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  • 标题:Association between an Incomplete Vaccination Schedule and Nosocomial Sepsis among Children with Cancer
  • 本地全文:下载
  • 作者:Jesus Reyna-Figueroa ; Diana PerezPeña-Rosas ; Patricia Galindo-Delgado
  • 期刊名称:World Journal of Vaccines
  • 印刷版ISSN:2160-5815
  • 电子版ISSN:2160-5823
  • 出版年度:2013
  • 卷号:3
  • 期号:1
  • 页码:10-15
  • DOI:10.4236/wjv.2013.31002
  • 出版社:Scientific Research Publishing
  • 摘要:Background: Patients with cancer constitute a special group where immunization programs are often interrupted to begin treatment with chemotherapy. Sepsis is one of the main complications in this group. Methods: A hospital-based case-control study matched by age was carried out among subjects ≤ 9 years of age with cancer diagnosis. Children with cancer without sepsis and children with surgical pathology were included as controls; children with sepsis were included as cases. A bivariate logistic regression was used to determine the factors associated to nosocomial sepsis, and odds ratios were calculated with 95% confidence intervals. The percentage of attributable risk was calculated for the variables included in the final model. Results: Nineteen children with cancer and sepsis and 83 controls were included. Twelve (44%) caseshad an incomplete vaccination schedule according to their age. The association force between incomplete schedule and sepsis was 10.1 (95% CI, 3 - 36; p Conclusions: Approximately, 20% to 65% of the cases of serious nosocomial infection can be associated to an incomplete vaccination schedule. Strategies should be implemented to improve the general pediatric population’s vaccination status before a serious disease, such as cancer or another chronic condition preventing the application of vaccines, develops.
  • 关键词:Vaccines; Cancer; Pediatrics; Immunocompromise; Association
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