Attitudes of physicians concerning vaccines not included in the national immunization schedule

The aim of this study was to identify attitudes of family physicians andpediatricians working in sub-provinces of central Ankara concerning rotavirus(RV), human papilloma virus (HPV), meningococcal conjugate vaccine(MenACWY-MCV4) and adolescent and adult pertussis (Tdap) vaccines whichare not included in the National Immunization Schedule (NIS). Questionnaireswere conducted with 300 family physicians and 230 pediatricians who wereselected by random sampling. RV vaccine is the most commonly recommendedvaccine by physicians (60.5%). It is the vaccine they want to be added to theNIS the most (48.5%). Tdap vaccine is the least recommended vaccine (24.1%)and the least preferred for inclusion in the NIS (19.6%). Of the physiciansrecommending the RV vaccine 94.0% believe that “RV-related diarrhea casesexhibit a severe course of illness in children younger than two years old.”Pediatricians recommend RV, meningoccocal and Tdap vaccines more thanfamily physicians (p

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1. Arısoy S, Ceyhan M, Çiftçi E, et al. The National Vaccination Schedule in Previously Healthy Children: The Practical Recommendations about Additional Vaccines. J Pediatr Inf 2014; 8: 1-6.

2. Hacimustafaoglu M, Celebi S, Agin M, Ozkaya G. Rotavirus epidemiology of children in Bursa, Turkey: A multi-centered hospital based descriptive study. Turk J Pediatr 2011; 53: 604-613.

3. Ceyhan M, Gürler N, Ozsurekci Y, et al. Meningitis caused by Neisseria Meningitidis, Hemophilus Influenzae Type B and Streptococcus Pneumoniae during 2005-2012 in Turkey. A multicenter prospective surveillance study. Hum Vaccin Immunother 2014; 10: 2706-2712.

4. Dursun P, Ayhan A, Mutlu L, et al. HPV types in Turkey: multicenter hospital based evaluation of 6388 patients in Turkish gynecologic oncology group centers. Turk Patoloji Derg 2013; 29: 210-216.

5. Cevik M, Beyazova U, Aral AL, et al. Seroprevalence of IgG antibodies against Bordetella pertussis in healthy individuals aged 4-24 years in Turkey. Clin Microbiol Infect 2008; 14: 388-390.

6. Kempe A, Patel MM, Daley MF, et al. Adoption of rotavirus vaccination by pediatricians and family medicine physicians in the United States. Pediatrics 2009; 124: e809-e816.

7. Agyeman P, Desgrandchamps D, Vaudaux B, et al. Interpretation of primary care physicians' attitude regarding rotavirus immunisation using diffusion of innovation theories. Vaccine 2009; 27: 4771-4775.

8. MacDougall DM, Halperin BA, Langley JM, MacKinnonCameron D, Li L, Halperin SA; Maritime Universal Rotavirus Vaccination Program (MURVP). Knowledge, attitudes, beliefs, and behaviors of parents and healthcare providers before and after implementation of a universal rotavirus vaccination program. Vaccine 2016; 5: 687-695.

9. Ağın M. Akut Gastroenteritli Çocuklarda Rotavirüs Sıklığı ve Kıyaslamalı Maliyet Analizi, Uzmanlık Tezi. Uludağ Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Bursa, 2010.

10. Sancar M, Dalgıç N, Haşim O, Pullu M. Bir eğitim ve araştırma hastanesindeki rotavirüslü çocuklarda yatış maliyeti. Çocuk Enfeksiyon Dergisi 2011; 5: 7-11.

11. Clark SJ, Cowan AE, Stokley S, Bilukha O, Davis MM. Physician perspectives to inform a new recommendation for meningococcal conjugate vaccine (MCV4). J Adolesc Health 2006; 39: 850-855.

12. Allison MA, Cohn AC, Stokley S, et al. Timing of adolescent meningococcal conjugate vaccination attitudes and practices of pediatricians and family medicine physicians. Am J Prev Med 2011; 41: 581- 587.

