کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
10969051 | 1102920 | 2011 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Barriers to implementation of the new targeted BCG vaccination in France: A cross sectional study
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری
ایمنی شناسی و میکروب شناسی
ایمونولوژی
پیش نمایش صفحه اول مقاله
![عکس صفحه اول مقاله: Barriers to implementation of the new targeted BCG vaccination in France: A cross sectional study Barriers to implementation of the new targeted BCG vaccination in France: A cross sectional study](/preview/png/10969051.png)
چکیده انگلیسی
The aim of the study was to assess factors influencing BCG vaccination among targeted children after the end of universal and mandatory BCG vaccination in France. A cross-sectional study was conducted in 2009 among general practitioners (GPs) of the French Sentinel Network. With the participation of 358 physician-investigators, 920 children were included. Of the 261 children (31%) identified to be at risk of tuberculosis, only 113 (44%) were vaccinated. The median number of French criteria for BCG vaccination correctly cited by the GPs was 3 of the existing 6. Of the 10 proposed, a median number of 5 regions in the world according to their level of tuberculosis risk were correctly classified by GPs. After adjustment using an alternating logistic model, 7 variables were found to be associated with the immunisation status of the target population. Six of these increased the probability of being vaccinated: children older than 6 months (ORÂ =Â 3.4 (CI 95% [1.4-8.6])), residents in central Paris or its suburbs (ORÂ =Â 14.7 [4.4-49.5]), children expected to travel to highly endemic regions (ORÂ =Â 3.5 [1.4-8.6]), those living in unfavourable conditions (ORÂ =Â 19.9 [6.2-63.9]), the GP's good knowledge of vaccination guidelines (ORÂ =Â 1.4 [1.1-1.9]) and the GP's perception of tuberculosis as a common disease (ORÂ =Â 2.2 [1.1-4.5]). Surprisingly, GPs with university training on infectious diseases tended to be more reluctant to follow vaccination guidelines (ORÂ =Â 0.14 [0.1-0.4]). Actions targeted at these factors could contribute to improving BCG immunisation coverage.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Vaccine - Volume 29, Issue 32, 18 July 2011, Pages 5232-5237
Journal: Vaccine - Volume 29, Issue 32, 18 July 2011, Pages 5232-5237
نویسندگان
L. Rossignol, J.-P. Guthmann, S. Kernéis, I. Aubin-Auger, A. Lasserre, P. Chauvin, C. Pelat, T. Hanslik, D. Lévy-Bruhl, T. Blanchon,