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Awareness and utilization of reporting pathways for adverse events following immunization: Online survey among pediatricians in Russia and Germany

机译：认识和利用免疫后不良事件的报告途径：俄罗斯和德国儿科医生的在线调查

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Objectives: Vaccine safety surveillance is highly dependent on accurate reporting of adverse events following immunization (AEFI). An online survey was conducted to assess the utilization of AEFI reporting standards and pathways among pediatricians in Germany, and in Russia where pediatric specialization begins in medical school. Methods: In May 2011, a 31-item online questionnaire was sent to members of the German Professional Association for Pediatricians (BVKJ) and the Union of Pediatricians of Russia (UPR), capturing information on vaccine safety training, awareness of AEFI reporting pathways, and use of standardized case definitions for the ascertainment of AEFI. A convenience sample of 1,632 completed online surveys was analyzed. Results: Participating pediatricians reported spending approximately 50 min per 8-hour workday on vaccine safety consultations, but only 42 % (56 % UPR, 26 % BVKJ) have ever received any formal vaccine safety training. Two-thirds reported having observed AEFI in their practice, but only one-third utilized standardized case definitions for case ascertainment. Only 35 % of participants named accurate AEFI reporting pathways. Every second pediatrician would report AEFI to institutions that are not primarily in charge of vaccine safety surveillance; the remaining reports would either be lost or delayed. Pediatricians who had received formal vaccine safety training were significantly more likely to apply international safety standards and to report adequately, both at the p < 0.05 level. Conclusion: Pediatricians play a key role in the post-marketing surveillance of vaccine safety. The lack of training represents a missed opportunity. There may be a role for professional societies to improve vaccine safety training.
机译：目标：疫苗安全性监视高度依赖于免疫后不良事件（AEFI）的准确报告。进行了一项在线调查，以评估AEFI报告标准的使用情况以及德国和俄罗斯医学院校开始儿科专业化的俄罗斯儿科医生之间的关系。方法：2011年5月，向德国儿科医生专业协会（BVKJ）和俄罗斯儿科医生联盟（UPR）的成员发送了31项在线问卷，以获取有关疫苗安全培训的信息，对AEFI报告途径的了解，以及使用标准化案例定义来确定AEFI。分析了便利的1,632个在线调查样本。结果：参加活动的儿科医生报告说，每8小时工作日在疫苗安全性咨询上花费大约50分钟，但只有42％（56％的UPR，26％的BVKJ）接受过正式的疫苗安全性培训。三分之二的受访者表示在实践中观察到了AEFI，但只有三分之一的受访者使用标准化案例定义来确定案例。只有35％的参与者指定了准确的AEFI报告途径。第二位儿科医生将向主要不负责疫苗安全性监视的机构报告AEFI;其余报告将丢失或延迟。接受过正式疫苗安全培训的儿科医生更有可能应用国际安全标准并进行充分报告，两者均在p <0.05水平。结论：儿科医生在上市后疫苗安全性监测中起着关键作用。缺乏培训意味着错过了机会。专业协会可能在改善疫苗安全性培训方面发挥作用。

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