Perception and management of induced pain through vaccination injection in infants aged 0-11 months in Parakou immunization sites in 2019

Abstract

Background: One of the iatrogenous induced pain in infants remains that one of vaccination trough injection. Authors through this work are assessing the perception and management of pain experienced by infants during vaccine injection in infants in Parakou’s immunization’s sites in 2019. Methods: Authors used a descriptive cross-sectional and analytical method after a non-random sampling exhaustive recruitment of mothers and infants couples attending the 7 vaccination sites in Parakou town during the period of July to October 2019. Assessment was done through Evendol and NFCS pain assessment scales. Results: The average age of the 375 mothers included in our study was 27 years ± 6.44 years. The mean age of infants was 3.26 months ± 3.06 months with a sex ratio of 0.9. Of the infants vaccinated by injection, 41.60% reached a level of treatable pain and 96.42% a level of intense pain respectively through Evendol and NFCS scales. The pharmacological method (paracetamol and aspirin) was the main method used by mothers before and after vaccination to relieve pain in infants. Infants age, type of vaccine, vaccine route of administration, were the main factors influencing the expression of pain in the infant vaccinated by injection. Conclusion: Iatrogenic pain such as that linked to infant vaccination through injection must be prevented and well managed by age-appropriate pharmacological and non-pharmacological methods.