Introduction.Currently in Poland there is significant differentiation of parents’ attitudes towards vaccinating children. As a consequence, the number of unvaccinated children grows steadily by about 40 percent each year.Aim.Getting to know parents’ attitudes and their causes in relation to immunization based on the analysis of publications on this topic.Material and methods.Selection of publications for analysis was based on criteria of systematic review covering the last 10 years, cataloged in the following databases: Polish Medical Library, Google Scholar and Pubmed. The base searches were carried out according to the key words:protective vaccinations, parents’ attitudes, implementation of the vaccination calendar, immunization, vaccination, parental refusal of vaccines. As many as 32 publications were used in the study.Results.Vaccine knowledge of parents determines their attitude towards vaccination, which influences the implementation of primary and extended vaccinations in children. Implementation of the Protective Vaccination Program remains high in Poland, but the number of parents who refuse to vaccinate their children is systematically growing. Among the many reasons for the refusal of vaccination in children, the most often in literature there were those indicated by barriers of a religious, personal and philosophical nature, security and knowledge on this subject.Conclusions.Low level of parents’ knowledge, both general and specific, about vaccinations is the most common barrier in the implementation of mandatory vaccinations.
Admission. Parenteral nutrition (parenteral) is the supply of all essential nutrients -proteins, carbohydrates, fats, electrolytes, vitamins, trace elements and water intravenously. Parenteral nutrition is a generally available method of nutritional treatment used when the supply of food through the gastrointestinal tract is impossible, insufficient or contraindicated. Complete parenteral nutrition should be replaced as soon as possible with feeding to the gastrointestinal tract. Chronic diseases in children are often complicated by serious nutritional deficiencies.
Enteral nutrition is the most basic and important method of nutritional intervention. Indication for nutritional support in children is insufficient oral supply, including inability to cover 60-80% of individual caloric demand for more than 10 days. In newborns, the most common reason for the need for enteral nutrition is prematurity. In infants and older children the following are most often mentioned: short bowel syndrome, neurological disorders, cystic fibrosis, congenital heart disease, burns, severe injuries, renal failure requiring dialysis, inflammatory bowel disease, cancer. According to a review of the literature, nutritional support should be started for children older than 1 year within 5 days, and for children under 1 year within 3 days of being diagnosed with eating disorders.
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