[Determination of vaccination quotas for pneumococcal conjugate vaccine in children on the basis of routine data of the statutory health insurance]

Gesundheitswesen. 2013 May;75(5):309-16. doi: 10.1055/s-0032-1321747. Epub 2012 Oct 16.
[Article in German]

Abstract

The pneumococcal conjugate vaccine is recommended since July 2006 for all children up to 24 months by the Standing Committee on Vaccination (STIKO) in Germany. Immunisation includes 4 doses; a single dose should be administered at completed 2, 3, 4 months and 11-14 months of age. To analyse the immunization coverage, timeliness and completeness of vaccinations, a claims data analysis was conducted. The evaluation was based on routine claims data of a statutory health insurance covering the period from May 2008-September 2009. Overall, 81.2% (5 484/6 755) of all live births of mothers and fathers of the insurance received at least one vaccination dose. In 91.3% and 72.0% of these cases, the second and third dose was administered, respectively. A vaccination cycle of 4 doses was often not completed and the recommended time points for vaccination were not met in two-thirds of all children. Due to the limited and relatively short observation period, a conclusion about the rate of fully completed vaccination cycles was not possible.

MeSH terms

  • Child
  • Child, Preschool
  • Female
  • Germany / epidemiology
  • Health Care Rationing / statistics & numerical data*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Medication Adherence / statistics & numerical data
  • National Health Programs / statistics & numerical data*
  • Pneumococcal Infections / epidemiology*
  • Pneumococcal Infections / prevention & control*
  • Pneumococcal Vaccines / therapeutic use*
  • Prevalence
  • Risk Assessment
  • Treatment Outcome
  • Utilization Review
  • Vaccination / statistics & numerical data*
  • Vaccines, Conjugate / therapeutic use*

Substances

  • Pneumococcal Vaccines
  • Vaccines, Conjugate