Mita Valentin, Arigliani Michele, Zaratti Laura, Arigliani Raffaele, Franco Elisabetta
Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.
Department of Clinical and Experimental Medical Sciences, University Hospital of Udine, 33100 Udine, Italy.
Pathogens. 2017 Nov 3;6(4):56. doi: 10.3390/pathogens6040056.
Rotavirus (RV) infection is the main cause of severe acute gastroenteritis (GE) in the pediatric population and has a major impact in both developing and industrialized countries. The reduction of severe RVGE cases, followed by death or hospitalization, is considered the main benefit of RV vaccination, even though its implementation often faces obstacles. In Italy, the recently approved National Immunization Plan aims to overcome the differences among regions, offering a universal free RV vaccination. The aim of the study was to evaluate the opinions on benefit and acceptability of RV vaccination related to the perception of the burden of RV disease. Data were collected from 108 physicians in 2015 by a questionnaire consisting of 12 questions; some answers were compared with those obtained with a similar tool in 2011. The majority of respondents (76.2%) was convinced of the benefit of the vaccine and 57.4% recommended it routinely, but more than half indicated a <25% adherence to RV vaccination among their patients. As the main reasons of vaccine refusal, skepticism about the vaccine (60.4%) and its cost (34.1%) were indicated. Our data confirm that more information and counselling are needed to increase RV vaccine coverage.
轮状病毒（RV）感染是儿科人群中严重急性胃肠炎（GE）的主要病因，在发展中国家和工业化国家均有重大影响。尽管轮状病毒疫苗的推广实施常常面临阻碍，但减少严重的轮状病毒引起的胃肠炎病例（随后导致死亡或住院）被认为是接种轮状病毒疫苗的主要益处。在意大利，最近批准的国家免疫计划旨在消除各地区之间的差异，提供普遍免费的轮状病毒疫苗接种。本研究的目的是评估与轮状病毒疾病负担认知相关的轮状病毒疫苗接种的益处和可接受性的观点。2015年通过一份包含12个问题的问卷收集了108名医生的数据；部分答案与2011年使用类似工具获得的答案进行了比较。大多数受访者（76.2%）确信疫苗的益处，57.4%的受访者常规推荐该疫苗，但超过一半的受访者表示其患者中轮状病毒疫苗接种的依从率<25%。作为拒绝接种疫苗的主要原因，对疫苗的怀疑（60.4%）及其成本（34.1%）被提及。我们的数据证实，需要更多信息和咨询以提高轮状病毒疫苗接种覆盖率。
