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Cincinnati pediatricians' measured and reported immunizing behavior for children during the national shortages of pneumococcal conjugate vaccine.
Vaccine. 2013 Apr 19; 31(17):2177-83.V

Abstract

BACKGROUND

The United States has experienced two shortages of heptavalent pneumococcal conjugate vaccine (PCV7). National guidelines called for deferring the third and fourth PCV7 doses from healthy children during these shortages. However, recommendations were not the same during the first and second shortages, and recommendations changed over time during each of the shortages as shortages worsened.

OBJECTIVES

To measure PCV7 immunizing behavior for healthy children during shortage and non-shortage periods and assess the accuracy of the physicians' reported immunizing behavior when compared to their actual immunizing behavior.

METHODS

We reviewed medical records in 14 randomly selected practices to measure actual immunizing behavior during shortage and non-shortage periods. We surveyed pediatricians in the Greater Cincinnati area to ascertain reported immunizing behavior. Actual and reported immunizing behaviors were compared.

RESULTS

2888 medical records were reviewed; surveys were obtained from 51 pediatricians (65% response rate). During periods of non-shortage, 74% of healthy children received their first two doses of PCV7 on time, whereas during periods of shortage, only 66% of healthy children received their first two doses of PCV7 on time. Compared with measured immunizing behavior from chart reviews, 54-76% of the pediatricians overestimated their compliance with guidelines to defer the fourth PCV7 dose while only 5-20% underestimated their compliance.

CONCLUSIONS

Physicians often overestimated the percentage of children whose vaccine doses they deferred during vaccine shortages. Despite these findings, physicians were able to maintain high coverage with the first two PCV7 doses among healthy children.

Authors+Show Affiliations

Academy Health, James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, University of Cincinnati, United States.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

23474316

Citation

Fairbrother, Gerry, et al. "Cincinnati Pediatricians' Measured and Reported Immunizing Behavior for Children During the National Shortages of Pneumococcal Conjugate Vaccine." Vaccine, vol. 31, no. 17, 2013, pp. 2177-83.
Fairbrother G, Donauer S, Staat MA, et al. Cincinnati pediatricians' measured and reported immunizing behavior for children during the national shortages of pneumococcal conjugate vaccine. Vaccine. 2013;31(17):2177-83.
Fairbrother, G., Donauer, S., Staat, M. A., Broder, K., Salisbury, S., Morrow, A. L., Tabangin, M. E., Altaye, M., Holloway, M., & Schwartz, B. (2013). Cincinnati pediatricians' measured and reported immunizing behavior for children during the national shortages of pneumococcal conjugate vaccine. Vaccine, 31(17), 2177-83. https://doi.org/10.1016/j.vaccine.2013.02.038
Fairbrother G, et al. Cincinnati Pediatricians' Measured and Reported Immunizing Behavior for Children During the National Shortages of Pneumococcal Conjugate Vaccine. Vaccine. 2013 Apr 19;31(17):2177-83. PubMed PMID: 23474316.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cincinnati pediatricians' measured and reported immunizing behavior for children during the national shortages of pneumococcal conjugate vaccine. AU - Fairbrother,Gerry, AU - Donauer,Stephanie, AU - Staat,Mary Allen, AU - Broder,Karen, AU - Salisbury,Shelia, AU - Morrow,Ardythe L, AU - Tabangin,Meredith E, AU - Altaye,Mekibib, AU - Holloway,Michol, AU - Schwartz,Benjamin, Y1 - 2013/03/06/ PY - 2012/09/12/received PY - 2013/02/20/revised PY - 2013/02/21/accepted PY - 2013/3/12/entrez PY - 2013/3/12/pubmed PY - 2014/2/7/medline SP - 2177 EP - 83 JF - Vaccine JO - Vaccine VL - 31 IS - 17 N2 - BACKGROUND: The United States has experienced two shortages of heptavalent pneumococcal conjugate vaccine (PCV7). National guidelines called for deferring the third and fourth PCV7 doses from healthy children during these shortages. However, recommendations were not the same during the first and second shortages, and recommendations changed over time during each of the shortages as shortages worsened. OBJECTIVES: To measure PCV7 immunizing behavior for healthy children during shortage and non-shortage periods and assess the accuracy of the physicians' reported immunizing behavior when compared to their actual immunizing behavior. METHODS: We reviewed medical records in 14 randomly selected practices to measure actual immunizing behavior during shortage and non-shortage periods. We surveyed pediatricians in the Greater Cincinnati area to ascertain reported immunizing behavior. Actual and reported immunizing behaviors were compared. RESULTS: 2888 medical records were reviewed; surveys were obtained from 51 pediatricians (65% response rate). During periods of non-shortage, 74% of healthy children received their first two doses of PCV7 on time, whereas during periods of shortage, only 66% of healthy children received their first two doses of PCV7 on time. Compared with measured immunizing behavior from chart reviews, 54-76% of the pediatricians overestimated their compliance with guidelines to defer the fourth PCV7 dose while only 5-20% underestimated their compliance. CONCLUSIONS: Physicians often overestimated the percentage of children whose vaccine doses they deferred during vaccine shortages. Despite these findings, physicians were able to maintain high coverage with the first two PCV7 doses among healthy children. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/23474316/Cincinnati_pediatricians'_measured_and_reported_immunizing_behavior_for_children_during_the_national_shortages_of_pneumococcal_conjugate_vaccine_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(13)00216-8 DB - PRIME DP - Unbound Medicine ER -