Yuan L, Daniels S, Naus M, Brcic B
Department of Preventive Medicine and Biostatistics, University of Toronto.
Can Fam Physician. 1995 Jul;41:1169-76.
To assess the knowledge and practice of vaccine storage and handling in primary care physicians' offices.
A cross-sectional study was conducted from August to December 1992. Staff responsible for vaccine storage were interviewed about their knowledge and practices of vaccine handling and storage. Refrigerators were inspected to document refrigerator temperature and vaccine storage conditions.
General and pediatric practices in 12 regions of Ontario.
Practices outside metropolitan Toronto were selected by choosing every 10th physician who ordered vaccine from the local health department in 1992. Practices chosen in metropolitan Toronto were a random selection of physicians affiliated with a Toronto teaching hospital. Eighteen pediatric and 138 general practices were approached to participate; 12 pediatric and 123 general practices participated in the study. The overall response rate was 86.5%.
Survey responses and temperature and storage conditions of refrigerators upon inspection.
Fewer than seven (6%) practices answered all questions related to vaccine storage and handling correctly, and only 11 (10%) refrigerators had thermometers. One-third of refrigerators had temperatures outside the recommended range of 2 degrees C to 8 degrees C. Older refrigerators were more likely to have inappropriate temperatures than newer ones.
Knowledge and practice of vaccine storage and handling are often inadequate in primary care physicians' offices.
评估基层医疗医生办公室疫苗储存与处理的知识及操作情况。
1992年8月至12月进行了一项横断面研究。对负责疫苗储存的工作人员就其疫苗处理和储存的知识及操作进行了访谈。对冰箱进行检查以记录冰箱温度和疫苗储存条件。
安大略省12个地区的普通及儿科诊所。
大多伦多以外地区的诊所是通过选择1992年从当地卫生部门订购疫苗的每第10位医生来选取的。大多伦多地区选取的诊所是从与多伦多一家教学医院有关联的医生中随机抽取的。共邀请了18家儿科诊所和138家普通诊所参与；12家儿科诊所和123家普通诊所参与了该研究。总体回应率为86.5%。
调查回应以及检查时冰箱的温度和储存条件。
不到7家（6%）诊所正确回答了所有与疫苗储存和处理相关的问题，只有11台（10%）冰箱有温度计。三分之一的冰箱温度超出了推荐的2摄氏度至8摄氏度范围。旧冰箱比新冰箱更有可能出现温度不当的情况。
基层医疗医生办公室在疫苗储存和处理方面的知识及操作往往不足。
