Pediatricians' Knowledge and Practices Related to Mumps Diagnosis and Prevention.
Pediatricians' Knowledge and Practices Related to Mumps Diagnosis and Prevention.
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DOI：
10.1016/j.jpeds.2021.08.036
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发表时间：
2021-12
影响因子：
5.1
通讯作者：
Kempe, Allison
中科院分区：
文献类型：
--
作者：
Cataldi, Jessica R.;O'Leary, Sean T.;Marlow, Mariel A.;Beaty, Brenda L.;Hurley, Laura P.;Crane, Lori A.;Brtnikova, Michaela;Gorman, Carol;Pham, Huong T.;Lindley, Megan C.;Kempe, Allison
评估儿科医生的腮腺炎知识和检测实践，确定与腮腺炎检测实践相关的医生和实践特征，并评估报告和疫情应对知识和实践。从2020年1月至4月，我们调查了一个具有全国代表性的儿科医生网络。为所有项目生成描述性统计数据。卡方检验、t检验和泊松回归用于比较在非爆发环境中接种疫苗的17岁腮腺炎患者很少或从不与有时或经常/总是检测腮腺炎的应答者之间的医生和实践特征。有效率为67%（297/444）。在知识方面，对于关于流行性腮腺炎流行病学、诊断和预防的9个对/错陈述中的6个，超过一半的儿科医生回答错误或“不知道”；超过一半的人报告说，他们需要关于腮腺炎口腔拭子测试的额外指导。在检测做法方面，59%的答复者报告说，他们有时（35%）或经常/总是（24%）在非疫情环境中对接种疫苗的17岁腮腺炎患者进行腮腺炎检测；年龄较大的医生、农村医生以及东北部或中西部的医生更有可能检测腮腺炎。36%的儿科医生报告说，他们经常/总是向公共卫生当局报告怀疑患有腮腺炎的病人。儿科医生报告腮腺炎知识差距和做法不符合公共卫生建议。这些差距可能导致腮腺炎病例诊断不足和报告不足，延误公共卫生应对措施，并助长疾病持续传播。
To assess pediatricians’ mumps knowledge and testing practices, to identify physician and practice characteristics associated with mumps testing practices, and to assess reporting and outbreak response knowledge and practices. From January–April 2020, we surveyed a nationally representative network of pediatricians. Descriptive statistics were generated for all items. Chi-square, t-tests, and Poisson regression were used to compare physician and practice characteristics between respondents who would rarely or never vs. sometimes or often/always test for mumps in a vaccinated 17-year-old with parotitis in a non-outbreak setting. The response rate was 67% (297/444). For knowledge, over half of pediatricians responded incorrectly or ‘Don’t know’ for six of nine true/false statements about mumps epidemiology, diagnosis, and prevention; and over half reported they would need additional guidance on mumps buccal swab testing. For testing practices, 59% of respondents reported they would sometimes (35%) or often/always (24%) test for mumps in a vaccinated 17-year-old with parotitis in a non-outbreak setting; older physicians, rural physicians, and physicians from the Northeast or Midwest were more likely to test for mumps. Thirty-six percent of pediatricians reported they would often/always report a patient with suspected mumps to public health authorities. Pediatricians report mumps knowledge gaps and practices that do not align with public health recommendations. These gaps may lead to under-diagnosis and under-reporting of mumps cases, delaying public health response measures and contributing to ongoing disease transmission.
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影响因子：
5.5
作者：
Barskey, Albert E.;Glasser, John W.;LeBaron, Charles W.
通讯作者：
LeBaron, Charles W.
影响因子：
8
作者：
McMahon, SR;Iwamoto, M;Pickering, LK
通讯作者：
Pickering, LK
影响因子：
3.9
作者：
Atkeson, Lonna Rae;Adams, Alex N.;Saunders, Kyle L.
通讯作者：
Saunders, Kyle L.
DOI：
10.15585/mmwr.mm6701a7
发表时间：
2018-01-12
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Marin M;Marlow M;Moore KL;Patel M
通讯作者：
Patel M
DOI：
10.15585/mmwr.mm6729a1
发表时间：
2018-07-27
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Golwalkar M;Pope B;Stauffer J;Snively A;Clemmons N
通讯作者：
Clemmons N