Pediatric Resident Attitudes Toward Inpatient Immunization of Children and Adolescents: Highlighting Differences in Human Papillomavirus Vaccination

Pediatric Resident Attitudes Toward Inpatient Immunization of Children and Adolescents: Highlighting Differences in Human Papillomavirus Vaccination

Over a decade after its debut, human papillomavirus (HPV) vaccine coverage remains suboptimal. The inpatient setting presents a largely unexplored opportunity to increase vaccination rates. This study aims to describe pediatric resident attitudes toward inpatient immunization and compare differences...

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Main Authors: Nora Pfaff MD, Chelsea Garnett MD, Alexandra J. Mihalek MD, Mary Rose Mamey PhD, MA, Susan Wu MD
Format: Article
Language:English
Published: SAGE Publishing 2019-12-01
Series:Global Pediatric Health
Online Access:https://doi.org/10.1177/2333794X19894123
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spelling doaj-5f72943df30e4c48abefd148fe6d26bf2020-11-25T03:21:42ZengSAGE PublishingGlobal Pediatric Health2333-794X2019-12-01610.1177/2333794X19894123Pediatric Resident Attitudes Toward Inpatient Immunization of Children and Adolescents: Highlighting Differences in Human Papillomavirus VaccinationNora Pfaff MD0Chelsea Garnett MD1Alexandra J. Mihalek MD2Mary Rose Mamey PhD, MA3Susan Wu MD4Children’s Hospital Los Angeles, Los Angeles, CA, USAChildren’s Hospital Los Angeles, Los Angeles, CA, USAChildren’s Hospital Los Angeles, Los Angeles, CA, USAUniversity of Southern California, Los Angeles, CA, USAChildren’s Hospital Los Angeles, Los Angeles, CA, USAOver a decade after its debut, human papillomavirus (HPV) vaccine coverage remains suboptimal. The inpatient setting presents a largely unexplored opportunity to increase vaccination rates. This study aims to describe pediatric resident attitudes toward inpatient immunization and compare differences by vaccine, in particular HPV. An anonymous survey of beliefs and practices regarding inpatient vaccines was distributed to pediatric resident physicians at a single freestanding urban children’s hospital in September 2017. A total of 58 surveys were collected (64% response rate). We found that pediatric residents were more likely to report that they never or rarely discuss the HPV vaccine during hospitalization compared with the primary childhood series ( P = .001), Tdap ( P = .02), and the influenza vaccine ( P < .001), and rarely offer the HPV vaccine during hospitalization compared with childhood vaccines ( P = .003) and influenza ( P = .001). This suggests that provider hesitancy still exists for the HPV vaccine, presenting opportunities for further education and inpatient interventions.https://doi.org/10.1177/2333794X19894123
collection DOAJ
language English
format Article
sources DOAJ
author Nora Pfaff MD
Chelsea Garnett MD
Alexandra J. Mihalek MD
Mary Rose Mamey PhD, MA
Susan Wu MD
spellingShingle Nora Pfaff MD
Chelsea Garnett MD
Alexandra J. Mihalek MD
Mary Rose Mamey PhD, MA
Susan Wu MD
Pediatric Resident Attitudes Toward Inpatient Immunization of Children and Adolescents: Highlighting Differences in Human Papillomavirus Vaccination
Global Pediatric Health
author_facet Nora Pfaff MD
Chelsea Garnett MD
Alexandra J. Mihalek MD
Mary Rose Mamey PhD, MA
Susan Wu MD
author_sort Nora Pfaff MD
title Pediatric Resident Attitudes Toward Inpatient Immunization of Children and Adolescents: Highlighting Differences in Human Papillomavirus Vaccination
title_short Pediatric Resident Attitudes Toward Inpatient Immunization of Children and Adolescents: Highlighting Differences in Human Papillomavirus Vaccination
title_full Pediatric Resident Attitudes Toward Inpatient Immunization of Children and Adolescents: Highlighting Differences in Human Papillomavirus Vaccination
title_fullStr Pediatric Resident Attitudes Toward Inpatient Immunization of Children and Adolescents: Highlighting Differences in Human Papillomavirus Vaccination
title_full_unstemmed Pediatric Resident Attitudes Toward Inpatient Immunization of Children and Adolescents: Highlighting Differences in Human Papillomavirus Vaccination
title_sort pediatric resident attitudes toward inpatient immunization of children and adolescents: highlighting differences in human papillomavirus vaccination
publisher SAGE Publishing
series Global Pediatric Health
issn 2333-794X
publishDate 2019-12-01
description Over a decade after its debut, human papillomavirus (HPV) vaccine coverage remains suboptimal. The inpatient setting presents a largely unexplored opportunity to increase vaccination rates. This study aims to describe pediatric resident attitudes toward inpatient immunization and compare differences by vaccine, in particular HPV. An anonymous survey of beliefs and practices regarding inpatient vaccines was distributed to pediatric resident physicians at a single freestanding urban children’s hospital in September 2017. A total of 58 surveys were collected (64% response rate). We found that pediatric residents were more likely to report that they never or rarely discuss the HPV vaccine during hospitalization compared with the primary childhood series ( P = .001), Tdap ( P = .02), and the influenza vaccine ( P < .001), and rarely offer the HPV vaccine during hospitalization compared with childhood vaccines ( P = .003) and influenza ( P = .001). This suggests that provider hesitancy still exists for the HPV vaccine, presenting opportunities for further education and inpatient interventions.
url https://doi.org/10.1177/2333794X19894123
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