Immunisation Status of Children with Cerebral Palsy in Rural Bangladesh: Results from the Bangladesh Cerebral Palsy Register (BCPR)

P. May; H. Smithers-Sheedy; M. MuhitR. CummingC. JonesR. BooyN. BadawiG. Khandaker

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Immunisation Status of Children with Cerebral Palsy in Rural Bangladesh: Results from the Bangladesh Cerebral Palsy Register (BCPR)

机译：Immunisation Status of Children with Cerebral Palsy in Rural Bangladesh: Results from the Bangladesh Cerebral Palsy Register (BCPR)

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Background: Cerebral palsy (CP) is the most common cause of physical disability inchildhood, with an estimated 17 million cases worldwide. There is limited data concerning thegeneral health of this population and the immunisation status of children with CP is largely unknown.Objective: We aimed to assess the immunisation status of children with CP in rural Bangladeshand determine the predictors of non-immunisation.Methods: This study is part of the Bangladesh CP Register (BCPR) study; a population based CPregister commenced in January 2015 in the Shahjadpur sub-district of Bangladesh. As part ofBCPR registration, all children with CP in the catchment area were assessed by a paediatricianand their clinical and immunisation history were collected.Results: Between January and December 2015, 615 children with CP were registered on theBCPR. The median age of the children was 7.5 years, and 38.5 were female. 91.7 of thosechildren had a BCG vaccine scar (as an objective marker for immunisation at birth). However,only 43.2 reported to have received the rubella vaccine during the 2014 national rubella immunisationcampaign. Timing of CP diagnosis was found to be an independent predictor for immunisationuptake; those diagnosed before the age of 3 were more likely to have received the rubellavaccine (95 confidence interval CI 1.6 - 4.3, odds ratio OR 2.6, p <0.0001).Conclusions: To the best of our knowledge, this is the first paper to use a formal CP register toexamine the relationship between CP and immunisation status in a low or middle income countrylike Bangladesh. Our data suggest that more than half of children with CP in rural Bangladesh didnot receive immunisation during a recent national campaign.

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《Infectious disorders drug targets》 |2020年第3期|318-322|共5页
作者
P. May; H. Smithers-Sheedy; M. MuhitR. CummingC. JonesR. BooyN. BadawiG. Khandaker;
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作者单位

School of Public Health, Sydney Medical School, University of Sydney;

Discipline of Child and Adolescent Health, Sydney Medical School, University of Sydney;

Asian Institute of Disability and Development (AIDD), University of South AsiaDept of Paediatrics, University of Melbourne;

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原文格式 PDF
正文语种英语
中图分类药学;
关键词
Cerebral palsy; CP; children; disability; immunisation; vaccination; Bangladesh; register; registry;

Immunisation Status of Children with Cerebral Palsy in Rural Bangladesh: Results from the Bangladesh Cerebral Palsy Register (BCPR)

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