Nursing and vaccination: evolution of the compliance with the combined measles-mumps-rubella (MMR) vaccine

Vaccination nursing records: importance for monitoring the health of populations

“…This evolution of the vaccination coverage rate was similar to that recorded in the region of origin of the sample and also to that recorded in continental Portugal (Cutts et al, 2013;Direção-Geral da Saúde, 2017). The older generations were vaccinated first with VAS vaccine, and the younger ones already with MMR vaccine, since the latter only became available in Portugal in 1987 (Frade et al, 2017;Direção-Geral da Saúde, 2017). Nevertheless, we found 10 individuals (10/247; 4.05%) who, though born after 1985 (year of birth after which one could already be vaccinated with MMR), still initiated vaccination with VAS.…”

“…At the moment of post-vaccination, nurses should make records of the administered vaccines, including the details about the name and formulation of the administered vaccine, the dose and the dose number of the vaccine applied, the batch number, and the date of inoculation, as well as the adverse reactions to previous vaccinations. These records must be made in at least two documents: the FIV and the BIS (Direção-Geral da Saúde, 2017; Frade, Frade, Henriques, Silva, & Gonçalves, 2017;Loureiro, 2004;Witt, 2013;Subtil, 2011). The evaluation of the quality of the vaccination information related to a particular vaccination strategy lacks the knowledge of the norms and guidelines associated with the implementation of this strategy (Direção-Geral da Saúde, 2017; Frade et al, 2017).…”

“…These records must be made in at least two documents: the FIV and the BIS (Direção-Geral da Saúde, 2017; Frade, Frade, Henriques, Silva, & Gonçalves, 2017;Loureiro, 2004;Witt, 2013;Subtil, 2011). The evaluation of the quality of the vaccination information related to a particular vaccination strategy lacks the knowledge of the norms and guidelines associated with the implementation of this strategy (Direção-Geral da Saúde, 2017; Frade et al, 2017). This research studies the quality of vaccination information concerning the MMR vaccination strategy, so it is essential to know the evolution of the application of this strategy in the national territory.…”

“…The measles vaccine (VAS) was implemented in Portugal in 1973. From this year onward, due to different changes of the NVP relating to this strategy, we can identify three distinct vaccination generations and their corresponding vaccination schedules in Portugal (Direção-Geral da Saúde, 2017; Frade et al, 2017). The first generation was born before 1977, only had the opportunity to receive one dose of measles vaccine, and followed the VAS I schedule.…”

“…The third generation was born after 1984, had the opportunity also to receive two vaccine doses (as the first could already be administered through the MMR formulation, and followed the MMR1 and MMR2 schedule. We can find the sole MMR1 schedule in the generation born between 1877-1985, in individuals who were vaccinated only after the age recommended by the Directorate-General for Health (DGS), and in the generation born after 1984, if they did not complete vaccination with the MMR2 (Frade et al, 2017). The knowledge of vaccination schedules, followed of the vaccination coverage rate, of the administration dates of vaccines, and of vaccine formulations received, has great epidemiological relevance to determining JOÃO MANUEL GRAÇA FRADE et al…”