasýyla %70.5, %47.5, %35.9, %35 ve %22.4 olarak bulunmuþtur. Ýncelenen 250 çocuktan %50‘ sinin dört veya beþ aþýsýnýn eksik olduðu, yalnýzca bir çocuðun bütün aþýlarýnýn tam olarak yapýldýðý görülmüþtür. Dört çocuk (%2) ise hiç aþýlanmamýþtýr. Aþýlarýn eksik veya hiç yapýlmamasýnýn sebepleri olarak %56.6 oranýnda aþýlama döneminde hastalýk, %42.1 oranýnda ailenin bu konudaki bilgisizliði ve %1.3 oranýnda ihmal ve ilgisizlik saptanmýþtýr, incelediðimiz 250 çocuðun % 30.6’sýnýn daha önceden de en az bir kere herhangi bir sebeple bir saðlýk kuruluþuna baþvurduðu saptanmýþtýr.

Sonuç: Sonuç olarak bu sosyal grupta rutin aþýlamanýn ciddi oranda eksik yapýldýðý ve kaçýrýlan aþý fýrsatlarýnýn deðerlendirilmesi durumunda aþýlama oranlarýnýn önemli ölçüde artacaðý sonucuna varýlmýþtýr.