Pediatric emergency physicians and communicable diseases: can we be trusted to take care of ourselves?

Abstract:

OBJECTIVE:To determine if pediatric emergency physicians (PEP) are following Centers for Disease Control and Prevention (CDC) recommendations that all health care workers receive routine vaccines and annual tuberculosis screens. DESIGN:A two-page mail survey with one follow-up mailing. PARTICIPANTS:All active members of the American Academy of Pediatrics (AAP), Section on Emergency Medicine. Additional inclusion criteria were completion of training and employment in an emergency setting. RESULTS:Of 407 surveys, 286 (60%) were returned; 209 met inclusion criteria. Proof of immunization was not required of 43% of PEP; 42% were not required to have an annual tuberculosis (TB) screen. PEP reported immunity to the following: polio (95%), measles (94%), hepatitis B (91%), rubella (90%), mumps (90%), varicella (90%), and diphtheria-tetanus (86%). However, only 72% received a TB screen, and 60% received an influenza vaccine within the past year. Proof of vaccination for employment was required by 57/85 hospitals, 47/79 universities, and 6/32 self-employed/group practices (chi 2, P < 0.001). Proof of an annual TB screen was required by 64/87 hospitals, 44/82 universities, and 8/32 self-employed/group practices (chi 2, P < 0.001). PEP were more likely to have had a recent annual TB screen if required by their employer (104/117) than if left to their own initiative (42/87) (chi 2, P < 0.001). CONCLUSIONS:Although PEP are well protected against most vaccine-preventable diseases, many are not receiving annual TB screens nor influenza vaccines. The CDC guidelines are not being routinely followed by PEP.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Lane NE,Paul RI,Bratcher DF,Stover BH

doi

10.1097/00006565-199710000-00002

subject

Has Abstract

pub_date

1997-10-01 00:00:00

pages

308-11

issue

5

eissn

0749-5161

issn

1535-1815

journal_volume

13

pub_type

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