Johansen M, Haurum J
Aarhus Universitet, Socialmedicinsk Institut.
Ugeskr Laeger. 1991 Mar 4;153(10):709-12.
A questionnaire investigation among general practitioners revealed that 29% of these were less positive about vaccination for measles, mumps and German measles (MFR vaccination) than for the remainder of the vaccination programme for children. Knowledge about contraindications for MFR vaccination was incomplete. Thus, only 26% of the general practitioners would advise vaccination if the parents stated that the child was hypersensitive to eggs. Only 70-80% of the general practitioners would advise vaccination if the child had cystic fibrosis, hydrocephalus, ventricle septum defect or had a cold but was apyrexial. Conversely, only 74% and 81% replied negatively to recommend vaccination if the child had had a previous anaphylactic reaction to eggs or was receiving treatment for leukemia. The replies given by the general practitioners were compared with present guidelines for contraindications to MFR vaccination and it is concluded that general practitioners should become more familiar with the knowledge about the MFR programme available at present and that further information from the official health authorities is required.
一项针对全科医生的问卷调查显示，与儿童疫苗接种计划的其他部分相比，29%的全科医生对麻疹、腮腺炎和风疹（MMR疫苗接种）疫苗接种的积极性较低。关于MMR疫苗接种禁忌症的知识并不完整。因此，如果父母表示孩子对鸡蛋过敏，只有26%的全科医生会建议接种疫苗。如果孩子患有囊性纤维化、脑积水、室间隔缺损或感冒但无发热，只有70-80%的全科医生会建议接种疫苗。相反，如果孩子以前对鸡蛋有过敏反应或正在接受白血病治疗，只有74%和81%的医生否定回答建议接种疫苗。将全科医生的回答与目前MMR疫苗接种禁忌症指南进行了比较，得出的结论是，全科医生应该更熟悉目前可用的关于MMR计划的知识，并且需要官方卫生当局提供更多信息。
