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Tavares LODM, Silva MA, Oliveira BRD, Amaral GG, Guimarães EADA, Couto RO, Oliveira VCD. Prevalence of errors causing events allegedly attributable to vaccination/immunization: systematic review and meta-analysis. Rev Gaucha Enferm 2024; 45:e20230097. [PMID: 38477748 DOI: 10.1590/1983-1447.2024.20230097.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 09/25/2023] [Indexed: 03/14/2024] Open
Abstract
OBJECTIVE To identify the prevalence of errors that caused events supposedly attributable to vaccination or immunization. METHOD Systematic literature review with meta-analysis carried out on the Medline, Cochrane Library, Cinahl, Web of Science, Lilacs, Scopus; Embase; Open Grey; Google Scholar; and Grey Lit databases; with studies that presented the prevalence of immunization errors that caused events or that provided data that allowed this indicator to be calculated. RESULTS We evaluated 11 articles published between 2010 and 2021, indicating a prevalence of 0.044 errors per 10,000 doses administered (n=762; CI95%: 0.026 - 0.075; I2 = 99%, p < 0.01). The prevalence was higher in children under 5 (0.334 / 10,000 doses; n=14). The predominant events were fever, local pain, edema and redness. CONCLUSION A low prevalence of errors causing events was identified. However, events supposedly attributable to vaccination or immunization can contribute to vaccine hesitancy and, consequently, have an impact on vaccination coverage.
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Affiliation(s)
| | - Marla Ariana Silva
- Universidade Federal de São João del-Rei (UFSJ). Programa de Pós-Graduação em Enfermagem. Divinópolis, Minas Gerais, Brasil
| | - Bianca Rabelo de Oliveira
- Universidade Federal de São João del-Rei (UFSJ). Departamento de Enfermagem. Divinópolis, Minas Gerais, Brasil
| | - Gabriela Gonçalves Amaral
- Universidade do Estado de Minas Gerais (UEMG). Departamento de Ciências da Reabilitação e Saúde. Divinópolis, Minas Gerais, Brasil
| | | | - Renê Oliveira Couto
- Universidade Federal de São João del-Rei (UFSJ). Programa de Pós-Graduação em Ciências Farmacêuticas. Divinópolis, Minas Gerais, Brasil
| | - Valéria Conceição de Oliveira
- Universidade Federal de São João del-Rei (UFSJ). Programa de Pós-Graduação em Enfermagem. Divinópolis, Minas Gerais, Brasil
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Oliveira SH, Silva BS, Carvalho LMR, Gontijo TL, Pinto IC, Guimarães EADA, de Oliveira VC. Prevalence and underreporting of immunization errors in childhood vaccination: results of a household survey. Rev Esc Enferm USP 2024; 57:e20230253. [PMID: 38373188 PMCID: PMC10878123 DOI: 10.1590/1980-220x-reeusp-2023-0253en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 12/22/2023] [Indexed: 02/21/2024] Open
Abstract
OBJECTIVE To investigate underreporting of immunization errors based on vaccination records from children under five years of age. METHOD An epidemiological, cross-sectional analytical study, carried out through a household survey with 453 children aged 6 months to 4 years in three municipalities in Minas Gerais in 2021. A descriptive analysis was carried out, and the prevalence of the error was calculated per 100 thousand doses applied between 2016 and 2021. The magnitude was estimated of the association between variables by prevalence and 95% Confidence Intervals (95%CI). To analyze underreporting, State reporting records were used. RESULTS A prevalence of immunization errors was found to be 41.9/100,000 doses applied (95%CI:32.2 - 51.6). The highest prevalence occurred between 2020 (50.0/100,000 doses applied) and 2021 (78.6/100,000 doses applied). The most frequent error was an inadequate interval between vaccines (47.2%) associated with adsorbed diphtheria, tetanus and pertussis (DTP) vaccine (13.7/100,000) administration. Vaccination delay was related to immunization errors (7.55 95% CI:2.30 - 24.80), and the errors found were underreported. CONCLUSION The high prevalence of underreported errors points to a worrying scenario, highlighting the importance of preventive measures.
