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意大利南部全科医生和初级保健儿科医生对脑膜炎球菌病的预防:知识、态度及实践

Prevention of Meningococcal Disease: Knowledge, Attitudes, and Practices of General Practitioners and Primary Care Pediatricians in South Italy.

作者信息

Angelillo Silvia, Pelullo Concetta Paola, Licata Francesca, Lanzano Raffaele, Napolitano Francesco, Di Giuseppe Gabriella

机构信息

Department of Health Sciences, University of Catanzaro "Magna Græcia", 88100 Catanzaro, Italy.

Department of Medical, Human Movement and Well-Being Sciences, University of Naples "Parthenope", 80133 Naples, Italy.

出版信息

Vaccines (Basel). 2024 Aug 6;12(8):889. doi: 10.3390/vaccines12080889.

Abstract

BACKGROUND

The purpose of this study was to evaluate the knowledge, attitude, and current practices about prevention of meningococcal disease among general practitioners (GPs) and primary care pediatricians (PCPs) in Italy.

METHODS

A cross-sectional survey was carried out between February 2022 and July 2023 among a random sample of GPs and PCPs in Southern Italy. The data were collected using a questionnaire accessible via an internet link with the free software Google Forms.

RESULTS

Regarding the participants' knowledge toward meningococcal vaccinations, 84.2% of the PCPs and more than half of the GPs (55.2%) knew that the meningococcal B (MenB) vaccination is recommended for infants from the second month of life and 84.2% and 82.7% of the PCPs were aware that quadrivalent meningococcal ACWY (MenACWY) vaccine is recommended for children in the second year of life and adolescents, respectively. The GPs and PCPs considered vaccination against meningococcal disease to be very effective and safe with average values of 8.8 and 8.7, respectively, on a scale ranging from 1 to 10. Those with an older age, those who knew the medical conditions that expose patients to a higher risk of contracting meningococcal disease, and those who self-rated their knowledge on meningococcal disease as excellent/very good were more likely to consider the vaccination to be very effective and safe. Only 15.5% of the GPs and more than half of the PCPs (54.3%) administered anti-meningococcal vaccines to their patients. GPs and females were less likely to administer anti-meningococcal vaccines to their patients, whereas those who acquired information on meningococcal vaccinations by scientific journals were more likely to administer meningococcal vaccines.

CONCLUSIONS

The findings of the survey highlighted the need of a greater engagement of GPs and PCPs in the immunization campaigns in order to increase meningococcal vaccination coverage.

摘要

背景

本研究旨在评估意大利全科医生(GPs)和基层医疗儿科医生(PCPs)对预防脑膜炎球菌病的知识、态度和当前做法。

方法

2022年2月至2023年7月期间,对意大利南部的全科医生和基层医疗儿科医生进行了随机抽样横断面调查。数据通过可通过互联网链接访问的问卷收集,使用免费软件谷歌表单。

结果

关于参与者对脑膜炎球菌疫苗接种的知识,84.2%的基层医疗儿科医生和超过一半(55.2%)的全科医生知道建议从出生第二个月起为婴儿接种B型脑膜炎球菌(MenB)疫苗,84.2%和82.7%的基层医疗儿科医生分别知道建议为2岁儿童和青少年接种四价A、C、W、Y群脑膜炎球菌(MenACWY)疫苗。全科医生和基层医疗儿科医生认为预防脑膜炎球菌病的疫苗接种非常有效且安全,在1至10的评分量表上,平均分分别为8.8和8.7。年龄较大者、知道使患者感染脑膜炎球菌病风险较高的医疗状况的人以及自我评定对脑膜炎球菌病的知识为优秀/非常好的人更有可能认为疫苗接种非常有效且安全。只有15.5%的全科医生和超过一半(54.3%)的基层医疗儿科医生为他们的患者接种抗脑膜炎球菌疫苗。全科医生和女性为患者接种抗脑膜炎球菌疫苗的可能性较小,而通过科学期刊获取脑膜炎球菌疫苗接种信息的人更有可能接种脑膜炎球菌疫苗。

结论

调查结果强调,需要全科医生和基层医疗儿科医生更多地参与免疫接种活动,以提高脑膜炎球菌疫苗接种覆盖率。

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