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• W2099565256 abstract "Objetivo Descripción de un brote de parotiditis en un barrio urbano. Estudio de la efectividad del componente parotídeo de la vacunación triple viral (TV). Diseño Estudio descriptivo transversal del brote; los casos se obtienen del sistema de vigilancia epidemiológico andaluz (SVEA). La efectividad vacunal se estudia mediante un diseño de cohortes retrospectivo, definiendo las cohortes según los antecedentes de vacunación. Emplazamiento Barrio urbano de nivel socioeconómico bajo y con una pirámide poblacional joven. El brote se desarrolla entre marzo y noviembre de 1997. La efectividad vacunal se estudia en un centro escolar. Pacientes u otros participantes Residentes en el barrio. La fuente poblacional ha sido el padrón municipal de 1996. Intervenciones Los casos de parotiditis declarados se tomaron del registro SVEA. El estado vacunal se ha documentado revisando las fichas de matriculación escolar, las cartillas de vacunación y el registro nominal del centro de salud. Mediciones y resultados principales Se declaran un total de 283 parotiditis. La incidencia fue mayor en el grupo de edad de 0-10 años que en edades superiores. La proporción de casos vacunados fue del 79% (IC del 95%, 74,3-73,7). La efectividad de una dosis del componente parotídeo fue baja (46%; IC del 95%, 0-84), siendo superior la encontrada para una segunda dosis (87%; IC del 95%, 27-99). Conclusiones Se confirma la baja efectividad vacunal del componente parotídeo TV y se aconseja asegurar la vacunación escolar. Se propone adelantar la edad de la segunda dosis al ingreso en el centro escolar (1.° de primaria). Objective Description of an outbreak of mumps in an urban area. Study of the effectiveness of the mumps component of the triple virus (TV) vaccination. Design Cross sectional descriptive study of the outbreak. The cases were obtained from the Andalusian Register of Infectious Diseases (SVEA in Spanish). The effectiveness of the vaccine was studied through a retrospective cohort design, with the cohorts defined according to their vaccination history. Setting Urban area of low social class and income and young population pyramid. The outbreak occurred between March and November 1997. The effectiveness of vaccination at one school was studied. Patients and other participants Residents in the area. The source of the population was the 1996 municipal census. Interventions The declared cases of mumps were taken from the SVEA. The state of vaccination was documented through a review of the school registration records, vaccination cards and the health centre register of names. Measurements and main results A total of 283 cases of mumps were declared. There were more cases in the 0-10 age group than at older ages. 79% of cases were vaccinated (95% CI, 74.3-73.7). Effectiveness of a dose of the mumps component of the vaccine was low (46%; CI, 0-84), though the effectiveness of a second dose was higher (87%; CI, 27-99). Conclusions The low effectiveness of the mumps component of the TV vaccination was confirmed. It is proposed that the age for the second dose should be brought forward to schoolstarting age (primary, first year). Ensuring school vaccination is recommended." @default.
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• W2099565256 title "Brote epidémico de parotiditis. Estudio de la efectividad vacunal" @default.
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• W2099565256 doi "https://doi.org/10.1016/s0212-6567(00)78478-2" @default.
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