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  Vol. 3 No. 7, July 1994 TABLE OF CONTENTS
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Too Many Shots?

Parent, Nurse, and Physician Attitudes Toward Multiple Simultaneous Childhood Vaccinations

Diane J. Madlon-Kay, MD; Peter G. Harper, MD, MPH

Arch Fam Med. 1994;3(7):610-613.


Abstract



Objective
To learn about parent, nurse, and family physician attitudes toward multiple simultaneous childhood vaccinations.

Design
Survey.

Setting
Thirty-two family practice clinics in Minnesota.

Patients/Participants
Forty-six volunteer Minnesota Academy of Family Physicians Research Network members, 42 of their nurses, and 342 parents of their patients aged less than 6 years who have had at least one injection.

Main Outcome Measures
Number of injections believed to be too many for a child to receive simultaneously and comfort level associated with children's receiving three simultaneous injectable vaccinations.

Results
Most parents, nurses, and physicians (71%, 76%, and 59%, respectively) think that three injections are too many for a child to receive at one visit. Similar percentages of parents, nurses, and physicians are uncomfortable with a child's receiving three injections at one visit. Sixty-seven percent of the physicians who do not offer universal new-born hepatitis B vaccinations cite the number of required simultaneous injections as a factor in that decision. Only 15% of physicians order all three recommended injections for most of their 15-month-old patients.

Conclusions
Most parents, nurses, and physicians are uncomfortable with three simultaneous injections for children. This discomfort may be a significant barrier to the adoption of the new immunization recommendations. The development of effective combination vaccines should be a research priority.



Author Affiliations



From the Department of Family and Community Medicine, St Paul (Minn)—Ramsey Medical Center.



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