Knowledge, Attitudes, and Practices of Obstetrician-Gynecologists Regarding Influenza Prevention and Treatment Following the 2009 H1N1 Pandemic.
Knowledge, Attitudes, and Practices of Obstetrician-Gynecologists Regarding Influenza Prevention and Treatment Following the 2009 H1N1 Pandemic.
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2009 年 H1N1 流感大流行后妇产科医生关于流感预防和治疗的知识、态度和实践。
DOI：
10.1089/jwh.2014.5178
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Schulkin,Jay
中科院分区：
文献类型：
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作者：
Murtough,KatieL;Power,MichaelL;Schulkin,Jay
背景：孕妇患流感相关并发症的风险增加。在怀孕期间接种流感疫苗有助于保护孕妇和6个月以下的婴儿免受流感感染。本研究调查了2009-2010年H1N1.Methods流感季节后，妇产科医生（ob-gyns）在流感季节的流感预防和治疗实践：在2011年，调查被发送到两组研究员的美国妇产科学院。第一组是907名妇产科医生，他们在2009-2010年H1N1流感大流行期间回答了我们之前关于流感疫苗接种，诊断和治疗的实践和知识的调查。第二组是从美国妇产科医师学院数据库中随机选择的2,293名新接受者。结果：孕妇接种流感疫苗的比例较高（71.7%），但2009-2010年和2010-2011年甲型H1N1流感季的预防措施总体上有所减少。较高比例的妇女有资格获得医疗补助的做法是与较低的估计疫苗接种率。具有超过20年实践的妇产科医生更有可能关注抗病毒药物的风险，并且不太可能常规开处方them.Conclusions：妇产科医生可能高估了孕妇接种疫苗的比例。从H1N1流感大流行中取得的疫苗接种和流感预防措施方面的成果并没有完全保留。在使用抗病毒药物治疗疑似或确诊的孕妇流感时存在差异，需要加以解决。
Background:Pregnant women are at increased risk for complications associated with influenza. Influenza vaccination during pregnancy helps protect both pregnant women and infants less than 6 months of age from contracting the flu. This study investigated influenza prevention and treatment practices of obstetrician-gynecologists (ob-gyns) during the influenza season immediately following the 2009–2010 H1N1 season.Methods:In 2011, surveys were sent to two groups of Fellows of the American College of Obstetricians and Gynecologists. Group 1 was 907 ob-gyns who responded to our previous survey on practice and knowledge of influenza vaccination, diagnosis, and treatment during the 2009–2010 H1N1 influenza pandemic. Group 2 was 2,293 new recipients randomly selected from the American College of Obstetricians and Gynecologists database. Data were analyzed in 2013.Results:A high proportion of pregnant patients were reported to be vaccinated against influenza (71.7%); however, the data suggest that in general preventative practices decreased between the 2009–2010 H1N1 season and 2010–2011 season. A higher proportion of women eligible for Medicaid in a practice was associated with a lower estimate of vaccination rate. Ob-gyns with more than 20 years of practice were more likely to be concerned about the risks of antivirals and less likely to routinely prescribe them.Conclusions:Ob-gyns may be overestimating the proportion of pregnant women being vaccinated. The gains in vaccination and influenza prevention practices from the H1N1 pandemic have not been completely retained. Discrepancies in the use of anti-virals to treat suspected or confirmed influenza in pregnant patients exist and need to be addressed.