Open Access, Peer-reviewed
pISSN 2384-1079
eISSN 2384-1087
    Pediatr Infect Vaccine. 2015 Aug;22(2):69-74. Korean.
    Published online Aug 28, 2015.
    https://doi.org/10.14776/piv.2015.22.2.69
    Copyright © 2015 The Korean Society of Pediatric Infectious Diseases
    Original Article

    A Survey of Doctors' Awareness of Simultaneous Vaccination

    Hojun Lee, Hyun Seok Seo, Seok Won Choi, Ji Sung Kim, Eun Eui Kim, Cheol Am Kim, Byeong Hee Son and Kyun Woo Lee
      • Department of Pediatrics, Dae-Dong Hospital, Busan, Korea.
    • Corresponding author (Email: pedrics@daum.net )
    Received November 11, 2014; Revised January 26, 2015; Accepted March 06, 2015.

    Abstract

    Purpose

    In this study, doctors were surveyed with a questionnaire to determine whether they performed simultaneous vaccination and whether there were any concerns about safety or anxiety. The purpose of this study was to determine any problems associated with doctors readily performing simultaneous vaccination.

    Methods

    A trained surveyor visited 241 doctors from every institution registered with the National Immunization Program (NIP) located within six districts (gu) in the City of Busan (Dongnae-gu, Geumjeong-gu, Yeonje-gu, Suyeong-gu, Busanjin-gu, Haeundae-gu); a total of 155 (64%) valid responses were obtained.

    Results

    Of the 155 respondents, 144 (93%) were already performing simultaneous immunizations and 141 (91%) had a positive view of the practice. However, among the 144 doctors performing simultaneous immunizations, 67 (47%) were not confident about its safety; side effects were seen after simultaneous immunization by 86 doctors, 35 (41%) of whom believed that the frequency or possibility of side effects in simultaneous immunizations was higher than that in sequential immunizations.

    Conclusions

    The use of simultaneous immunization is expanding quickly. However, among the doctors performing simultaneous immunizations, a high percentage had concerns over its unproven safety and potential side effects, indicating the need for academic societies or government institutions to present evidence to address such concerns.

    Keywords
    Immunization; Vaccination; Simultaneous vaccination; Doctors' awareness

    Figures

    Fig. 1
    Perceptions of the necessity for simultaneous vaccination.

    Fig. 2
    Status of simultaneous vaccination implementation.

    Fig. 3
    Reasons for implementing simultaneous vaccination (multiple responses allowed).

    Fig. 4
    Perceptions of simultaneous vaccination safety.

    Fig. 5
    Risk awareness in simultaneous vaccination.

    Tables

    Table 1
    Demographic Characteristics of the Survey Respondents

    References

      1. Lee JK, Choi WS. Immunization policy in Korea. Infect Chemother 2008;40:14–23.
      1. National Center for Immunization and Respiratory Diseases. General recommendations on immunization --- recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2011;60:1–64.
      1. Dubai health authority. Immunization guidelines. Dubai : Department of Public Health & Safety Policy & Strategy Sector. 2012. pp. 1-79.
      1. Public Health Agency of Canada. Canadian immunization guide. Canadian Immunization Guide part 1. 2014. pp. 1-131.
      1. The Korean Pediatric Society. Immunization guideline. Immunization guideline 7th edition. 2012. pp. 1-309.
      1. Hanna JN, Bullen RC, Andrews DE. The acceptance of three simultaneous vaccine injections recommended at 12 months of age. Commun Dis Intell Q Rep 2004;28:493–496.
      1. Katsuta T, Miyazi Y, Nakamura Y, Tsuruoka Z, Tateyama S, Tokutake T, et al. A survey of doctors' awareness of simultaneous vaccination in Japan. Japan J Pediatr 2013;117:1645–1651.
      1. Rhim JW, Kim CH, Lee WB, Kang JH. A survey of parental knowledge of vaccination. Korean J Pediatr 2006;49:251–257.
      1. Paik SH, Chung EH, Uhm MR, Shin SM, Lee WG, Lee MN, et al. A questionnaire on using informed consents of parents or guardians in vaccination of children. J Korean Pediatr Soc 2003;46:647–654.
      1. Hong YJ. Combination vaccines. J Korean Pediatr Soc 2003;46:213–216.
      1. Offit PA, Quarles J, Gerber MA, Hackett CJ, Marcuse EK, Kollman TR, et al. Addressing parents' concerns: do multiple vaccines overwhelm or weaken the infant's immune system? Pediatrics 2002;109:124–129.
      1. Meyerhoff AS, Weniger MG, Jacobs RJ. Economic value to parents of reducing the pain and emotional distress of childhood vaccine injections. Pediatr Infect Dis J 2001;20:57–62.
      1. Oh SH. Active immunization. Hanyang Med Rev 2008;28:4–15.
      1. Ju HG, Choi YY, Ma JS, Hwang TJ. Effect of simultaneous administration of hepatitis B vaccine with DPT and oral polio vaccine. J Korean Pediatr Soc 1998;41:451–455.
      1. Melman ST, Nguyen TT, Ehrlich E, Schorr M, Anbar RD. Parental compliance with multiple immunization injections. Arch Pediatr Adolesc Med 1999;153:1289–1291.
      1. Kim CH. Combination vaccines. J Korean Pediatr Soc 2000;43:322–325.
      1. McGowan A, Cottrell S, Roberts R, Lankshear A. Minimising pain response during routine infant imminisation. Community Pract 2013;86:24–28.
      1. Olin P, Rasmussen F, Gottfarb P. Schedules and protection, simultaneous vaccination and safety : Experiences from recent controlled trials. Int J Infect Dis 1997;1:143–147.
      1. Shneyer E, Strulov A, Rosenfeld Y. Reduced rate of side effects associated with separate administration on MMR and DTaP-Hib-IPV vaccinations. Isr Med Assoc J 2009;11:735–738.
      1. Jo DS, Choi EH. General recommendations for immunization practices in children and adolescents. J Korean Med Assoc 2009;52:225–232.
      1. Engineer FG, Keskinocak P, Pickering LK. Catch-up scheduling for childhood vaccination. Oper Res 2009;57:1307–1319.
      1. Anderson RS, Healey ML. Immunization rates in children receiving Diphtheria-Tetanus-Pertussis and Measles-Mumps-Rubella vaccines simultaneously. J Child Fam Nurs 2000;7:27–38.
      1. Middleman AB, Rosenthal SL, Rickert VI, Neinstein L, Fishbein DB, D'Angelo L. Advisory Committee on Immunization Practices (ACIP). Adolescent immunizations: A position paper of the society for adolescent medicine. J Adolesc Health 2006;38:321–327.
    MeSH Terms
    Anxiety
    Busan
    Immunization
    Immunization Programs
    Surveys and Questionnaires
    Vaccination*
    Metrics
    Share
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