Influences on immunization rates: Vaccination coverage of mumps, measles, rubella and varicella before and after the STIKO intervention 2011 - A retrospective study.
In September 2011, the German Standing Committee on Vaccinations (STIKO) changed their recommendation regarding the mumps-measles-rubella-varicella vaccination (MMRV). We compared the immunization rates against MMRV in Germany before and after the STIKO intervention.



We recorded the immunization status of children born between 09/2008 and 08/2012 in 35 selected doctor's surgeries in Germany.



After the STIKO intervention, the ratio of the combined MMRV vaccine as the first dose immunization was reduced to approximately 25% of the initial value. A slight increase in the number of children not sufficiently vaccinated against varicella (1.2%) was observed, but the immunization rates against measles, mumps, rubella and varicella did not significantly decrease.



The STIKO intervention led to a significant change in physicians' vaccination procedures. The separate administration MMR+V vaccination may be a helpful option to improve the immunization rates in general.
Institute for General Practice, University Hospital of the Ludwig-Maximilians-University Munich, Germany. Electronic address: linda.sanftenberg@med.uni-muenchen.de.
Linda
L
Sanftenberg
GZIM, Society for Promotion of Vaccination Medicine mbH, Berlin, Germany.
Hans-Jürgen
HJ
Schrörs
Institute for General Practice, University Hospital of the Ludwig-Maximilians-University Munich, Germany.
Jörg
J
Schelling
D002644:Chickenpox / Q000517:prevention & control; D019433:Chickenpox Vaccine / Q000008:administration & dosage* / Q000627:therapeutic use; D005858:Germany; D006801:Humans; D007115:Immunization Schedule; D007223:Infant; D008457:Measles / Q000517:prevention & control; D022542:Measles-Mumps-Rubella Vaccine / Q000008:administration & dosage* / Q000627:therapeutic use; D009107:Mumps / Q000517:prevention & control; D010818:Practice Patterns, Physicians'; D012189:Retrospective Studies; D012409:Rubella / Q000517:prevention & control; D014611:Vaccination / Q000706:statistics & numerical data*; D017778:Vaccines, Combined / Q000008:administration & dosage / Q000627:therapeutic use
D019433:Chickenpox Vaccine; D022542:Measles-Mumps-Rubella Vaccine; D017778:Vaccines, Combined; C050102:measles, mumps, rubella, varicella vaccine
Electronic immunization planner; Immunization rates; Mumps–measles–rubella–varicella–vaccination