Abstract

VILA CORCOLES, Ángel et al. Evolution of the Antipneumococcal Vaccination Coverage Among Children in the Region of Tarragona, Spain, 2002-2011. Rev. Esp. Salud Publica [online]. 2012, vol.86, n.6, pp.637-643. ISSN 2173-9110.

Background: In Catalonia, as in most Spanish regions, the conjugate pneumococcal vaccine is not publicly funded, except for immunocompromised or high-risk children. This study assessed current vaccine coverage in the region of Tarragona, analyzing trends in vaccine uptakes throughout the 2002-2011 period by analyzing uptakes by year of born. Methods: Cross-sectional multicenter study that included all children <10 years attended between 01/12/2011 and 02/12/2011 in pediatric ambulatory visits in 9 Primary Care Centers in the region of Tarragona (N=521 children). Pneumococcal vaccine status was determined after clinical record review. Vaccine coverages were compared by chi-squared test. Results: Among the total 521 children, 45.1% (95% confidence interval [CI]: 40.8-49.5) had received CPV. Vaccine coverages were 18.5% (95% CI: 9.3-31.4) for children borning between 2002-2003, 38.6% (95% CI: 27.2-51.0) in 2004-2005, 62.5% (95% CI: 51.0-73.0) in 2006-2007, 50.8% (95% CI: 41.7-59.8) in 2008-2009 and 44.6% (95% CI: 36.8-51.3) in 2010-2011 (p<0.001). Conclusions: Vaccine coverage can be considered as intermediate/low. In our population, after a rapid initial increase, vaccination uptakes have decreased in the last 4 years, coinciding with the current economic crisis. In our population, after a rapid initial increase, vaccination uptakes have decreased in the last 4 years.

Keywords : Vaccines; Streptococcus pneumoniae; Childhood.

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