多学科联合会诊在特殊健康状态儿童免疫接种中的应用  

Application of multidisciplinary consultation in immunization for children with medical conditions

作　　者：韩英 韦茹 胡丹丹 HAN Ying;WEI Ru;HU Dandan(Child Healthcare Department,Guangzhou Women′s and Children′s Medical Center,Guangzhou 510623,China)

机构地区：[1]广州市妇女儿童医疗中心儿童保健科,510263

出　　处：《中国生育健康杂志》2023年第4期332-336,共5页Chinese Journal of Reproductive Health

基　　金：广州市特需儿童预防接种规范化管理模式的构建与应用研究(202206010060);广州市科学技术局市校(院)联合资助项目(202201020653)。

摘　　要：目的探讨多学科联合会诊诊疗模式在特殊健康状态儿童免疫接种中的应用。方法对同时涉及多个专科疾病的特殊健康状态儿童预约登记,组织院内免疫科、遗传代谢与内分泌科、神经内科、心脏内科、外科医生组成评估专家组进行定期会诊形成医学接种评估建议,特需人群接种门诊追踪随访并提供帮助和指导。结果经多学科会诊为34例特殊健康状态儿童制定最佳免疫接种方案,共13个科室的111位专家参与会诊,受邀参与会诊的专科参与率100%,会诊次数最多的科室为神经内科,所占比例为28.6%。随访实施免疫接种27例,接种率为79.4%,接种255剂次,一般不良反应发生率0.4%。结论多学科会诊能更专业、精准地为特殊健康状态儿童提供综合评估服务,增强家长对预防接种的信心,提高疫苗接种的依从性。同时能深化学科间交流,有效推进医疗和预防的融合。Objective To explore the application of multidisciplinary consultation in immunization of children with medical conditions.Methods Appointments and registrations were made for children with medical conditions involving multiple specialist diseases.An evaluation expert group composed of in-hospital experts in immunology,genetics,metabolism and endocrinology,neurology,cardiology,and surgeons conducted regular consultations to form medical vaccination evaluation recommendations for the children.Children were followed up and provided with guidance by special vaccination clinic.Results After multidisciplinary consultation,the optimal immunization program was formulated for 34 children with medical conditions.A total of 111 experts from 13 departments participated in the multidisciplinary team.The participation rate of the invited experts was 100%.The department with the largest number of consultations was neurology,accounting 28.6%.Follow-up immunization was performed in 27 cases.The vaccination rate was 79.4%,255 doses were administered,and the incidence of general adverse reactions was 0.4%.Conclusion Children with medical conditions can get more professional and accurate comprehensive evaluation services by multidisciplinary consultation.Multidisciplinary consultation can enhance the confidence of parents in immunization of children with medical conditions,and thus improve the compliance of vaccination.Communication between different disciplines have been deepen,and the integration of medical treatment and prevention have been promoted.

关 键 词：多学科会诊 特殊健康状态 儿童 特需人群接种门诊 免疫接种 

分 类 号：R72[医药卫生—儿科]