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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Washington State pediatricians' attitudes toward alternative childhood immunization schedules.
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Washington State pediatricians' attitudes toward alternative childhood immunization schedules.

机译：华盛顿州儿科医生对替代性儿童免疫接种计划的态度。

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摘要

OBJECTIVE: To determine the frequency of parents' requests for alternative childhood immunization schedules (ACISs) and pediatricians' comfort with and willingness to use ACISs. METHODS: Washington State primary care pediatricians were asked to complete an Internet-based survey on ACISs. The main outcome measures were the frequency of parents' requests for ACISs, pediatricians' comfort with their use, and pediatricians' willingness to use ACISs for individual vaccines. In addition, respondents were asked to characterize their practices and to provide demographic information. RESULTS: Of the 311 respondents (response rate: 65%), 209 met inclusion criteria and were included in analyses. Overall, 77% of eligible respondents reported that parents sometimes or frequently requested ACISs, and 61% were comfortable using an ACIS if requested by a parent. Pediatricians were least willing to consider using ACISs for diphtheria-tetanus toxoids-acellular pertussis vaccine, Haemophilus influenzae type b vaccine, and pneumococcal conjugate vaccine. Pediatricians who practiced in a neighborhood or community clinic were less comfortable using ACISs than were those in a 1- or 2-physician practice (odds ratio: 0.10). CONCLUSIONS: Washington State pediatricians are regularly being asked to use ACISs, and most of them are comfortable using them if requested. Pediatricians are least willing to delay H influenzae type b vaccine, diphtheria-tetanus toxoids-acellular pertussis vaccine, and pneumococcal conjugate vaccine, which suggests prioritization of immunizations that protect against potentially devastating bacterial infections of infancy and early childhood.
机译：目的：确定父母要求替代儿童免疫方案（ACIS）的频率以及儿科医生对使用ACIS的舒适度和意愿。方法：华盛顿州的初级保健儿科医生被要求完成一项基于互联网的关于ACIS的调查。主要结果指标是父母要求使用ACIS的频率，儿科医生对使用ACIS的舒适度以及儿科医生是否愿意将ACIS用于个别疫苗。此外，还要求受访者描述其行为特点并提供人口统计信息。结果：在311名受访者中（回应率：65％），有209名符合纳入标准并被纳入分析。总体而言，有77％的合格受访者表示，父母有时或经常要求ACIS，而61％的父母愿意接受ACIS。儿科医生最不愿意考虑将ACIS用于白喉-破伤风类毒素-无细胞百日咳疫苗，b型流感嗜血杆菌疫苗和肺炎球菌结合疫苗。在邻里或社区诊所执业的儿科医师使用ACIS的意愿不及在1或2位医师中执业的医师（几率：0.10）。结论：华盛顿州的儿科医生经常被要求使用ACIS，如果需要，他们中的大多数人都愿意使用它们。儿科医生最不愿意延迟b型H流感疫苗，白喉-破伤风类毒素-无细胞百日咳疫苗和肺炎球菌结合疫苗的接种，这建议应优先考虑免疫接种，以防止婴儿期和儿童期潜在的破坏性细菌感染。

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