Inserm U707, 27, rue de Chaligny, 75571 Paris cedex 12, France.
Med Mal Infect. 2012 Sep;42(9):429-34. doi: 10.1016/j.medmal.2012.07.013. Epub 2012 Aug 29.
The authors assessed the knowledge and practices of French family physicians concerning the application of the new 2007 varicella vaccination guidelines for non-immune teenagers, 12 to 18 years of age. They also estimated the vaccination coverage in this population.
A questionnaire link was sent by to 1008 family physicians of the French Inserm Sentinel network. Each family physician had to include the last teenager aged 12 to 18 years seen in consultation, with no or uncertain history of clinical varicella.
One hundred and forty-one family physicians agreed to participate and included one patient (participation rate=14%) between 4th November 2010 and 4th January 2011. One hundred and thirty-three questionnaires out of 141 (94%) were analyzed. Three patients were vaccinated and 127 were not, giving a weak vaccination coverage in the investigated population at 2%. Eighty-nine family physicians (70%) did not know about the recommendation, and 90 (71%) declared that they had no intention to vaccinate their patient against varicella.
Guidelines on varicella vaccination of non-immune teenagers are poorly followed and accepted by family physicians. Vaccination coverage is very low, and efforts should be made to improve application of recommendations.
作者评估了法国家庭医生在应用新的 2007 年水痘疫苗接种指南方面的知识和实践情况，该指南适用于 12 至 18 岁的非免疫青少年。他们还估计了该人群的疫苗接种覆盖率。
通过向法国 Inserm 监测网络的 1008 名家庭医生发送了一个问卷链接。每位家庭医生都必须包括最近在咨询中见过的最后一位 12 至 18 岁的青少年，这些青少年没有或不确定有临床水痘史。
141 名家庭医生同意参与，并于 2010 年 11 月 4 日至 2011 年 1 月 4 日期间纳入了一名患者（参与率=14%）。在 141 名家庭医生中，有 133 名（94%）分析了 133 份问卷。有 3 名患者接种了疫苗，127 名患者未接种疫苗，在调查人群中，疫苗接种覆盖率仅为 2%。89 名家庭医生（70%）不知道该建议，90 名（71%）表示他们不打算为患者接种水痘疫苗。
家庭医生对非免疫青少年的水痘疫苗接种指南遵循和接受情况不佳。疫苗接种覆盖率非常低，应努力改善建议的应用。
