Paul Y
Indian Pediatr. 1994 Aug;31(8):949-55.
A postal survey regarding immunization practices amongst pediatricians was conducted. Out of 250 contacted, 108 responded (43.2%). The responders consisted of senior pediatricians, out of which 31 were serving or were retired Professors of Pediatrics from various Medical Colleges (27.7%). The survey showed that 20.4% give 3 doses of OPV during the first year, 18.5% give 4 doses and 61.1% give 5 doses. Only 11.1% give one "booster" dose of OPV, 72.2% give 2, 13% give 3 and 3.7% give 4 or more "booster" doses. Only 11.1% give "booster" doses upto the age of 2 years, 76.9% upto 5 year, while 12% give "booster" doses beyond the age of 5 years--some upto 14 years of age. Thirty six per cent advice 4 weeks and 36.1% advice 4-6 weeks interval between 2 OPV doses. Nearly one fifth (22.7%) give BCG "booster" doses upto 5 years of age and 6.5 give "booster" to adolescents. Thirteen per cent give Measles/MMR vaccines booster dose beyond the age of 2 years upto 16 years. This study shows that pediatricians follow different schedules and regimes for almost all the vaccines. Often similar schedules are not practised by pediatricians working in the same institutions.
针对儿科医生的免疫接种实践开展了一项邮政调查。在联系的250名儿科医生中,108人做出了回应(回应率为43.2%)。回应者包括资深儿科医生,其中31人是来自各医学院的在职或退休儿科教授(占27.7%)。调查显示,20.4%的医生在第一年接种3剂口服脊髓灰质炎疫苗(OPV),18.5%接种4剂,61.1%接种5剂。只有11.1%的医生接种1剂OPV“加强”剂,72.2%接种2剂,13%接种3剂,3.7%接种4剂或更多“加强”剂。只有11.1%的医生在2岁前接种“加强”剂,76.9%在5岁前接种,而12%在5岁后接种“加强”剂——有些甚至到14岁。36%的医生建议两剂OPV之间间隔4周,36.1%建议间隔4 - 6周。近五分之一(22.7%)的医生在5岁前接种卡介苗(BCG)“加强”剂,6.5%给青少年接种“加强”剂。13%的医生在2岁后至16岁接种麻疹/麻腮风联合疫苗(MMR)加强剂。这项研究表明,儿科医生对几乎所有疫苗都遵循不同的接种程序和方案。同一机构的儿科医生往往也不采用相似的接种程序。