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Medicinski pregled
2005, vol. 58, br. 7-8, str. 333-341
jezik rada: srpski, engleski
vrsta rada: izvorni naučni članak
doi:10.2298/MPNS0508333P


Bezbednost hladnog lanca vakcina
aInstitut za zaštitu zdravlja, Sektor za epidemiologiju, Novi Sad
bDom zdravlja, Služba zdravstvene zaštite dece i omladine, Novi Sad

Sažetak

Hladni lanac vakcina se sastoji od karika koje uključuju čuvanje i transport vakcina na odgovarajućoj temperaturi, a koje obezbeđuju da potentne vakcine stignu do korisnika. Pošto su vakcine osetljive biološke supstancije izlaganje neadekvatnim temperaturama direktno utiče na kvalitet vakcina i bezbednost imunizacije. Cilj ispitivanja je procena bezbednosti hladnog lanca vakcina prepoznavanjem propusta u sistemu hladnog lanca vakcina u dve službe Doma zdravlja Novi Sad. Primenjeni su indikatori marke Coldmark. Analizirano je 155 (94,5%) monitor kartica i 100 (95,2%) Freeze Watch indikatora. Samo jedna monitor kartica je pokazala proboj hladnog lanca. Tri monitor kartice su pokazale da su vakcine u riziku od propadanja. Još 9 monitor kartica je pokazalo pribojavanje bez rizika od propadanja vakcine. Freeze watch indikatori su bili pozitivni u visokom procentu u obe službe Doma zdravlja Novi Sad. Do izlaganja Freeze watch temperaturama zamrzavanja došlo je u toku transporta. Postoji statistički značajna razlika u izlaganju monitor kartica visokim temperaturama i Freeze watch temperaturama zamrzavanja između dve službe. Razlika u broju pozitivnih Freeze watch indikatora u toku transporta vakcina u odnosu na broj pozitivnih u čuvanju vakcine na vakcinalnim punktovima je statistički značajna. Ispitivanje hladnog lanca u dve službe Doma zdravlja Novi Sad pokazuje visok stepen bezbednosti hladnog lanca vakcina. Monitor kartica je koristan pokazatelj kvaliteta hladnog lanca vakcina. Freeze watch je pouzdan pokazatelj kvaliteta hladnog lanca tokom čuvanja vakcina na vakcinalnim punktovima, ali ne u toku transporta vakcina.

Ključne reči

Rashlađivanje; Vakcine; snabdevanje i distribucija; Transport

Reference

*** (1997) Provider agreement, vaccines for children program. u: Georgia Immunization Program, Atlanta
*** (1996) Prevention and control of influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP). Centers for Disease Control and Prevention. MMWR Recomm Rep, 45(RR-5): 1-24
*** (1988) Expanded programme of immunization: Cold chain evaluation. Weekly Epidemiological Record, 65(24), str. 181-4
*** (1988) Expanded programme of immunization: Cold chain evaluation (report from Indian Ministry of Health). Weekly Epidemiological Record, 63(26), str. 193-6
Bell, K.N., Hogue, C.J., Manning, C., Kendal, A.P. (2001) Risk factors for improper vaccine storage and handling in private provider offices. Pediatrics, 107(6): E100
Casto, D.T., Brunell, P.A. (1991) Safe handling of vaccines. Pediatrics, 87(1): 108-12
Centers for Disease Control and Prevention (1999) Vaccine management: Recommendations for handling and storage of selected biologicals. Atlanta: US Department of health and human services, Public Health Service
Centers for Disease Control and Prevention (1994) General recommendations on immunization. Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep, 43(RR-1): 1-38
Gold, M.S., Martin, L., Nayda, C.L., Kempe, A.E. (1999) Electronic temperature monitoring and feedback to correct adverse vaccine storage in general practice. Med J Aust, 171(2): 83-4
Grasso, M., Ripabelli, G., Sammarco, M.L., Manfredi, S.T.M., Quaranta, A. (1999) Vaccine storage in the community: A study in central Italy. Bull World Health Organ, 77(4): 352-5
Hanjeet, K., Lye, M.S., Sinniah, M., Schnur, A. (1996) Evaluation of cold chain monitoring in Kelantan, Malaysia. Bull World Health Organ, 74(4): 391-7
Hazelton, K., Balcomb, A., Bowd, K., Hazelton-Parsons, D., Liddle, J. (2002) The immunisation cold chain. Why is it so hard to get right?. Aust Fam Physician, 31(10): 939-42
Jeremijenko, A., Kelly, H., Sibthorpe, B., Attewell, R. (1996) Improving vaccine storage in general practice refrigerators. BMJ, 312(7047): 1651-2
Kendal, A.P., Snyder, R., Garrison, P.J. (1997) Validation of cold chain procedures suitable for distribution of vaccines by public health programs in the USA. Vaccine, 15(12-13): 1459-65
Last, D.M., Radovanović, Z., ur. (1991) Epidemiološki rečnik. Beograd: Naučna knjiga
Lugosi, L., Battersby, A. (1990) Transport and storage of vaccines in Hungary: The first cold chain monitor study in Europe. Bull World Health Organ, 68(4): 431-9
Oncel, S., Dallar, Y., Tanyer, G. (1996) Evaluation of vaccine storage in Turkey. World Health Forum, 17(3): 287-9
Petrović, R. (1996) Imunizacije - priručnik za primenu vakcina. Beograd: Velarta
Schoub, B.D., Cameron, N.A. (1996) Problems encountered in the delivery and storage of OPV in an African country. Dev Biol Stand, 87: 27-32
Setia, S., Mainzer, H., Washington, M.L., Coil, G., Snyder, R., Weniger, B.G. (2002) Frequency and causes of vaccine wastage. Vaccine, 20(7-8): 1148-56
Thakker, Y., Woods, S. (1992) Storage of vaccines in the community: Weak link in the cold chain?. BMJ, 304(6829): 756-8
Wassif, S.M., Ali, A.L., Ahmed-Refat,, Ahmed, R.A.G., Bayomi, M.M., Elmor, A.L. (1990) Cluster survey for vaccination coverage in Sohag Governorate, October 1989. J Egypt Public Health Assoc, 65(3-4): 411-26
WHO, UNICEF (2003) Ten global criteria for effective vaccine store management. Epinorth. http: //epinorth. org/english/2003/2/032d. shtml from 2001
Woodyard, E., Woodyard, L., Alto, W.A. (1995) Vaccine storage in the physician's office: A community study. J Am Board Fam Pract, 8(2): 91-4
World Health Organization (2002) The cold chain. Department of vaccines and biological. Geneva, http://www. who. int/vaccines-access/vacman/coldchain/ the_cold_chain_. htm
World Health Organization (1985) Expanded programme on immunization: Training for Mid-level managers: manage the cold shain system. Geneva