Douleur et Anxiété lors de la Vaccination

                                     

                                          

En Bref
   La peur de la piqûre constitue un frein à la vaccination. Une meilleure prise en charge de l'anxiété et de la douleur lors du geste vaccinal peut améliorer l'observance pour les vaccinations. Le groupe HELPinKIDS a récemment émis des recommandations pour réduire cette appréhension et les douleurs : le comportement du vaccinateur, la position du vacciné, le geste vaccinal (pas d'aspiration, vaccins par ordre de douleur croissante, anesthésiants locaux), les recommandations propres au nourrisson (allaitement, solution sucrée, présence parentale) et à l'enfant (présence parentale, distraction).

                                          

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Sources

Revues systématiques et méta-analyses

  1. Hogan M-E, Kikuta A, Taddio A. A systematic review of measures for reducing injection pain during adult immunization. Vaccine. 10 févr 2010;28(6):1514‑21. Prisma ●●●○ ; Amstar ●●○
  2. Sisson H. Aspirating during the intramuscular injection procedure: a systematic literature review. J Clin Nurs. sept 2015;24(17‑18):2368‑75. Prisma ●●○○ ; Amstar ●●○
  3. Harrison D, Reszel J, Bueno M, Sampson M, Shah VS, Taddio A, et al. Breastfeeding for procedural pain in infants beyond the neonatal period. Cochrane Database Syst Rev. 28 oct 2016;10:CD011248. Prisma ●●●○ ; Amstar ●●●
  4. Shah V, Taddio A, Rieder MJ, HELPinKIDS Team. Effectiveness and tolerability of pharmacologic and combined interventions for reducing injection pain during routine childhood immunizations: systematic review and meta-analyses. Clin Ther. 2009;31 Suppl 2:S104-151. Prisma ●●●● ; Amstar ●●○
  5. Beirne PV, Hennessy S, Cadogan SL, Shiely F, Fitzgerald T, MacLeod F. Needle size for vaccination procedures in children and adolescents. Cochrane Database of Systematic Reviews [Internet]. 2018 [cité 1 oct 2018];(8). Prisma ●●●● ; Amstar ●●●
  6. Riddell RRP, Racine NM, Gennis HG, Turcotte K, Uman LS, Horton RE, et al. Non‐pharmacological management of infant and young child procedural pain. Cochrane Database of Systematic Reviews [Internet]. 2015 [cité 1 oct 2018];(12). Prisma ●●●○ ; Amstar ●●●
  7. Shah V, Taddio A, McMurtry CM, Halperin SA, Noel M, Pillai Riddell R, et al. Pharmacological and Combined Interventions to Reduce Vaccine Injection Pain in Children and Adults: Systematic Review and Meta-Analysis. Clin J Pain. oct 2015;31(10 Suppl):S38-63. Prisma ●●●● ; Amstar ●●●
  8. Taddio A, Ilersich AL, Ipp M, Kikuta A, Shah V, HELPinKIDS Team. Physical interventions and injection techniques for reducing injection pain during routine childhood immunizations: systematic review of randomized controlled trials and quasi-randomized controlled trials. Clin Ther. 2009;31 Suppl 2:S48-76. Prisma ●●●● ; Amstar ●●○
  9. Taddio A, Shah V, McMurtry CM, MacDonald NE, Ipp M, Riddell RP, et al. Procedural and Physical Interventions for Vaccine Injections: Systematic Review of Randomized Controlled Trials and Quasi-Randomized Controlled Trials. Clin J Pain. oct 2015;31(10 Suppl):S20-37. Prisma ●●●○ ; Amstar ●●●
  10. Pillai Riddell R, Taddio A, McMurtry CM, Shah V, Noel M, Chambers CT, et al. Process Interventions for Vaccine Injections: Systematic Review of Randomized Controlled Trials and Quasi-Randomized Controlled Trials. Clin J Pain. oct 2015;31(10 Suppl):S99-108. Prisma ●●●○ ; Amstar ●●○
  11. Birnie KA, Noel M, Chambers CT, Uman LS, Parker JA. Psychological interventions for needle‐related procedural pain and distress in children and adolescents. Cochrane Database of Systematic Reviews [Internet]. 2018 [cité 1 nov 2018];(10).  Prisma ●●●● ; Amstar ●●●
  12. Chambers CT, Taddio A, Uman LS, McMurtry CM, HELPinKIDS Team. Psychological interventions for reducing pain and distress during routine childhood immunizations: a systematic review. Clin Ther. 2009;31 Suppl 2:S77‑103. Prisma ●●●● ; Amstar ●●○
  13. Birnie KA, Chambers CT, Taddio A, McMurtry CM, Noel M, Pillai Riddell R, et al. Psychological Interventions for Vaccine Injections in Children and Adolescents: Systematic Review of Randomized and Quasi-Randomized Controlled Trials. Clin J Pain. oct 2015;31(10 Suppl):S72-89. Prisma ●●●● ; Amstar ●●○
  14. Pillai Riddell R, Taddio A, McMurtry CM, Chambers C, Shah V, Noel M, et al. Psychological Interventions for Vaccine Injections in Young Children 0 to 3 Years: Systematic Review of Randomized Controlled Trials and Quasi-Randomized Controlled Trials. Clin J Pain. oct 2015;31(10 Suppl):S64-71. Prisma ●●●○ ; Amstar ●●○
  15. Taddio A, McMurtry CM, Shah V, Riddell RP, Chambers CT, Noel M, et al. Reducing pain during vaccine injections: clinical practice guideline. CMAJ. 22 sept 2015;187(13):975‑82. Prisma ●●○○; Amstar ○○
  16. Harrison D, Yamada J, Adams-Webber T, Ohlsson A, Beyene J, Stevens B. Sweet tasting solutions for reduction of needle-related procedural pain in children aged one to 16 years. In: Cochrane Database of Systematic Reviews [Internet]. John Wiley & Sons, Ltd; 2015. Prisma ●●●● ; Amstar ●●●
  17. Kassab M, Foster JP, Foureur M, Fowler C. Sweet-tasting solutions for needle-related procedural pain in infants one month to one year of age. In: Cochrane Database of Systematic Reviews [Internet]. John Wiley & Sons, Ltd; 2012. Prisma ●●●● ; Amstar ●●●

Littérature grise

  1. La douleur des vaccinations, où en sommes-nous en 2012 ? - Pediadol [Internet]. [cité 20 juin 2017]. Disponible sur: https://www.pediadol.org/La-douleur-des-vaccinations-ou-en.html
  2. pdf [Internet]. [cité 20 juin 2017]. Disponible sur: http://www.who.int/wer/2015/wer9039.pdf?ua=1