Oportunidades perdidas de vacunación en centros de atención primaria en Ecuador

Sotomayor, R. Jimbo; Acurio, Luciana Armijos; Choez, Xavier Sánchez; Ortiz, Malena; Ghisays, Gladys; Quinzo, D. Moyota; Colcha, F. Moreta

doi:10.1016/j.vacun.2019.08.090

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…El estudio presenta diversas limitaciones. Principalmente hubo dificultades en la recopilación de datos por desinterés en Es preciso tener un plan de inmunizaciones obligatorias para todo personal de salud (sea o no profesional de blanco) que trabaje principalmente en servicios de salud (20). Se debe priorizar según la exposición a un riesgo biológico mayor a menor (21).…”

Section: Discussionunclassified

Prevalence of complete vaccination for hepatitis B in health personnel of three large general hospitals in Paraguay

González

Sequera

Rolandi

2022

An. Fac. Cienc. Méd. (Asunción)

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Section: Discussionunclassified

Prevalence of complete vaccination for hepatitis B in health personnel of three large general hospitals in Paraguay

González

Sequera

Rolandi

2022

An. Fac. Cienc. Méd. (Asunción)

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“…Jimbo-Sotomayor et al reported a study on 368 children from Quito, illustrating that 33.4% had an incomplete vaccination scheme and only 44.7% of those able of being vaccinated were indeed immunized [ 23 ]. The actors responsible for not vaccinating these youth were attributed to the parent or caregiver (76.2% of cases) as well as health personnel (19%).…”

Section: Discussionmentioning

confidence: 99%

“…Although parents/caregivers in this study represent a larger proportion of decision-makers. Yet these missed opportunities for vaccinations equally can occur when healthcare professionals provide misinformation to caregivers or parents, as well as when physicians or medical professionals erroneously deny or postpone vaccinations [ 13 , 15 , 23 ]. Therefore, understanding under which circumstances healthcare professionals inaccurately reject or delay is vital to increasing vaccination rates.…”

Section: Discussionmentioning

confidence: 99%

False Contraindications for Vaccinations Result in Sub-Optimal Vaccination Coverage in Quito, Ecuador: A Cross-Sectional Study

et al. 2022

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Vaccination coverage in Ecuador has decreased since 2013, falling short of the World Health Organization’s vaccination goal. There are several causes for this deficiency in coverage, one of these are lost vaccination opportunities, which are caused when a patient without contraindications postpones, or for other reasons fails to receive a recommended immunization. The objective of this study was to determine the state of knowledge regarding vaccination contraindications among the Metropolitan District of Quito health personnel to assess missed vaccination opportunities. Through this cross-sectional descriptive study, health personnel were surveyed online and asked 18 clinical scenarios which were created to evaluate their knowledge of the true contraindications of vaccination, and measure missed opportunities. A total of 273 surveys were collected; 74% belonged to the public health system, and the rest represented by private practitioners. Of those surveyed, 98.2% of health personnel had improperly denied vaccination at least once. We specifically found vaccinations were incorrectly denied more frequently in cases where the hypothetical patient presented mild or moderate fever cases. The use of corticosteroids, autoimmune diseases, and egg allergy were also incorrectly denied (89%, 71.4%, 72.9%, and 58.6%, respectively). Among the health personnel surveyed, there is an apparent lack of knowledge of the true contraindications of vaccination and differences in knowledge about contraindications according to personnel in charge of administering immunization to children. Our preliminary results suggest that lack of education related to side effects could be biasing medical professionals’ decisions, causing them to unnecessarily delay or deny vaccinations, which likely contributes to explaining low overall vaccination coverage in Quito, the capital city of Ecuador.

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Oportunidades perdidas de vacunación en centros de atención primaria en Ecuador

Cited by 2 publications

References 5 publications

Prevalence of complete vaccination for hepatitis B in health personnel of three large general hospitals in Paraguay

Prevalence of complete vaccination for hepatitis B in health personnel of three large general hospitals in Paraguay

False Contraindications for Vaccinations Result in Sub-Optimal Vaccination Coverage in Quito, Ecuador: A Cross-Sectional Study

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