Division of Infectious Diseases, Hospital Medicine and Epidemiology, Department of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO, USA.
Tufts University School of Medicine, Boston, MA, USA.
Influenza Other Respir Viruses. 2018 May;12(3):416-420. doi: 10.1111/irv.12482. Epub 2017 Dec 14.
Hospitalization provides an ideal opportunity for immunization, but few studies have explored provider and parental attitudes toward pediatric inpatient vaccination against influenza.
The objectives were to determine provider and caregiver attitudes and explore potential barriers to inpatient influenza vaccination.
We developed and distributed two surveys to parents/caregivers as well as providers of general pediatric inpatients at Children's Hospital Colorado between October 2014 and March 2015 assessing attitudes toward influenza and inpatient influenza vaccination. We analyzed the Likert scale responses using univariate analyses and multiple logistic regression to assess associations between responses and vaccination status.
The overall response rate was 95% and 58% for parents and providers, respectively. Parents of hospitalized children who agreed that flu vaccines are safe (adjusted OR 2.50 [95%CI 1.76-3.58]), and that the influenza vaccine is needed every year had higher odds of having a vaccinated child (adjusted OR 3.30 [95%CI 2.30-4.81]). Most providers (91%) agree that influenza vaccination is an important priority among inpatients, but believe that parental misconceptions and their reluctance for inpatient vaccination are the most important barriers to influenza vaccination. Providers forgetting to ask about vaccination status and order the vaccine are the next most commonly identified barriers. In contrast, most parents surveyed had favorable attitudes toward inpatient influenza vaccination and disagreed that their child was too sick to receive the vaccine during hospitalization.
住院为接种疫苗提供了一个理想的机会，但很少有研究探讨提供者和父母对儿科住院患者流感疫苗接种的态度。
本研究旨在确定提供者和照顾者的态度，并探讨住院流感疫苗接种的潜在障碍。
我们于 2014 年 10 月至 2015 年 3 月期间在科罗拉多儿童医院开发并向一般儿科住院患者的父母/照顾者以及提供者分发了两份调查，评估他们对流感和住院流感疫苗接种的态度。我们使用单变量分析和多因素逻辑回归分析来分析李克特量表的回答，以评估回答与疫苗接种状况之间的关联。
总体应答率分别为父母 95%和提供者 58%。与未接种疫苗的患儿相比，认为流感疫苗安全（调整后的比值比 2.50[95%可信区间 1.76-3.58]）且每年都需要接种流感疫苗的住院患儿的父母更有可能让孩子接种疫苗（调整后的比值比 3.30[95%可信区间 2.30-4.81]）。大多数提供者（91%）认为流感疫苗接种是住院患者的重要优先事项，但认为父母的误解和他们对接种疫苗的不情愿是流感疫苗接种的最重要障碍。提供者忘记询问疫苗接种状况和开疫苗处方是其次最常见的障碍。相比之下，大多数接受调查的父母对住院流感疫苗接种持有利态度，并且不同意他们的孩子在住院期间因生病而不能接种疫苗。
