[BCG vaccination: survey among children less than 5 years of age in an emergency department].
France is a country with a low incidence of tuberculosis. However, there are important local variations: some parts of the city of Marseilles (southern France) presented a yearly incidence greater than 30/100,000 in 2010. The main goal of this study was to evaluate the BCG vaccine coverage among at-risk children younger than 5 years consulting in one of the city's pediatric emergency departments.


METHODS
This descriptive study took place in February 2013 and used a semi-directive questionnaire distributed to parents.


RESULTS
One hundred and thirty-five children were included, 98 (72.6 %) were considered as being at risk of tuberculosis and among them 75 (76.5 %, 95 % CI [68.0-85.1]) were vaccinated with BCG. Parents' knowledge of tuberculosis was relevant in 48 % of the respondents. Only 19 % of the parents reported that BCG protects against tuberculosis, but 73 % were in favor of this vaccination. Two criteria significantly increased vaccine coverage among at-risk children: birth in Marseilles and age more than 6 months on the consultation day. The child living in a poor family and type of medical follow-up did not significantly influence BCG vaccine coverage.


CONCLUSIONS
BCG coverage was high in at-risk children younger than 5 years born in Marseilles. Cooperation between private physicians, maternity hospitals and mothers, and children's public health services probably facilitates this high level of protection.
Service d'urgences pédiatriques, CHU Nord, chemin des Bourrelly, 13920 Marseille cedex 15, France.
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A
Vernaz
Aix-Marseille université, UMR912 (Inserm/IRD/AMU), 13005 Marseille, France.
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J
Gaudart
Aix-Marseille université, UMR912 (Inserm/IRD/AMU), 13005 Marseille, France.
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K
Sallah
Département de médecine générale, faculté de médecine, université Aix-Marseille, 27, boulevard Jean-Moulin, 13005 Marseille, France; ORS PACA, observatoire régional de santé, 13009 Marseille, France.
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L
Casanova
Service d'urgences pédiatriques, CHU Nord, chemin des Bourrelly, 13920 Marseille cedex 15, France.
A
A
Debroise
Service d'urgences pédiatriques, CHU Nord, chemin des Bourrelly, 13920 Marseille cedex 15, France.
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Laporte
Service d'urgences pédiatriques, CHU Nord, chemin des Bourrelly, 13920 Marseille cedex 15, France. Electronic address: philippe.minodier@ap-hm.fr.
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Minodier
D001500:BCG Vaccine / Q000008:administration & dosage*; D002675:Child, Preschool; D003299:Cooperative Behavior; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D005602:France; D057220:Health Literacy; D006306:Health Surveys; D006801:Humans; D007223:Infant; D033183:Interdisciplinary Communication; D008297:Male; D032541:Mass Vaccination / Q000706:statistics & numerical data*; D010290:Parents / Q000193:education; D012307:Risk Factors; D014397:Tuberculosis, Pulmonary / Q000517:prevention & control* / Q000635:transmission
D001500:BCG Vaccine