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Affiliation(s)
- Stênio Henrique Oliveira
- Universidade Federal de São João del-Rei, Programa de Pós-Graduação
em Enfermagem, Divinópolis, MG, Brazil
| | - Brener Santos Silva
- Universidade do Estado de Minas Gerais, Departamento de Ciências da
Reabilitação e Saúde, Divinópolis, MG, Brazil
| | | | - Tarcísio Laerte Gontijo
- Universidade Federal de São João del-Rei, Programa de Pós-Graduação
em Enfermagem, Divinópolis, MG, Brazil
| | - Ione Carvalho Pinto
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
Programa de Pós-Graduação Enfermagem em Saúde Pública, Ribeirão Preto, SP,
Brazil
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de Camargos SM, de Oliveira MLS, Luvisaro BMO, da Silva TPR, Souza JFA, Vimieiro AM, da Silva TMR, Matozinhos FP. Adverse event following immunization or vaccination in children in Minas Gerais: 2015 to 2020. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2023; 26:e230056. [PMID: 38088715 PMCID: PMC10715317 DOI: 10.1590/1980-549720230056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 09/26/2023] [Accepted: 09/27/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVE To describe adverse event following immunization or vaccination in children in Minas Gerais: 2015 to 2020, resulting from immunization errors in children from zero to nine years old. METHODS An ecological, descriptive study with a quantitative approach, based on event notifications available in the National Immunization Program Information System. RESULTS Among the 39,903,277 doses of immunobiologicals in children aged zero to nine, administered in the state of MG, 3,259 events of types of immunization errors were recorded, around 0.008% of the total and, of these, 91.86% did not result in adverse events and 56.02% were children under one year of age. The most frequent diagnosis was application outside the recommended age (29.12%). Among the manifestations, 71.91% were local and systemic, with fever being the most common (40.85%). CONCLUSION The study demonstrated that immunization errors were rare and that most of them were not associated with adverse events, which reinforces the safety of the immunization process. This undoubtedly raises reflection on the need and relevance of continuing education for health professionals.
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Affiliation(s)
| | | | | | - Thales Philipe Rodrigues da Silva
- Universidade Federal de São Paulo, Escola Paulista de Enfermagem – São Paulo (SP), Brazil
- Universidade Federal de Minas Gerais, School of Nursing, Postgraduate Program in Nursing – Belo Horizonte (MG), Brazil
| | - Janaina Fonseca Almeida Souza
- Universidade Federal de Minas Gerais, School of Nursing, Postgraduate Program in Nursing – Belo Horizonte (MG), Brazil
- State Health Secretariat of Minas Gerais – Belo Horizonte (MG), Brazil
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Simões NCS, Tavares LODM, da Silva CMB, Rodrigues SB, Oliveira SH, Guimarães EADA, de Oliveira VC. Construction and validity of an educational video to prevent immunization errors. Rev Bras Enferm 2023; 76:e20230010. [PMID: 37820157 PMCID: PMC10561952 DOI: 10.1590/0034-7167-2023-0010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2023] [Accepted: 04/03/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE to construct and validate an orientation video, based on a low-fidelity clinical simulation scenario, to prevent immunization errors. METHODS a methodological study with video construction, validated in two stages by different audiences. Content was selected based on a realistic simulation scenario of the vaccine administration process to a patient-actor. Items with concordance greater than 0.8 and 0.6 were considered valid, verified using the Content Validity Index (CVI) and the Content Validity Ratio (CVR), respectively. RESULTS judges' CVI had an average of 97.5%, and CVR, 0.9, and health professionals' CVI, 95.4%, and CVR, 0.8. Successes in administering vaccines were addressed, such as careful reading of labels, double-checking the vaccine, distractions/interruptions and error reporting. CONCLUSIONS the video was constructed and validated in terms of content, and can be used in training professionals working in vaccination.
