Abstract
Background
Rotavirus vaccine (RV) coverage levels for US infants are <80%.
Methods
We surveyed nationally representative networks of pediatricians by internet/mail from
April to June, 2019. Multivariable regression assessed factors associated with difficulty
administering the first RV dose (RV#1) by the maximum age.
Results
Response rate was 68% (303/448). Ninety-nine percent of providers reported strongly
recommending RV. The most common barriers to RV delivery overall (definite/somewhat
of a barrier) were: parental concerns about vaccine safety overall (27%), parents
wanting to defer (25%), parents not thinking RV was necessary (12%), and parent concerns
about RV safety (6%). The most commonly reported reasons for nonreceipt of RV#1 by
4 to 5 months (often/always) were parental vaccine refusal (9%), hospitals not giving
RV at discharge from nursery (7%), infants past the maximum age when discharged from
neonatal intensive care unit/nursery (6%), and infant not seen before maximum age
for well care visit (3%) or seen but no vaccine given (4%). Among respondents 4% strongly
agreed and 25% somewhat agreed that they sometimes have difficulty giving RV#1 before
the maximum age. Higher percentage of State Child Health Insurance Program/Medicaid-insured
children in the practice and reporting that recommendations for timing of RV doses
are too complicated were associated with reporting difficulty delivering the RV#1
by the maximum age.
Conclusions
US pediatricians identified multiple, actionable issues that may contribute to suboptimal
RV immunization rates including lack of vaccination prior to leaving nurseries after
prolonged stays, infants not being seen for well care visits by the maximum age, missed
opportunities at visits and parents refusing/deferring.
Keywords
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Article Info
Publication History
Published online: July 09, 2021
Accepted:
July 1,
2021
Received:
April 16,
2021
Footnotes
The authors have no conflicts of interest to disclose.
Identification
Copyright
Copyright © 2021 by Academic Pediatric Association
