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Despite awareness of recommendations, why do health care workers not immunize pregnant women?

Published:January 04, 2017DOI:https://doi.org/10.1016/j.ajic.2016.11.025

      Highlights

      • Uncertainty about vaccination safety and efficacy for pregnant women is a health issue.
      • Gap between physicians' knowledge about recommendations and implementation.
      • Some health care workers have fears and concerns about vaccine efficacy and safety.
      Studies indicate uncertainty surrounding vaccination safety and efficacy for pregnant women, causing a central problem for health authorities. In this study, approximately 26% of participants do not recommend the tetanus, diphtheria, and acellular pertussis and influenza vaccines to their patients, although being aware of the health ministry recommendations. We found significant statistical discrepancies between the knowledge about the recommendations and their actual implementation, revealing the concerns of health care workers regarding vaccine safety.

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      References

        • Gruber M.
        Regulatory issues for maternal immunization.
        (Office of Vaccines Research & Review, Center for Biologics Evaluation and Research, US Food and Drug Administration, NVAC: Silver Spring, MD)2014
        • Fortner K.B.
        • Kuller J.A.
        • Rhee E.J.
        • Edwards K.M.
        Influenza and tetanus, diphtheria, and acellular pertussis vaccinations during pregnancy.
        Obstet Gynecol Surv. 2012; 67: 251-257
        • Murphy T.V.
        • Slade B.A.
        • Broder K.R.
        • Kretsinger K.
        • Tiwari T.
        • Joyce P.M.
        • et al.
        Prevention of pertussis, tetanus, and diphtheria among pregnant and postpartum women and their infants recommendations of the Advisory Committee on Immunization Practices (ACIP).
        MMWR Morb Mortal Wkly Rep. 2008; 57: 1-51
        • U.S. Department of Health and Human Services
        FDA pregnancy categories.
        (Available from) (Accessed November 26, 2016)
        • Laenen J.
        • Roelants M.
        • Devlieger R.
        • Vandermeulen C.
        Influenza and pertussis vaccination coverage in pregnant women.
        Vaccine. 2015; 33: 2125-2131
        • Koepke R.
        • Kahn D.
        • Petit A.B.
        • Schauer S.L.
        • Hopfensperger D.J.
        • Conway J.H.
        • et al.
        Pertussis and influenza vaccination among insured pregnant women—Wisconsin, 2013-2014.
        MMWR Morb Mortal Wkly Rep. 2015; 64: 746-750
        • Paling J.
        Strategies to help patients understand risks.
        BMJ. 2003; 327: 745-748
        • Slovic P.
        • Peters E.
        • Finucane M.L.
        • Macgregor D.G.
        Affect, risk, and decision making.
        Health Psychol. 2005; 24: S35-40
        • Frewer L.
        • Hunt S.
        • Brennan M.
        • Kuznesof S.
        • Ness M.
        • Ritson C.
        The views of scientific experts on how the public conceptualize uncertainty.
        J Risk Res. 2003; 6: 75-85
        • Aguilar-Díaz F.
        • Jiménez-Corona M.E.
        • Ponce-de-León-Rosales S.
        Influenza vaccine and healthcare workers.
        Arch Med Res. 2011; 42: 652-657
        • Seale H.
        • Wang Q.
        • Yang P.
        • Dwyer D.E.
        • Wang X.
        • Zhang Y.
        • et al.
        Influenza vaccination amongst hospital health care workers in Beijing.
        Occup Med (Lond). 2010; 60: 335-339
        • Weingarten S.
        • Riedinger M.
        • Bolton L.B.
        • Miles P.
        • Ault M.
        Barriers to influenza vaccine acceptance. A survey of physicians and nurses.
        Am J Infect Control. 1989; 17: 202-207
        • Willis B.C.
        • Wortley P.
        Nurses' attitudes and beliefs about influenza and the influenza vaccine: a summary of focus groups in Alabama and Michigan.
        Am J Infect Control. 2007; 35: 20-24
        • Bonville C.A.
        • Cibula D.A.
        • Domachowske J.B.
        • Suryadevara M.
        Vaccine attitudes and practices among obstetric providers in New York State following the recommendation for pertussis vaccination during pregnancy.
        Hum Vaccin Immunother. 2015; 11: 713-718