CHAPTER


DOI :10.26650/B/CH32.2024.010.043   IUP :10.26650/B/CH32.2024.010.043    Full Text (PDF)

Vaccination of the Child with Chronic Disease

Öykü Özbörü AşkanGonca Keskindemirci

Vaccination is one of the most important and cost-effective public health measures. Frequent hospitalizations or frequent visits to healthcare facilities in a child with chronic disease may also increase the risk of infection or predispose the child to more serious complications during infection. To protect the child with chronic diseases against vaccine-preventable diseases, vaccination should be continued while the disease status is evaluated. Situations such as suppression of the immune system caused by the disease or the treatments received, and the use of blood or blood products increase the risk of several diseases and can have a negative effect on vaccine response. Therefore, vaccination practices for a child with chronic diseases may differ. Immunization for the child should be planned individually. Concomitant diseases or treatment-related conditions should be examined, and vaccines against infectious agents that pose a particular risk should be prioritized. Contraindicated vaccines should be avoided, and vaccinations should be completed as soon as possible based on age. Vaccination planning for a child with chronic diseases should be made by physicians experienced in this field using up-to-date resources. While clinical conditions may change, vaccination practices should be reassessed to account for possible changes in the vaccine plan. This section aims to explain the disease and case-specific immunization of routine and nonroutine vaccines in a child with special clinical conditions


DOI :10.26650/B/CH32.2024.010.043   IUP :10.26650/B/CH32.2024.010.043    Full Text (PDF)

Kroni̇k Hastalığı Olan Çocukta Aşı Uygulamaları

Öykü Özbörü AşkanGonca Keskindemirci

Aşı uygulamaları halk sağlığının en önemli ve uygun maliyetli stratejilerden biridir. Kronik hastalığı olan çocuklarda hastaneye sık yatışlar veya sağlık kuruşlularına sık ziyaretler de enfeksiyon riskini artırabilir. Bu nedenlerle kronik hastalığı olan çocukların aşı ile önlenebilir hastalıklardan korunması için hastalık durumu değerlendirilerek aşı uygulamaları aksatılmamalıdır. Hastalığın kendisi ya da aldığı tedaviler nedeniyle ortaya çıkan bağışıklık sisteminin baskılanması, kan ya da kan ürünlerinin kullanımı gibi durumlar, bir yandan bazı hastalık risklerini artırırken bir yandan da aşı yanıtını olumsuz etkileyebilmektedir. Dolayısyla kronik hastalığı olan çocukların aşı uygulamalarında farklılıklar bulunabilmektedir. Bu nedenle bu çocuklarda bağışıklama çocuk özelinde planlanmalıdır. Eşlik eden hastalık ya da tedavi ilişkili durumlar değerlendirilerek özellikle risk oluşturun enfeksiyon etkenlerine karşı olan aşılara öncelik verilmeli, kontrendike olan aşılara dikkat edilmeli, en kısa sürede yaşına uygun aşılamaları tamamlanmalıdır. Kronik hastalığı olan çocuklar için aşı planlaması bu konuda deneyimli hekimler tarafından güncel kaynaklardan yararlanarak yapılmalı, değişen klinik durumlar da olabileceğinden aşı planlamasında oluşabilecek değişiklikler ile aşı uygulamaları yeniden gözden geçirilmelidir. Bu bölümde bazı özel durumlarda rutin ve rutin dışı aşı uygulamalarının anlatılması amaçlanmıştır. 



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