Measles Experience, Practice, and Knowledge by Pediatricians in the Context of Resurgent US Outbreaks.
Measles Experience, Practice, and Knowledge by Pediatricians in the Context of Resurgent US Outbreaks.
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美国麻疹疫情再度爆发背景下儿科医生的麻疹经验、实践和知识。
DOI：
10.1016/j.jpeds.2022.04.004
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Kempe,Allison
中科院分区：
文献类型：
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作者：
Cataldi,JessicaR;O'Leary,SeanT;Beaty,BrendaL;Hurley,LauraP;Crane,LoriA;Brtnikova,Michaela;Gorman,Carol;Kempe,Allison
目的评估2018-2019年美国麻疹疫情复苏背景下儿科医生的麻疹经验、实践和知识。研究设计在2020年1月至4月期间通过电子邮件和邮件对具有全国代表性的儿科医生网络进行了调查。结果总有效率为67%（297 / 444）。在调查前的3年里，52%的答复者报告对所在社区或其附近的麻疹病例有所了解。大多数人认为，媒体对最近麻疹疫情的报道减少了麻疹、腮腺炎和风疹（MMR）疫苗的延迟接种/拒绝接种（6%“大大减少”；66%“适度减少”）。超过60%的儿科医生正确回答了9个真假麻疹知识项目中的6个。不到50%的人正确回答了3个真假项目，包括关于旅行前对学龄前儿童的MMR建议和麻疹隔离预防措施的陈述。儿科医生“有时”或“经常/总是”咨询麻疹信息的最常见资源是来自美国儿科学会（72%）、州或地方公共卫生部门（70%）和疾病控制与预防中心（63%）的资源。90%以上的儿科医生报告了在国际旅行前接种9个月MMR疫苗的正确临床做法。超过三分之一的受访者没有在诊所接触麻疹的计划。在过去的3年里，在他们的社区或附近知道麻疹病例的儿科医生以及在医院/诊所或健康维护组织工作的儿科医生更有可能制定麻疹暴露计划。结论在麻疹暴发风险增加的这一时期，有机会加强儿科医生对麻疹旅行前疫苗接种和感染防控建议的认识和实施。
ObjectiveTo assess measles experience, practice, and knowledge by pediatricians in the context of resurgent US outbreaks in 2018-2019.Study designA nationally representative network of pediatricians were surveyed by email and mail from January to April 2020.ResultsThe response rate was 67% (297 of 444). In the 3 years preceding the survey, 52% of the respondents reported awareness of measles cases in/near their community. Most thought that media reports about recent measles outbreaks had decreased delay/refusal of measles, mumps, and rubella (MMR) vaccine (6% “greatly decreased”; 66% “moderately decreased”). More than 60% of the pediatricians responded correctly for 6 of 9 true/false measles knowledge items. Less than 50% responded correctly for 3 true/false items, including statements about pretravel MMR recommendations for a preschooler and measles isolation precautions. The most common resources that the pediatricians would “sometimes” or “often/always” consult for measles information were those from the American Academy of Pediatrics (72%), a state or local public health department (70%), and the Centers for Disease Control and Prevention (63%). More than 90% of the pediatricians reported correct clinical practice for MMR vaccination of a 9-month-old before international travel. More than one-third of the respondents did not have a plan for measles exposures in their clinic. Pediatricians aware of measles cases in/near their community in the previous 3 years and those working in a hospital/clinic or Health Maintenance Organization setting were more likely to have a plan for measles exposures.ConclusionsDuring this time of heightened risk for measles outbreaks, there are opportunities to strengthen the knowledge and implementation of measles pretravel vaccination and infection prevention and control recommendations among pediatricians.