Vacinação contra pneumococo em crianças com doença falciforme no Espírito Santo, entre 2004 e 2007

Doenca falciforme cursa com alta vulnerabilidade a infeccoes, principalmente por bacterias encapsuladas. Este estudo transversal objetivou verificar a vacinacao contra Streptococcus pneumoniae em criancas com doenca falciforme diagnosticadas entre 2004 e 2007 pelo Servico de Referencia em Triagem Neonatal da Associacao de Pais e Amigos dos Excepcionais de Vitoria (SRTN-APAE), que pesquisa a hemoglobinopatia em 92 por cento dos nascidos vivos do Espirito Santo. Revisao de prontuarios de todas as criancas diagnosticadas e conferencia do registro de vacinacao do Centro de Referencia para Imunobiologicos Especiais (CRIE-ES) mostrou cobertura vacinal de 50 por cento. Vacinacao completa predominou entre criancas residentes na Grande Vitoria, com mae de 20 anos ou mais e menor numero de irmaos, mas nao houve associacao entre estas variaveis e cumprimento do esquema. Para aumentar a baixa cobertura vacinal detectada, sugere-se promocao de educacao permanente dos profissionais de saude, descentralizacao do CRIE-ES, suprimento adequado de imunobiologicos e busca domiciliar de pacientes faltosos. Sickle cell anemia runs with high vulnerability to infections, mainly by encapsuled bacteria. This transversal study had as its objective, the verification of vaccination against Streptococcus pneumoniae in children diagnosed with sickle cell anemia between 2004 and 2005 by the Neonatal Screening Reference Service of the Association of Relatives and Friends of the Handicapped of Vitoria (SRTN-APAE)*, which researches hemaglobin s. disease in 92 percent of the living newborns in the state of Espirito Santo. Revision of the medical records of all children diagnosed and checking of the vaccination registry of the Reference Center for Special Immunobiologics (CRIE-ES) has shown vaccinal coverage of 50 percent. Complete vaccination was predominant among children residing in the Great Victoria area, whose mothers were twenty years or older and with a lesser number of siblings, but there was no association between these variables and the carrying out of the plan. To increase the low vaccinal coverage detected, the promotion of permanent education of health professionals and the decentralization of the CRIE-ES, and adequate supply of immunobiologicals and home visits to patients who fail to attend is suggested.