María Isabel Fernández-Cano1, Xavier Espada-Trespalacios2, Azahara Reyes-Lacalle2, Josep Maria Manresa Domínguez3, Lluís Armadans-Gil4, Magda Campins-Martí4, Gemma Falguera-Puig2, Pere Toran Monserrat5. 1. Departamento de Enfermería, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Barcelona, España. Electronic address: MariaIsabel.FernandezC@uab.cat. 2. Atención a la Salud Sexual y reproductiva. Gerencia Territorial metropolitana norte, Institut Català de la Salut, Unidad de apoyo a la investigación Metropolitana Norte, Instituto Universitario de Investigación en Atención Primaria Jordi Gol (IDIAP Jordi Gol), Grupo de Investigación en Atención a la Salud Sexual y Reproductiva (GRASSIR), Barcelona, España. 3. Unitat de Suport a la Recerca Metropolitana Nord, Institut Universitari de Investigació en Atenció Primaria (IDIAP) Jordi Gol, Barcelona, España. 4. Servicio de Medicina Preventiva y Epidemiología, Hospital Universitario Vall d'Hebron, Barcelona, España. 5. Unitat de Suport a la Recerca Metropolitana Nord, Institut Universitari de Investigación en Atenció Primaria (IDIAP) Jordi Gol, Barcelona, España.
Abstract
INTRODUCTION: The re-emergence of pertussis and the severity of its complications in infants younger than 3 months, were determining factors for starting a vaccination program for pregnant women in the third trimester of gestation in Catalonia in February 2014. This was the first autonomous community to introduce it in Spain. The aim of the study was to estimate the coverage of the program in its first year of implementation. METHODS: A retrospective analysis was performed on the data from the Primary Care Centre computerised medical records of pregnant women attending Sexual and Reproductive Health Care centres of the Metropolitan Nord area of the province of Barcelona, part of the Catalan Institute of Health. The overall coverage was estimated, as well as the sociodemographic variables of Tdap vaccination of women who had registered a delivery of a live birth between August 2014 and August 2015. RESULTS: A total of 6,697 deliveries of live births were recorded, and 1,713 pregnant women were vaccinated, which represented an overall coverage of 25.6% (95% CI; 24.1-26.1). Vaccination coverage was higher in pregnant women under 18 years and Spanish women (P=.018 and P=.036, respectively). CONCLUSION: The estimation of vaccine coverage against pertussis in pregnant women in the third trimester of pregnancy, after the first year of implementation of the program in a health area of Catalonia was lower than the objective set. Strategies need to be designed in order to improve program coverage.
INTRODUCTION: The re-emergence of pertussis and the severity of its complications in infants younger than 3 months, were determining factors for starting a vaccination program for pregnant women in the third trimester of gestation in Catalonia in February 2014. This was the first autonomous community to introduce it in Spain. The aim of the study was to estimate the coverage of the program in its first year of implementation. METHODS: A retrospective analysis was performed on the data from the Primary Care Centre computerised medical records of pregnant women attending Sexual and Reproductive Health Care centres of the Metropolitan Nord area of the province of Barcelona, part of the Catalan Institute of Health. The overall coverage was estimated, as well as the sociodemographic variables of Tdap vaccination of women who had registered a delivery of a live birth between August 2014 and August 2015. RESULTS: A total of 6,697 deliveries of live births were recorded, and 1,713 pregnant women were vaccinated, which represented an overall coverage of 25.6% (95% CI; 24.1-26.1). Vaccination coverage was higher in pregnant women under 18 years and Spanish women (P=.018 and P=.036, respectively). CONCLUSION: The estimation of vaccine coverage against pertussis in pregnant women in the third trimester of pregnancy, after the first year of implementation of the program in a health area of Catalonia was lower than the objective set. Strategies need to be designed in order to improve program coverage.
Authors: Noelia Rodríguez-Blanco; José Tuells; Rafael Vila-Candel; Andreu Nolasco Journal: Int J Environ Res Public Health Date: 2019-02-14 Impact factor: 3.390