Cordrey Kyla, McLaughlin Laura, Das Prithwijit, Milanaik Ruth
1 Steven and Alexandra Cohen Children's Medical Center of New York, Lake Success, NY, USA.
Clin Pediatr (Phila). 2018 Mar;57(3):327-334. doi: 10.1177/0009922817727465. Epub 2017 Aug 21.
This study assessed pediatric residents' reported knowledge of and self-confidence in identifying/treating 8 vaccine-preventable diseases. Pediatric residents nationwide (n = 385) reported (1) if they had previously diagnosed measles, mumps, rubella, diphtheria, tetanus, pertussis, varicella, and/or polio; (2) their comfort level in treating these diseases; (3) the likelihood of identifying symptoms; and (4) 16 disease-related statements as true/false. More than 25% of residents were not comfortable treating 5 of the 8 diseases. More than 25% reported themselves as unlikely/extremely unlikely to identify symptoms of 3 of these diseases. Third- or fourth-year residents did not feel more confident in identifying disease symptoms than first-year residents, except for pertussis ( P ≤ .01). True/false statement accuracy ranged from 56.8% correct (polio) to 94.6% correct (pertussis). Most residents (73.3%) were "extremely concerned" regarding parental vaccine refusal, and 96.0% felt that they would benefit from receiving more information. Increased emphasis on this subject in residency education is essential for the management of potential disease outbreaks.
本研究评估了儿科住院医师在识别/治疗8种疫苗可预防疾病方面所报告的知识水平和自信程度。全国范围内的儿科住院医师（n = 385）报告了（1）他们此前是否诊断过麻疹、腮腺炎、风疹、白喉、破伤风、百日咳、水痘和/或脊髓灰质炎；（2）他们治疗这些疾病时的舒适程度；（3）识别症状的可能性；以及（4）16条与疾病相关的陈述是真是假。超过25%的住院医师对8种疾病中的5种治疗起来感到不自在。超过25%的人表示自己不太可能/极不可能识别其中3种疾病的症状。除百日咳外（P≤0.01），三年级或四年级住院医师在识别疾病症状方面并不比一年级住院医师更有信心。判断题的正确率从脊髓灰质炎的56.8%正确到百日咳的94.6%正确不等。大多数住院医师（73.3%）“极其关注”家长拒绝接种疫苗的情况，96.0%的人认为他们会从获取更多信息中受益。在住院医师培训教育中更多地强调这一主题对于管理潜在的疾病暴发至关重要。
