<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-2125</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina General Integral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Gen Integr]]></abbrev-journal-title>
<issn>0864-2125</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21252021000100015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Conocimiento de madres sobre manejo de efectos adversos posvacunales en niños menores de dos años]]></article-title>
<article-title xml:lang="en"><![CDATA[Mothers&#8217; Knowledge about Managing Post-Vaccination Adverse Effects in Children under Two Years of Age]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farias Hernández]]></surname>
<given-names><![CDATA[Ana Lucia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Freire Alvarado]]></surname>
<given-names><![CDATA[Nathaly Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Parrales]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Católica del Ecuador sede Santo Domingo ]]></institution>
<addr-line><![CDATA[Santo Domingo de los Tsáchilas ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21252021000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21252021000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21252021000100015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los eventos adversos atribuibles a procesos de vacunación e inmunización, son efectos no deseables aparecidos tras la aplicación de una vacuna que genera miedo y desconfianza en las madres al sentirse incapaces de identificarlos y manejarlos de manera apropiada.  Objetivo:  Determinar el conocimiento que tienen las madres de niños menores de dos años de edad sobre el reconocimiento y cuidado de los efectos adversos posvacunales.  Métodos:  Estudio descriptivo transversal, con una muestra por conveniencia de 50 madres que acudieron al centro de salud Nuevo Israel en la provincia de Santo Domingo de los Tsáchilas, Ecuador. Las variables de estudio fueron el tipo de eventos posvacunales, el conocimiento sobre el manejo de los mismos y la fuente de información del cuidado para cada tipo de evento. Se determinaron las frecuencias absolutas y relativas en función de las variables edad y nivel de instrucción que fueron expresadas mediante tablas de contingencia.  Resultados:  Se identificó la fiebre como el evento adverso más común y la administración de paracetamol para su manejo. Independientemente de la edad y el nivel de instrucción, la identificación y conocimiento sobre cuidado de las reacciones posvacunales fueron adecuados. La información manejada proviene en su mayoría (94,6 %) del personal de enfermería.  Conclusiones:  Las madres conocen los efectos posvacunales y los manejan de manera adecuada en un contexto en el que el personal de enfermería es el encargado de transmitir las buenas prácticas en su rol de educador.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Adverse events attributable to vaccination and immunization processes are undesirable effects that appear after application of a vaccine that generates fear and mistrust in mothers, as they feel unable to identify and handle them appropriately.  Objective: To determine the knowledge that mothers of children under two years of age have about the recognition and care of postvaccination adverse effects.  Methods:  Cross-sectional descriptive study carried out with a convenience sample of 50 mothers who attended Nuevo Israel Health Center in Santo Domingo de los Tsáchilas Province, Ecuador. The study variables were type of postvaccination events, knowledge about their management, and source of information about care for each type of event. Absolute and relative frequencies were determined according to the variables age and level of education, expressed through contingency tables.  Results:  Fever was identified as the most common adverse event and administration of paracetamol was identified as a way for its management. Regardless the age and level of education, the identification and knowledge about the care of postvaccination reactions were adequate. The information handled comes mostly from the nursing staff, a source accounting for 94.6%.  Conclusions:  Mothers know postvaccination effects and manage them appropriately in a context in which the nursing staff is in charge of transmitting good practices in their role as educator.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[efecto adverso]]></kwd>
<kwd lng="es"><![CDATA[reacciones posvacunales]]></kwd>
<kwd lng="es"><![CDATA[factores sociodemográficos]]></kwd>
<kwd lng="en"><![CDATA[adverse effect]]></kwd>
<kwd lng="en"><![CDATA[post-vaccination reactions]]></kwd>
<kwd lng="en"><![CDATA[sociodemographic factors]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez Diz]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Martinez Romero]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Prada]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz Piqueras]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Molina Ruano]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Sierra]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Demands and expectations of parents who refuse vaccinations and perspective of health professional on the refusal to vaccinate]]></article-title>
<source><![CDATA[Revista Anales de Pediatría]]></source>
<year>2015</year>
<volume>80</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>370-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<collab>FDA</collab>
<source><![CDATA[Vaccine adverse events]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cambronero]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Prado]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conceptos inmunológicos básicos aplicados a la vacunología]]></article-title>
<source><![CDATA[Revista Vacunas]]></source>
<year>2017</year>
<volume>18</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>49-58</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McNeil]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Weintraub]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Duffy]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sukumaran]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Jacobsen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Klein]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk of anaphylaxis after vaccination in children and adults]]></article-title>