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Donnini DA, Silva CMB, Gusmão JD, Matozinhos FP, Silva RB, Amaral GG, Guimarães EADA, de Oliveira VC. Incidence of immunization errors in the state of Minas Gerais, Brazil: a cross-sectional study, 2015-2019. EPIDEMIOLOGIA E SERVIÇOS DE SAÚDE 2022; 31:e2022055. [PMID: 36351058 PMCID: PMC9887969 DOI: 10.1590/s2237-96222022000300008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Accepted: 08/10/2022] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE To evaluate the incidence of immunization errors in the public health service of the state of Minas Gerais, Brazil. METHODS This was a cross-sectional study, based on errors reported on the National Immunization Program Information System between 2015 and 2019. A descriptive analysis and calculation of the incidence for the state's health macro-regions were performed. RESULTS A total of 3,829 notifications were analyzed. Children younger than 1 year old were the most affected (39.1%) and the intramuscular route accounted for 29.4% of the errors. The most frequently reported error was administration of vaccines outside minimum and maximum recommended ages (37.7%). There was a higher incidence of errors in Vale do Aço (26.5/100,000) and Triângulo do Norte (22.6/100,000) macro-regions. CONCLUSION Immunization errors showed a heterogeneous incidence among the macro-regions of the state of Minas Gerais, between 2015-2019, and the administration of vaccines outside minimum and maximum recommended ages was the most frequently reported error.
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Affiliation(s)
- Deborah Amaral Donnini
- Universidade Federal de São João del-Rei, Programa de Pós-Graduação
em Enfermagem, Divinópolis, MG, Brazil
| | | | - Josianne Dias Gusmão
- Secretaria de Estado da Saúde de Minas Gerais, Superintendência de
Vigilância Epidemiológica, Belo Horizonte, MG, Brazil
| | - Fernanda Penido Matozinhos
- Universidade Federal de Minas Gerais, Programa de Pós-Graduação em
Enfermagem, Belo Horizonte, MG, Brazil
| | - Roberta Barros Silva
- Secretaria de Estado da Saúde de Minas Gerais, Superintendência de
Vigilância Epidemiológica, Belo Horizonte, MG, Brazil
| | - Gabriela Gonçalves Amaral
- Universidade de São Paulo, Programa de Pós-Graduação em Enfermagem
em Saúde Pública, Ribierão Preto, SP, Brazil
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da Silva TPR, da Silva SF, Dutra MM, da Silva RB, Gusmão JD, Matozinhos FP. Analysis of immunization errors in pregnant women. Rev Esc Enferm USP 2021; 55:e20200544. [PMID: 34605531 DOI: 10.1590/1980-220x-reeusp-2020-0544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Accepted: 06/29/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze immunization errors in pregnant women from Minas Gerais, according to the absence and presence of Adverse Events Following Immunization. METHODS This is a cross-sectional study, carried out with data on immunization errors in pregnant women, between 2015 and 2019, registered in the Information System for the Surveillance of Adverse Events, in Minas Gerais. The trend of the incidence rate of immunization error per 100,000 doses applied was checked using Prais-Winsten models. RESULTS Of all notifications, 3.72% were vaccination errors with adverse events following immunization. The highest proportion of immunization errors with no adverse events (32.40%) was in the macro-region Centro and, with adverse events (27.78%), in Triângulo do Sul, both with a stationary trend in the period. Regarding the incidence rate, the macro-region with the highest immunization errors with no adverse events was Vale do Aço and the macro-region with the highest incidence rate of immunization errors with adverse events was Triângulo do Sul. CONCLUSION In this study, the notifications of Adverse Events Following Immunization resulting from vaccination errors with and without adverse events occurred with no significant trend within the years of the study.
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Affiliation(s)
- Thales Philipe Rodrigues da Silva
- Universidade Federal de Minas Gerais, Faculdade de Medicina, Programa de Pós-graduação em Ciências da Saúde - Saúde da Criança e do Adolescente, Belo Horizonte, MG, Brazil
| | - Soleane Franciele da Silva
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Graduação em Enfermagem, Belo Horizonte, MG, Brazil
| | - Marcella Marinho Dutra
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Graduação em Enfermagem, Belo Horizonte, MG, Brazil
| | - Roberta Barros da Silva
- Secretaria de Estado da Saúde de Minas, Subsecretaria de Vigilância em Saúde, Superintendência de Vigilância Epidemiológica, Coordenação Estadual do Programa de Imunizações, Belo Horizonte, MG, Brazil
| | - Josianne Dias Gusmão
- Secretaria de Estado da Saúde de Minas, Subsecretaria de Vigilância em Saúde, Superintendência de Vigilância Epidemiológica, Coordenação Estadual do Programa de Imunizações, Belo Horizonte, MG, Brazil
| | - Fernanda Penido Matozinhos
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno Infantil e Saúde Pública, Belo Horizonte, MG, Brazil
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