California pediatricians' knowledge of and response to recommendations for universal infant hepatitis B immunization

Article Abstract:

Most California pediatricians immunize all infants against hepatitis B in accordance with published recommendations. Researchers surveyed 526 California pediatricians to assess clinicians' knowledge and implementation of hepatitis B immunization recommendations for infants. Of these, 95.3% understood the basic content of the hepatitis B recommendations and 81.7% immunized or planned to immunize all infants against hepatitis B. Physicians who agreed with the recommendations were approximately nine times as likely to immunize infants as other physicians. Physicians who practiced in a health maintenance organization or cared for many low-income patients were approximately two to three times more likely to immunize all infants than their counterparts. Concern about the vaccine's effectiveness, cost, and multiple injections in one visit were the common reasons why physicians disagreed with the recommendations.

Standards, Infants, Immunization of infants

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The role of pediatricians in the care of children with liver transplants

Article Abstract:

The success rate for childhood transplants depends partly on whether the child's pediatrician feels comfortable participating in the child's care. Researchers surveyed 61 families of children who received a liver transplant and 54 pediatricians who provided care to these children. Only 9% of the pediatricians felt comfortable providing all of the care these children required. Eighty-two percent wanted to share the care with the staff of the liver transplant center and 9% wanted the center to provide all care. Families with a pediatrician who felt comfortable sharing or providing care were more satisfied with their child's outcome.

Care and treatment, Organ transplant recipients, Liver, Liver transplantation

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Newborn hepatitis B immunization rates in primary care practices

Article Abstract:

High rates of hepatitis B infant immunization may be achieved in primary care practices. Researchers reviewed the immunization statistics of 247 infants attending six rural primary care practices and followed them up through 18 months of age. Hepatitis B immunization rates were 60% at nine months and 77% at 18 months. Children were underimmunized because of transferring out of these practices (7%), not coming in for an appointment (4%), and parental refusal (4%). More parents refused the vaccine at a suburban practice because they questioned the need for the vaccine. Parental education is warranted.

Analysis, Children, Family medicine, Immunization of children

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