<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322018000100015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dilemas en la atención a niños cuyas familias rechazan la vacunación]]></article-title>
<article-title xml:lang="en"><![CDATA[Dilemmas in the care of children whose families refuse vaccination]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez Alés]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A1"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Fuentes]]></surname>
<given-names><![CDATA[Isabel Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A1"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Consultorio La Roda de Andalucía  ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Consultorio Herrera  ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<aff id="A21">
<institution><![CDATA[,Comité de Ética Asistencial de Sevilla  ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>20</volume>
<numero>77</numero>
<fpage>83</fpage>
<lpage>93</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322018000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322018000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322018000100015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La contribución de las vacunas a la salud de las poblaciones es un hecho demostrado científicamente. La vacunación es la actividad sanitaria con mayor impacto en términos de años de calidad de vida ganados. Es prioritaria para mantener la salud, para eliminar determinados riesgos y para controlar situaciones de epidemia o endemia. El número de familias reticentes a vacunar a sus hijos es pequeño en nuestro país y aún lo es más el número de personas que rechazan de pleno la vacunación y son activistas antivacunas. Este poner en duda la actividad vacunal que llevan a cabo los profesionales sanitarios, es sentido por muchos como si se pusiese en duda su pericia o su integridad profesional. Esto genera sentimientos de rechazo hacia estas familias y dudas éticas en torno a las actitudes y decisiones a adoptar en estas situaciones. Se describen las circunstancias que podrían llevar a la ruptura de la relación médico-paciente, cómo prevenir esta situación y cómo afrontarla si se presentase.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The contribution of vaccines to the health of populations is a scientifically proven fact. Vaccination is the health activity with the greatest impact in terms of years of quality of life gained. It is a priority to maintain health, to eliminate certain risks and to control epidemic or endemic situations. The number of families hesitant to vaccinate their children is small in our country and even more so is the number of people who reject vaccination in full and are anti-vaccine activists. This question about the vaccinal activity, carried out by health professionals, is felt by many as if their expertise or professional integrity was questioned. This generates feelings of rejection towards these families and ethical doubts about the attitudes and decisions to adopt in these situations. It describes the circumstances that could lead to the rupture of the doctor-patient relationship, how to prevent this situation and how to deal with it if it arises.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ética]]></kwd>
<kwd lng="es"><![CDATA[Negativa a la vacunación]]></kwd>
<kwd lng="es"><![CDATA[Vacunación]]></kwd>
<kwd lng="en"><![CDATA[Ethics]]></kwd>
<kwd lng="en"><![CDATA[Vaccination]]></kwd>
<kwd lng="en"><![CDATA[Vaccination refusal]]></kwd>
</kwd-group>
</article-meta>
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