13. Ozsurekci Y, Karadag-Oncel E, Bayhan C, et al. Knowledge and attitudes about human papillomaviruses and immunization among Turkish pediatricians. Asian Pac J Cancer Prev 2013; 14: 7325-7329.

14. Vadaparampil ST, Malo TL, Kahn JA, et al. Physicians' human papillomavirus vaccine recommendations, 2009 and 2011. Am J Prev Med 2014; 46: 80-84.

15. Yıldırım M, Düzovalı Ö, Kanık A, Kırık Ö. Türkiye’deki çocuk sağlığı ve hastalıkları uzmanlarının insan papilloma virüs aşısı konusundaki bilgi ve tutumları. Çocuk Enfeksiyon Dergisi 2009; 3: 62-68. 13

16. Wong MC, Lee A, Ngai KL, Chor JC, Chan PK. Knowledge, attitude, practice and barriers on vaccination against human papillomavirus infection: a cross-sectional study among primary care physicians in Hong Kong. PLos One 2013; 8: e71827.

17. Gilkey MB, Moss JL, Coyne-Beasley T, Hall ME, Shah PD, Brewer NT. Physician communication about adolescent vaccination: How is human papillomavirus vaccine different? Prev Med 2015; 77: 181-185.

18. Yüksel-Kaptanoğlu İ, Ergöçmen B. Çocuk gelin olmaya giden yol. Sosyoloji Araştırmaları Dergisi 2012; 15: 129-161.

19. Davis MM, Broder KR, Cowan AE, et al. Physician attitudes and preferences about combined Tdap vaccines for adolescents. Am J Prev Med 2006; 31: 176-180.

20. Dempsey AF, Cowan AE, Broder KR, Kretsinger K, Stokley S, Clark SJ. Adolescent Tdap vaccine use among primary care physicians. J Adolesc Health 2009; 44: 387-393.

21. Esen B, Coplu N, Kurtoglu D, Gozalan A, Akin L. Prevalence of high anti body titers of pertussis in Turkey: reflection of circulating microorganism and a threat to infants. J Clin Lab Anal 2007; 21: 154-161.

22. Beyazova U, Yüksel N, Aksakal FN, Camurdan AD. Comparison of the reactogenicity of three different immunization schedules including diphtheria, tetanus, pertussis, Haemophilus influenza b and polio vaccine in Turkey.Trans R Soc Trop Med Hyg 2013; 107: 438- 443.

23. Esposito S, Bosis S, Pelucchi C, et al. Pediatrician knowledge and attitudes regarding human papillomavirus disease and its prevention. Vaccine 2007; 25: 6437- 6446.

24. Tissot AM, Zimet GD, Rosenthal SL, Bernstein DI, Wetzel C, Kahn JA. Effective strategies for HPV vaccine delivery the views of pediatricians. J Adolesc Health 2007; 41: 119-125.

25. Ridda I, Lindley IR, Gao Z, McIntyre P, Macintyre CR. Differences in attitudes, beliefs and knowledge of hospital health care workers and community doctors to vaccination of older people. Vaccine 2008; 26: 5633- 5640.

26. Posfay-Barbe KM, Heininger U, Aebi C, Desgrandchamps D, Vaudaux B, Siegrist CA. How do physicians immunize their own children? Differences among pediatricians and nonpediatricians. Pediatrics 2005; 116: e623-e633.

27. Killian M, Detoc M, Berthelot P, et al. Vaccine hesitancy among general practitioners: evaluation and comparison of their immunisation practice for themselves, their patients and their children. Eur J Clin Microbiol Infect Dis 2016; 35: 1837-1843.

28. Jain N, Irwin KL, Montano D, et al. Family physicians' knowledge of genital human papillomavirus (HPV) infection and HPV-related conditions, United States, 2004. Fam Med 2006; 38: 483-489.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
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