<source><![CDATA[J Allergy Clin Immunol]]></source>
<year>2016</year>
<volume>137</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>868-78</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Efectos secundarios de las vacunas]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cuevas]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Eventos adversos en la vacunación de menores de 2 años, Hospital Pediátrico de Centro Habana (2002-2007)]]></article-title>
<source><![CDATA[Revista Cubana de Higiene y Epidemiología]]></source>
<year>2014</year>
<volume>52</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>81-97</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kroger]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Duchin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[General Best Practice Guidelines for Immunization. Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP)]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nuevas guías ACIN para inmunización del adulto y adolescente 2016]]></article-title>
<source><![CDATA[Revista Infectio]]></source>
<year>2016</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>191</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Reacciones adversas de las vacunas en los niños]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yamoah]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Bangalee]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Oosthuizen]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Knowledge and Perceptions of Adverse Events Following Immunization among Healthcare Professionals in Africa A Case Study from Ghana]]></article-title>
<source><![CDATA[Vaccines]]></source>
<year>2019</year>
<volume>7</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>28</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<collab>OMS</collab>
<source><![CDATA[Por una vacunación más agradable]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vidal]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedades neurodegenerativas y vacunas]]></article-title>
<source><![CDATA[Revista Vacunas]]></source>
<year>2017</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-2</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Piñeiro Pérez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Martín]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Carro Rodríguez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[de la Parte Cancho]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Casado Verrier]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Galán Arévalo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vaccination counselling: The meeting point is possible]]></article-title>
<source><![CDATA[Revista Anales de Pediatría]]></source>
<year>2017</year>
<volume>86</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>314-20</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Piqueras]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hortal]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Padilla]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reticencia vacunal análisis del discurso de madres y padres con rechazo total o parcial a las vacunas]]></article-title>
<source><![CDATA[Revista Gaceta Sanitaria en prensa]]></source>
<year>2017</year>
<volume>33</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>53-9</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud Pública</collab>
<source><![CDATA[Evaluación de la Estrategia Nacional de Inmunizaciones]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Ecuador ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Salud Pública]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Veliz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Vega]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conocimiento y actitudes de los padres en relación a la vacunación de sus hijos]]></article-title>
<source><![CDATA[Revista Chilena de Infectología]]></source>
<year>2016</year>
<volume>33</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>30-7</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Salleras]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Movimientos antivacunas una llamada a la acción]]></article-title>
<source><![CDATA[Revista Vacunas]]></source>
<year>2018</year>
<volume>18</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>102-3</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="">
<collab>OPS</collab>
<source><![CDATA["Vacunación segura cómo enfrentar los eventos supuestamente atribuidos a la vacunación o inmunización"]]></source>
<year>2002</year>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mugada]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Chandrabhotla]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kaja]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
<name>
<surname><![CDATA[Machara]]></surname>
<given-names><![CDATA[SGK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Knowledge towards childhood immunization among mothers &amp; reasons for incomplete immunization]]></article-title>
<source><![CDATA[J App Pharm Sci]]></source>
<year>2017</year>
<volume>7</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>157-61</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="">
<collab>MSP</collab>
<source><![CDATA[Manual de Normas Técnico- Administrativas, Métodos y Procedimientos de Vacunación y Vigilancia Epidemiológica del Programa Ampliado de Inmunizaciones (PAI)]]></source>
<year>2005</year>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Forrellat]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Calidad en los servicios de salud: un reto ineludible]]></article-title>
<source><![CDATA[Revista Cubana de Hematología, Inmnología y Hemoterapia]]></source>
<year>2014</year>
<volume>30</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>179-83</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
