{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,9]],"date-time":"2024-03-09T00:14:57Z","timestamp":1709943297935},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>INTRODUCTION.<\/strong> In addition to many diagnostic and therapeutic procedures, the COVID-19 pandemic also limited prophylaxis, including the implementation of the vaccination program among children.<br \/><strong>OBJECTIVE.<\/strong> The aim of the study was to assess the implementation of the vaccination program in the area covered by the care of patients of a selected Primary Health Care clinic in the city of Krakow in the field of selected vaccinations during the COVID-19 pandemic.<br \/><strong>MATERIAL AND METHODS.<\/strong> A retrospective study based on secondary data was conducted in a selected clinic (Krak\u00f3w, Poland) that cares for 1,982 children aged 0-19 years. An analysis of the vaccination coverage in selected groups of children in 2019, 2020 and 2021 was carried out based on annual reports (MZ-54). Vaccination coverage against: diphtheria, tetanus, whooping cough, measles, mumps, rubella, influenza and pneumococcal infection was analyzed. The collected data were analyzed using descriptive statistics, Chi2 test and Fisher\u2019s exact test.<br \/><strong>RESULTS.<\/strong> In the general vaccination status of two-year-olds, no significant differences were observed in the period 2019-2021 (p=0.156). The percentage of fully vaccinated increased from 77.6% in 2019, to 81.5% in 2020 and to 85.2% in 2021. However, a high rate of vaccination refusals was observed in 2021 (4.1%) in this group. The percentage of 2-year-olds vaccinated against pneumococci (PCV) and 3-year-olds against diphtheria, tetanus, pertussis (DTP), and measles, mumps, rubella (MMR) in the years 2019-2021 was increasing. For DTP and MMR, this increase was significant (p<0.05). In the group of older children, in 2020 the percentage of 7- and 15-year-olds vaccinated decreased compared to 2019 and 2021, but the difference was insignificant (p>0.05).<br \/>A significant difference in vaccination coverage was observed in the group of 19-year-olds, in which in 2020 the percentage of vaccinated was 58% (in 2019 \u2013 74.6%, in 2021 \u2013 81%). The largest number of children under the age of 5 were vaccinated against influenza in 2021, but it was only less than 2% of this group.<br \/><strong>CONCLUSIONS.<\/strong> Sanitary restrictions introduced during the COVID-19 pandemic did not significantly affect the vaccination status of children in selected age groups against the analyzed vaccine-preventable diseases. The exception is the group of 19-year-olds, whose vaccination coverage in 2020 was much lower than in 2019 and 2021. In addition, an increase in refusals of vaccination was observed, reaching 4.1% in 2021 in the group of the youngest patients.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>WPROWADZENIE.<\/strong> Poza wieloma procedurami diagnostycznymi i terapeutycznymi, pandemia COVID-19 ograniczy\u0142a te\u017c profilaktyk\u0119, w tym realizacj\u0119 powszechnego Programu Szczepie\u0144 Ochronnych (PSO) w\u015br\u00f3d dzieci.<br \/><strong>CEL PRACY.<\/strong> Celem badania by\u0142a ocena realizacji PSO w grupie pacjent\u00f3w obj\u0119tych opiek\u0105 wybranej przychodni Podstawowej Opieki Zdrowotnej na terenie miasta Krakowa w zakresie wybranych szczepie\u0144 ochronnych w trakcie pandemii COVID-19.<br \/><strong>MATERIA\u0141 I METODY.