General practitioners and vaccination of children presenting with a benign infection
| Autor: | Pierre Verger, C. Pulcini, Lisa Fressard, M. Le Maréchal, Jocelyn Raude |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Fever Attitude of Health Personnel Cross-sectional study Mothers Infections Contraindications Procedure 03 medical and health sciences 0302 clinical medicine General Practitioners Surveys and Questionnaires 030225 pediatrics medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Child business.industry Tetanus Diphtheria Vaccination Common cold Middle Aged Hepatitis B medicine.disease 3. Good health Poliomyelitis Surgery Cross-Sectional Studies Infectious Diseases Immunization Virus Diseases Family medicine Female business |
| Zdroj: | Médecine et Maladies Infectieuses. 48:44-52 |
| ISSN: | 0399-077X |
| Popis: | To assess the self-reported vaccination behavior of general practitioners (GPs) when asked whether they would recommend the vaccination of a child presenting with a febrile uncomplicated common cold.We performed a cross-sectional survey in 2014 on a national sample of GPs. GPs were randomly assigned to one of eight clinical vignettes, all describing a child presenting with an uncomplicated febrile common cold, but differing by age (4 or 11 months), temperature (38°C or 39°C), and the mother's emotional state (calm or worried). GPs were asked whether they would recommend immediate vaccination of the child with a hexavalent vaccine (diphtheria, tetanus, pertussis, poliomyelitis, Haemophilus influenzae type b, and hepatitis B), or postpone it. We investigated the relation between the GPs' recommendation to vaccinate, the clinical vignette's variables, and the GPs' perceptions, attitudes, and practices toward vaccination in a multivariate model.Among the 1582 participating GPs, 6% recommended immediate vaccination. This behavior was more frequent with a temperature of 38°C rather than 39°C (10% vs. 3%, P0.001). GPs who felt comfortable giving explanations about vaccine safety were more likely to recommend immediate vaccination of the febrile child (P=0.045), but none of the other GPs' characteristics were associated with their vaccination behavior.Almost all GPs postponed the hexavalent vaccination of the febrile child presenting with an uncomplicated viral disease; fever being the major factor affecting their decision. More research is needed on vaccination responses in sick children, as well as clearer guidelines. |
| Databáze: | OpenAIRE |
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