美国产科医生对成人破伤风-白喉-无细胞百日咳联合疫苗的态度。
Attitudes of US obstetricians toward a combined tetanus-diphtheria-acellular pertussis vaccine for adults.
作者信息
Clark Sarah J, Adolphe Soukaina, Davis Matthew M, Cowan Anne E, Kretsinger Katrina
机构信息
Child Health Evaluation and Research Unit, University of Michigan, Ann Arbor, MI 48109, USA.
出版信息
Infect Dis Obstet Gynecol. 2006;2006:87040. doi: 10.1155/IDOG/2006/87040.
OBJECTIVE
To describe obstetricians' perspectives related to tetanus-diphtheria-acellular pertussis (Tdap) vaccination of mothers and other adults in close contact with infants.
METHODS
Mail survey of national random sample of 400 obstetricians.
RESULTS
Response rate was 54%. Most respondents would likely recommend Tdap for women during the postpartum hospital stay (78%) or during pregnancy (69%) if a national recommendation was issued. Expected barriers were knowing the date of patients' most recent Td booster (74%) and patient resistance (46%). Most felt that obstetricians have a role in promoting and administering Tdap vaccine to adults other than mothers likely to come in close contact with infants.
CONCLUSION
Obstetricians are likely to agree with the recent provisional US recommendation to administer Tdap to postpartum mothers and other adults expected to come in close contact with infants. Obstetricians would also be likely to support a potential recommendation to administer Tdap during pregnancy. Barriers to adoption of new Tdap vaccine recommendations should be monitored.
目的
描述产科医生对于母亲及其他与婴儿密切接触的成年人接种破伤风-白喉-无细胞百日咳（Tdap）疫苗的看法。
方法
对400名产科医生进行全国随机抽样邮件调查。
结果
回复率为54%。如果发布全国性建议，大多数受访者可能会建议在产后住院期间（78%）或孕期（69%）为女性接种Tdap。预期障碍包括知晓患者最近一次破伤风类毒素加强免疫的日期（74%）和患者抵触（46%）。大多数人认为产科医生在向可能与婴儿密切接触的非母亲成年人推广和接种Tdap疫苗方面发挥作用。
结论
产科医生可能会认同美国近期关于为产后母亲及其他预期与婴儿密切接触的成年人接种Tdap的临时建议。产科医生也可能支持在孕期接种Tdap的潜在建议。应监测采用新的Tdap疫苗建议的障碍。
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