<\/strong> Badanie retrospektywne na podstawie danych wt\u00f3rnych zosta\u0142o przeprowadzone w wybranej przychodni (Krak\u00f3w, Polska), kt\u00f3ra opiekuje si\u0119 1982 dzie\u0107mi w wieku 0-19 lat. Przeprowadzono analiz\u0119 stanu zaszczepienia wybranych grup dzieci w latach: 2019, 2020 oraz 2021 na podstawie raport\u00f3w rocznych (MZ-54). Przeanalizowano stan zaszczepienia przeciw: b\u0142onicy, t\u0119\u017ccowi, krztu\u015bcowi, odrze, \u015bwince, r\u00f3\u017cyczce, grypie oraz zaka\u017ceniu pneumokokami. Zebrane dane analizowano za pomoc\u0105 statystyk opisowych, testu Chi2 oraz dok\u0142adnego testu Fishera.<br \/><strong>WYNIKI.<\/strong> W og\u00f3lnym stanie zaszczepienia dwulatk\u00f3w, w okresie 2019-2021 nie zaobserwowano istotnych r\u00f3\u017cnic (p=0,156). Odsetek w pe\u0142ni zaszczepionych wzr\u00f3s\u0142 z 77,6% w 2019, przez 81,5% w 2020, do 85,2% w 2021.<br \/>Zaobserwowano jednak wysoki odsetek uchyle\u0144 od szczepie\u0144 w 2021 r. (4,1%) w tej grupie. Odsetek zaszczepionych przeciw pneumokokom (PCV) 2-latk\u00f3w oraz 3-latk\u00f3w przeciw b\u0142onicy, t\u0119\u017ccowi, krztu\u015bcowi (DTP), oraz odrze, \u015bwince, r\u00f3\u017cyczce (MMR) w latach 2019-2021 wzrasta\u0142. W przypadku DTP oraz MMR wzrost ten by\u0142 istotny (p<0,05). W grupie dzieci starszych, w roku 2020 zmniejszy\u0142 si\u0119 odsetek zaszczepienia 7- oraz 15-lat\u00f3w w por\u00f3wnaniu do roku 2019 oraz 2021, jednak r\u00f3\u017cnica ta by\u0142a nieznaczna (p>0,05). Istotn\u0105 r\u00f3\u017cnic\u0119 w stanie zaszczepienia zaobserwowano w grupie 19-latk\u00f3w, w kt\u00f3rej w 2020 r. odsetek zaszczepionych wynosi\u0142 58% (w roku 2019 \u2013 74,6%, w roku 2021 \u2013 81%). Przeciw grypie najwi\u0119cej dzieci do 5. roku \u017cycia zosta\u0142o zaszczepionych w 2021 roku, jednak by\u0142o to tylko niespe\u0142na 2% tej grupy.<br \/><strong>WNIOSKI.<\/strong> Ograniczenia sanitarne wprowadzone w trakcie pandemii COVID-19 nie wp\u0142yn\u0119\u0142y znacz\u0105co na stan zaszczepienia dzieci w wybranych grupach wiekowych, przeciw poddanym analizie chorobom. Wyj\u0105tkiem pozostaje grupa 19-latk\u00f3w, kt\u00f3rej stan zaszczepienia w 2020 roku by\u0142 znacznie ni\u017cszy ni\u017c w roku 2019 oraz 2021. Ponadto zaobserwowano wzrost uchyle\u0144 od szczepie\u0144, si\u0119gaj\u0105cy 4,1% w 2021 r. w grupie najm\u0142odszych pacjent\u00f3w.<\/p><\/jats:p>","DOI":"10.32394\/pe.77.08","type":"journal-article","created":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T10:24:04Z","timestamp":1686133444000},"page":"74-83","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of the preventive vaccination program in the time of the COVID-19 pandemic \u2013 single center study"],"prefix":"10.32394","volume":"77","author":[{"given":"M","family":"Wojczyk","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Potocka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2023,6,7]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Realizacja programu szczepie\u0144 ochronnych w dobie pandemii COVID-19 \u2013 badanie jednoo\u015brodkowe"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181111-101672","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181111-101672","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:43:10Z","timestamp":1709887390000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Implementation-of-the-preventive-vaccination-program-in-the-time-of-the-COVID-19,181111,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,7]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"alternative-id":["181111"],"URL":"https:\/\/doi.org\/10.32394\/pe.77.08","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,7]]}}}