Evaluation of postvaccination reactions after simultaneous administration of vaccines against different infections
DOI:
https://doi.org/10.15574/PP.2024.4(100).106110Keywords:
vaccine combination, diphtheria, pertussis, tetanus, polio, hepatitis B, hemophilus influenzae, pneumococcal vaccineAbstract
Aim - to evaluate the course of the postvaccination period after the simultaneous use of different vaccines in different combinations.
Materials and methods. The study was conducted from January 2020 to October 2023. The records in the logs of post-vaccination reactions after immunization, made according to the data of routine monitoring of the child's condition after vaccination, were analyzed. Were selected 690 children for the analysis, divided into groups depending on the combination of different vaccines during the vaccination cycle and the first revaccination.
Results. Most children in all study groups had a complaint-free post-vaccination period (60-94%). Although, according to the results of comparing postvaccination reactions in the case of combinations with different vaccines, differences were observed, but statistically unreliable. The simultaneous administration of vaccines against different infections in one visit was not accompanied by an increase in postvaccination reactions, but rather by a decrease.
Conclusions. The number of simultaneously administered vaccines against different infections does not affect the frequency and severity of postvaccination reactions. The simultaneous administration of vaccines against different infections in one visit is not accompanied by an increase in postvaccination reactions, therefore it is justified, which contributes to the observance of optimal dose intervals and maximum protection of the child within the regulated time.
The study was conducted in accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Local Ethics Committee of the Shupyk National University of Health of Ukraine. The consent of each patient, parent or guardian was obtained for the processing of personal data.
The authors declare no conflict of interest.
References
Abaturov OYe, Siedunova OV, Agafonova OO. (2015). Attitide of health workers to immunoprophylaxis and efficiacy of their health education activities regarding active immunization of the population. Zdorovia Dytyny. 1: 65-68.
Antonova NA, Eritzian KY, Dubrovskiy RH. (2014). Otkaz ot vaktsinatsii: kachestvennyiy analiz biograficheskih intervyu. Teoriya i praktika obschestvennogo razvitiya. 20: 208-211.
Boyarchuk OR, Mishchanchuk VA. (2020). Evaluation of influence factors on parents' adherence to the immunization. Modern Pediatrics. Ukraine. 5(109): 19-23. https://doi.org/10.15574/SP.2020.109.19
Carrillo-Marquez M, White L. (2013). Current controversies in childhood vaccination. South Dakota Medicine. Spec no: 46-51.
CDC. (2024). Vaccine Safety. Multiple Vaccines at Once. URL: https://www.cdc.gov/vaccinesafety/about/multiples.html?CDC_AAref_Val=https://www.cdc.gov/vaccinesafety/concerns/multiple-vaccines-immunity.html.
Chernyshova LI, Lapii FI Volokha AP, Bondarenko AV, Stepanovskyi YuS, Hilfanova AM. (2019). Immunoprophylaxis of Infectious Diseases. Kyiv: Medycyna: 320.
Delgado-Gallegos JL, Padilla-Rivas GR, Zúñiga-Violante E, Avilés-Rodríguez G, Arellanos-Soto D, Gastelum-Arias LJ et al. (2021, Nov 26). Determinants of COVID-19 Vaccine Hesitancy: A Cross-Sectional Study on a Mexican Population Using an Online Questionnaire (COV-AHQ). Front Public Health. 9: 728690. https://doi.org/10.3389/fpubh.2021.728690; PMid:34900890 PMCid:PMC8661090
Gjini E, Moramarco S, Carestia MC, Cenko F, Ylli A, Mehmeti I et al. (2023, Jan-Feb). Parents' and caregivers' role toward childhood vaccination in Albania: assessment of predictors of vaccine hesitancy. Ann Ig. 35(1): 75-83. Epub 2022 May 6. doi: 10.7416/ai.2022.2521. PMID: 35532052.
Jain L, Vij J, Satapathy P, Chakrapani V, Patro B, Kar SS et al. (2021, Dec 15). Factors Influencing COVID-19 Vaccination Intentions Among College Students: A Cross-Sectional Study in India. Front Public Health. 9: 735902. https://doi.org/10.3389/fpubh.2021.735902; PMid:34976911 PMCid:PMC8714761
MOZ Ukrainy. (2014). Pro udoskonalennia provedennia profilaktychnykh shcheplen v Ukraini. Nakaz MOZ Ukrainy vid 11.08.2014 No.551. URL: https://zakon.rada.gov.ua/laws/show/z1237-14#Text.
OON. (1989). Konventsiia pro prava dytyny. Rezoliutsiia OON vid 20 lystopada 1989 roku No.44/25. URL: https://zakon.rada.gov.ua/laws/show/995_021#Text.
Philip RK, Shapiro M, Paterson P, Glismann S, Van Damme P. (2016, Dec). Is It Time for Vaccination to "Go Viral"? Pediatr Infect Dis J. 35(12): 1343-1349. https://doi.org/10.1097/INF.0000000000001321; PMid:27626913
Pollard AJ. (2007, May). Childhood immunisation: what is the future? Arch Dis Child. 92(5): 426-433. https://doi.org/10.1136/adc.2006.095760; PMid:17449524 PMCid:PMC2083746
Tsentr hromadskoho zdorov'ia MOZ Ukrainy. (2024) Imunizatsiia. Zahalna informatsiia. URL: https://phc.org.ua/kontrol-zakhvoryuvan/imunizaciya/zagalna-informaciya.
Tsentr hromadskoho zdorov'ia MOZ Ukrainy. (2024) Riven okhoplennia shcheplenniamy v Ukraini. URL: https://phc.org.ua/kontrol-zakhvoryuvan/imunizaciya/okhoplennya-scheplennyami.
Ukrainian Institute for Strategic Studies of the Ministry of Health of Ukraine. (2017). Annual report on the state of health of the population, the sanitary and epidemiological situation and the results of the health care system of Ukraine. Kiev: 458.
WHO. (2021). Vaccine efficacy, effectiveness and protection. URL: https://www.who.int/news-room/feature-stories/detail/vaccine-efficacy-effectiveness-and-protection.
WHO. (2024). Vaccines and immunization. URL: https://www.who.int/europe/health-topics/vaccines-and-immunization#tab=tab_1.
World Health Organization. (2010). Global recommendations on physical activity for health. Geneva. URL: https://www.who.int/dietphysicalactivity/global-PA-recs-2010.pdf.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Ukrainian Journal of Perinatology and Pediatrics

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The policy of the Journal “Ukrainian Journal of Perinatology and Pediatrics” is compatible with the vast majority of funders' of open access and self-archiving policies. The journal provides immediate open access route being convinced that everyone – not only scientists - can benefit from research results, and publishes articles exclusively under open access distribution, with a Creative Commons Attribution-Noncommercial 4.0 international license(СС BY-NC).
Authors transfer the copyright to the Journal “MODERN PEDIATRICS. UKRAINE” when the manuscript is accepted for publication. Authors declare that this manuscript has not been published nor is under simultaneous consideration for publication elsewhere. After publication, the articles become freely available on-line to the public.
Readers have the right to use, distribute, and reproduce articles in any medium, provided the articles and the journal are properly cited.
The use of published materials for commercial purposes is strongly prohibited.