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2021, vol. 72, br. 2, str. 19-25
Faktori povezani sa imunizacijom protiv sezonskog gripa među osobama sa hroničnim bolestima
aInstitut za javno zdravstvo Republike Srpske, Regionalni centar Foča, Foča, Republika Srpska, Bosna i Hercegovina
bUniverzitet u Beogradu, Medicinski fakultet, Institut za epidemiologiju

e-adresatatjanagazibara@yahoo.com
Sažetak
Svake godine od 3 do 5 miliona ljudi u svetu ima teške kliničke oblike sezonskog gripa, a do 650.000 umire od komplikacija povezanih sa gripom. Osobe sa hroničnim bolestima, poput kardiovaskularnih, plućnih, bubrežnih, jetrenih, neuroloških, hematoloških, metaboličkih bolesti ili osobe koji primaju imunosupresivnu terapiju, predstavljaju rizičnu populacionu grupu za razvoj komplikacija povezanih sa gripom, teži klinički tok i lošije ishode osnovne bolesti. Zbog toga se osobe sa hroničnim bolestima smatraju prioritetnom populacijom za imunizaciju protiv gripa. Imunizacija predstavlja ključnu strategiju za sprečavanje gripa, kako u pogledu obezbeđivanja imuniteta, tako i u pogledu troškova zdravstvene zaštite. Na osnovu preporuka Svetske zdravstvene organizacije (SZO), odgovarajući obuhvat imunizacijom protiv sezonskog gripa među osobama sa hroničnim bolestima predstavlja 75%. Međutim, malo zemalja dostiže ovaj prag obuhvata. Razumevanje prediktivnih faktora vakcinacije na različitim nivoima pružanja zdravstvene zaštite (kao što su pojedinci, zdravstveni radnici, zdravstvena politika) od suštinskog je značaja za obezbeđivanje adekvatnog imuniteta i postizanje preporučenog nivoa obuhvata vakcinacijom. U ovom mini preglednom radu sumirali smo naučne dokaze o obuhvatu vakcinacijom protiv sezonskog gripa i faktorima povezanim sa imunizacijom protiv gripa kod osoba sa hroničnim bolestima u celini, kao i kod određenih bolesti poput kardiovaskularnih i plućnih, dijabetesa i malignih bolesti. Na osnovu pregledanih naučnih radova, utvrdili smo širok spektar faktora povezanih sa imunizacijom protiv gripa kod osoba sa hroničnim bolestima. Iako raznoliki, ovi faktori se mogu sistematizovati u 4 različite grupe, a to su: sociodemografske karakteristike, individualni stavovi i verovanja, ponašanja koja promovišu zdravlje i faktori povezani sa zdravstvenim sistemom. Potrebno je uložiti dalje napore da bi se poboljšao obuhvat vakcinacijom protiv sezonskog gripa kod osoba sa hroničnim bolestima. Strategija imunizacije treba da uključi zdravstveni sistem i širu zajednicu kako bi se podržale osobe sa hroničnim bolestima da se kontinuirano vakcinišu protiv gripa.
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O članku

jezik rada: engleski
vrsta rada: pregledni članak
DOI: 10.5937/mp72-31846
objavljen u SCIndeksu: 30.07.2021.
metod recenzije: dvostruko anoniman
Creative Commons License 4.0

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