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В научной статье проведен ретроспективный анализ вакцинации. Исследованы отдельные проблемные вопросы иммунизации сотрудников и работников образовательных организаций Министерства внутренних дел Российской Федерации через призму ее правового обеспечения. Изучены доводы сторонников и противников профилактических прививок. Рассмотрены нормативные правовые акты регламентирующие вопросы вакцинации указанной категории граждан., The scientific article provides a retrospective analysis of vaccination. Some problematic issues of immunization of employees and employees of educational organizations of the Ministry of Internal Affairs of the Russian Federation through the prism of its legal support are investigated. The arguments of supporters and opponents of preventive vaccinations are studied. The normative legal acts regulating the issues of vaccination of this category of citizens are considered.

preventive vaccinations should only be given to healthy children. Children with altered reactivity should be vaccinated only if certain conditions are met. However, the vaccination schedule can not be stable. The effectiveness of immunoprophylaxis largely depends on the correct age for primary immunization and optimal intervals between vaccinations taking into account their state of health to exclude disturbances in the course of the vaccination process. The issue of contraindications to the provision of preventive vaccinations is urgent and complex in the problem of preventing infectious diseases. There is a category of children for whom the full immunization schedule provided for healthy children is an unbearable burden. Contraindications to the conduct of a vaccine is determined not only on the basis of the anamnesis, but also on the clinical examination. The ability to react or not to react to any particular antigen, as well as the height of the immune response, are genetically encoded. One of the most important factors that significantly affect the development of children is their morbidity, especially during the first three years of life. Active immunization depends on this factor. About 10% of children do not get vaccinated due to temporary medical contraindications. Although there are only two reasons for withdrawing from vaccinations: Hypogammaglobulinemia and a high probability of a severe outcome as a result of vaccination. Difficulties in solving a problem of clinical safety force pediatricians to exclude from immunization most children with the problems in the anamnesis. It prevents the formation of collective immunity among children and creates the danger of a more frequent occurrence of a severe course of infectious diseases (measles, whooping cough) in children with the problems in the anamnesis. © 2017 Published by Oriental Scientific Publishing Company.

Introduction: The immunosuppressive effect of the disease and the applied treatment in children with juvenile idiopathic arthritis increases the risk of infections. It is therefore essential that vaccinations be properly implemented and that a proper serological response is provoked after the vaccination. A competent nurse acting in compliance with the current recommendations constitutes one of the safety pillars of immunization of pediatric patients with juvenile idiopathic arthritis. Aim: To discuss evidence-based recommendations for immunization of pediatric patients with juvenile idiopathic arthritis in the context of nursing vaccination practice and vaccinology education. Material and Methods: A systematic review of the literature presenting evidence-based recommendations of the European League Against Rheumatism (EULAR) expert group on immunization of children with juvenile idiopathic arthritis. Compilation of source data selected subjectively by the authors in a standard literature search of Medline, Cochrane and Scopus databases, including both recommendations for immunization of children with juvenile idiopathic arthritis and the tasks to be performed by nurses in the course of vaccine administration. As part of the standard literature review of Medline, Cochrane and Scopus databases, including both recommendations for immunization of children with juvenile idiopathic arthritis and the tasks to be performed by nurses in the course of vaccine administration. Results: Most vaccines are immunogenic and safe for patients with juvenile idiopathic arthritis. The use of attenuated vaccines in patients receiving long-term immunosuppressive treatment should be considered with particular caution. Education and further training of nurses should take into account the recommendations and principles of immunization regarding children with juvenile idiopathic arthritis. Nurses should present the current knowledge of active immunoprophylaxis in such a way as to encourage parents/guardians to vaccinate their children in accordance with the national guidelines. Conclusion: The recommendations of the European League Against Rheumatism place special emphasis on the use of active immunoprophylaxis in the form of vaccination in children with juvenile idiopathic arthritis. The immunization schedule must be adjusted to the applied JIA treatment regimen. Such a stance on this matter is highly important as treatment regimens increasingly include biological drugs. Correctly performed by a nurse, a vaccination procedure is an important determinant of the desired immunoprophylactic results and minimizes the risk of adverse events following immunization. The priority for a nurse who provides active immunoprophylaxis should be to systematically broaden her training in immunization of chronically ill children, including juvenile idiopathic arthritis.