Survey of pediatricians in Germany reveals important challenges for possible implementation of meningococcal B vaccination
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Published on: October 30, 2013
Anja Takla1, Ole Wichmann1, Judith Koch1
1Immunization Unit, Robert Koch Institute, Seestrasse 10, 13353 Berlin, Germany.
Abstract:
Incidence of invasive meningococcal disease is low in Germany at 0.5 cases/100,000 inhabitants. Serogroup B (MenB) is most common, causing 70% of cases, with highest incidence in infants (5.9/100,000). In 2013, a MenB vaccine was licensed in Europe. To assess pediatricians' attitudes towards MenB vaccination and its potential use in Germany we conducted a nationwide cross-sectional survey among 5677 pediatricians. Of 3107 participants (response: 55%), 79.1% would recommend a MenB vaccination to parents, with 66.7% favoring a schedule at 6, 8 and 12 months over 2, 3, 4 and 12 months (13.4%). Administration separately from other vaccines was preferred (63.2%); 38.5% feared that a recommendation would lead to refusal of other recommended vaccinations. In conclusion, pediatricians showed distinct preferences regarding possible integration of MenB vaccination into the existent immunization schedule. As physicians play a crucial role in the implementation, findings will be useful in decision-making regarding potential introduction.
Insights
German pediatricians support meningococcal serogroup B (MenB) vaccination, with most recommending it. They prefer a 6, 8, and 12-month schedule and separate administration, but some worry about impacting other vaccine uptake.
Area of Science:
- Pediatrics
- Vaccinology
- Public Health
Background:
- Invasive meningococcal disease (IMD) incidence in Germany is low (0.5/100,000).
- Serogroup B (MenB) is the most common cause of IMD, particularly in infants (5.9/100,000).
- A MenB vaccine received European licensure in 2013.
Purpose of the Study:
- To evaluate German pediatricians' attitudes towards MenB vaccination.
- To understand their preferences for vaccine scheduling and administration.
- To assess potential barriers to MenB vaccine uptake.
Main Methods:
- Nationwide cross-sectional survey distributed to 5677 pediatricians.
- 3107 participants completed the survey (55% response rate).
- Data collected on recommendation likelihood, preferred schedules, and administration timing.
Main Results:
- 79.1% of surveyed pediatricians would recommend MenB vaccination.
- 66.7% favored a 6, 8, and 12-month vaccination schedule.
- 63.2% preferred administering the MenB vaccine separately from other routine immunizations.
Conclusions:
- German pediatricians demonstrate a positive attitude towards MenB vaccination.
- Distinct preferences exist regarding scheduling and administration, influencing potential implementation.
- Physician recommendations are critical for successful vaccine introduction and uptake.
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