کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2403030 1102876 2013 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Who is unlikely to report adverse events after vaccinations to the Vaccine Adverse Event Reporting System (VAERS)?
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی ایمونولوژی
پیش نمایش صفحه اول مقاله
Who is unlikely to report adverse events after vaccinations to the Vaccine Adverse Event Reporting System (VAERS)?
چکیده انگلیسی


• Provider (HCP) awareness of and practices regarding reporting AEFI is understudied.
• We assessed HCP familiarity with VAERS and methods used and preferred for reporting.
• Primary care practice area and familiarity with reporting requirements were significantly associated with likelihood of HCP reporting to VAERS.
• Of HCP who identified and reported an AEFI at least once, 86% used the paper form.
• Our results may assist public health agencies as they plan improvements to VAERS.

BackgroundHealthcare provider (HCP) reporting to the Vaccine Adverse Event Reporting System (VAERS) is important to assuring the safety of U.S. licensed vaccines. HCP awareness of and practices regarding reporting of adverse events following immunization (AEFI) is understudied.MethodsA large, nationally representative sample of U.S. office-based HCP across three occupational groups (physicians, mid-level providers [physician assistants, advanced practice nurses] and nurses) and three primary care practice areas (pediatrics, family medicine, internal medicine) were surveyed utilizing standardized methodology. We assessed HCP familiarity with VAERS, the situations under which they were likely to report an AEFI, and the methods they used and preferred for reporting. We used logistic regression to determine factors associated with HCP not reporting AEFI to VAERS.ResultsOur survey response rate was 54.9%. The percentage of HCP aware of VAERS (71%) varied by occupation and primary care practice area. About 37% of HCP had identified at least one AEFI with only 17% of these indicating that they had ever reported to VAERS. More serious events were more likely to be reported. Factors associated with HCP not reporting AEFI included: HCP not familiar versus very familiar with filing a paper VAERS report (OR = 12.84; p < 0.0001), primary care practice area of internal medicine versus pediatrics (OR = 4.22; p = 0.0005), and HCP not familiar versus very familiar with when it was required to file a VAERS report (OR = 5.52; p = 0.0013).ConclusionsSpecific educational interventions targeted to HCP likely to see AEFI but not currently reporting may improve vaccine safety reporting practices.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Vaccine - Volume 31, Issue 24, 31 May 2013, Pages 2673–2679
نویسندگان
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