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Vaccination par le BCG : enquête auprès d'enfants de moins de 5 ans consultant dans un service d'urgences hospitalières

Abstract : France is a country with a low incidence of tuberculosis. However, there are important local variations: some parts of the city of Marseilles (southern France) presented a yearly incidence greater than 30/100,000 in 2010. The main goal of this study was to evaluate the BCG vaccine coverage among at-risk children younger than 5 years consulting in one of the city's pediatric emergency departments. Material and methods. This descriptive study took place in February 2013 and used a semi-directive questionnaire distributed to parents. Results. One hundred and thirty-five children were included, 98 (72.6 %) were considered as being at risk of tuberculosis and among them 75 (76.5 %, 95 % CI [68.0–85.1]) were vaccinated with BCG. Parents' knowledge of tuberculosis was relevant in 48 % of the respondents. Only 19 % of the parents reported that BCG protects against tuberculosis, but 73 % were in favor of this vaccination. Two criteria significantly increased vaccine coverage among at-risk children: birth in Marseilles and age more than 6 months on the consultation day. The child living in a poor family and type of medical follow-up did not significantly influence BCG vaccine coverage. Conclusion. BCG coverage was high in at-risk children younger than 5 years born in Marseilles. Cooperation between private physicians , maternity hospitals and mothers, and children's public health services probably facilitates this high level of protection.
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A Vernaz, Jean Gaudart, K Sallah, L Casanova, A Debroise, et al.. Vaccination par le BCG : enquête auprès d'enfants de moins de 5 ans consultant dans un service d'urgences hospitalières. Archives de Pédiatrie, Elsevier, 2014, ⟨10.1016/j.arcped.2014.02.030⟩. ⟨hal-01307530⟩

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