Current vaccination status and safety of children with peripheral neuroblastoma in the real-world

Front Immunol. 2024 Jan 8:14:1278258. doi: 10.3389/fimmu.2023.1278258. eCollection 2023.

Abstract

Background: peripheral neuroblastic tumors (pNT) have high incidence and mortality, and infants are prone to various infectious diseases. The purpose of this study is to understand the immunization status of children with pNT in the real-world and the incidence of adverse reactions after vaccination, and to evaluate the feasibility of vaccination and the influencing factors of vaccination.

Methods: Children with pNT treated in the Children's Hospital Affiliated to Zhejiang University from January 1, 2011 to December 1, 2021 were included. By referring to medical records, the vaccination history of the national immunization program (NIP) vaccines and the occurrence of adverse events following immunization(AEFI), current status and safety of immunization in children with pNT in the real-world were analyzed.

Results: Among 784 children with pNT, 394 were able to obtain the history of vaccination. The overall vaccination rate of NIP vaccines was 71.49% before chemotherapy and 37.67% after chemotherapy, and the recovery time of vaccination after treatment was 16.00 (6.00,24.00) months. Age, time of tumor diagnosis and disease classification were significantly correlated with vaccination. AEFI reported an incidence of 0.23‰.

Conclusion: The vaccination rate of children with pNT is generally low, especially the vaccination rate after chemotherapy. The vaccination safety is good, children should be encouraged to immunize.

Keywords: children; immunization program; immunization rates; peripheral neuroblastoma; security.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Humans
  • Immunization
  • Immunization Programs
  • Infant
  • Neuroblastoma* / therapy
  • Vaccination / adverse effects
  • Vaccines*

Substances

  • Vaccines

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was funded by the Zhejiang Provincial Basic Public Welfare Research Projects (grant number: LGF22H260013) and the Chinese Preventive Medicine Association - Vaccine and Immunization Youth Talent Promotion Project (grant number: CPMAQT_YM0350).