Family physicians beliefs and attitudes regarding adult pneumococcal and influenza immunization in Lebanon

Romani, Maya; Musharrafıeh, Umayya; Lakkis, Najla A.; Hamadeh, Ghassan

doi:10.1093/fampra/cmr038

Cited by 28 publications

(35 citation statements)

References 17 publications

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“…Most participants in this study had a moderate level of knowledge regarding both influenza and pneumococcal vaccines. This is comparable with the knowledge accuracy of between 53 to 58% for the same two vaccines among Lebanese family physicians (Romani et al 2011). High scores for knowledge regarding both vaccines' side effects show that participants are aware of their side effect profiles.…”

Section: Discussionsupporting

confidence: 70%

“…Knowledge regarding the vaccine was assessed using the adapted version of the original questionnaire (Romani et al 2011). Additional questions for knowledge based on the Malaysian Adult Immunisation Guidelines (MOH & MSIDC 2003) and the latest CDC recommendations (Williams et.…”

Section: Methodsmentioning

confidence: 99%

“…Participant's perceived barriers to prescribing these vaccines were assessed using the adapted version of the questionnaire authored by Romani et al (Romani et al 2011). A single open-ended question was provided for participants to write barriers that were not stated in the options.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Knowledge, Belief and Barriers to Adult Influenza and Pneumococcal Vaccination among Primary Care Doctors in Sarawak

Wong¹,

Muthupalaniappen

Tie

2017

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Section: Discussionsupporting

confidence: 70%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge, Belief and Barriers to Adult Influenza and Pneumococcal Vaccination among Primary Care Doctors in Sarawak

Wong¹,

Muthupalaniappen

Tie

2017

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“…This reflects that the pharmacists in our sample might have considered these two symptoms as benign in most cases disregarding the fact that they could indicate an underlying serious condition like COPD or pneumonia. LRTIs such as influenza and pneumonia lead to more deaths in Lebanon than the combination of all other vaccine‐preventable illnesses, and according to a study conducted in 2011, a large proportion of physicians in Lebanon fail to enforce vaccine recommendations in elderly and high‐risk patients . Efforts should be considered towards increasing awareness about the range of disorders underlying a dry or productive cough.…”

Section: Discussionmentioning

confidence: 99%

Assessing the referral of clients with respiratory symptoms to general physicians: a survey of community pharmacists in Beirut

Mikati

Maroun

Armache

et al. 2018

International Journal of Pharmacy Practice

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Objectives The main objective of this study was to assess the ability of community pharmacists practicing in Beirut to identify red flag respiratory symptoms, and therefore to adequately refer clients to a general physician when warranted. Secondary objectives included determining whether demographic factors affect the odds of referral, and to qualify degree of agreement of community pharmacists with a panel of expert physicians. Methods In this cross‐sectional study, pharmacies were randomly selected and invited to complete a self‐administered survey, each containing 10 clinical vignettes that combined different characteristics (age group, gender, presenting symptom, duration of symptoms). Bivariate and multivariate logistic regressions were used to inspect predictors of referral, correct referral and under‐referral. Key findings A total of 214 pharmacies were visited and 141 (65.9%) responded. Pharmacists were more likely to refer female patients (P = 0.035) and patients who presented with a longer duration of symptoms (P < 0.001). Correct referral was higher in pharmacies that were more than 20 min away from the nearest hospital (P = 0.013) and with clients who presented with haemoptysis (P < 0.001), dyspnoea (P < 0.001) or wheezing (P < 0.027), while it was lower with female patients (P < 0.001). Under‐referral was higher in pharmacies that served more than 500 clients weekly (P = 0.048) and in patients presenting for dry cough (P < 0.001) or productive cough (P < 0.001). Conclusion This study has shown that there is a need for further investigation into the practices of community pharmacists of Beirut. An action plan may be advised to alleviate the burden of patients who might currently be under‐referred and experience morbidity as a result.

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“…When physicians were asked to rate the most important features of a vaccine, responses included high levels of efficacy and safety. [11][12][13][14][15][16][17][18][19][20][21] In light of the multiple barriers to vaccine introduction, Indian healthcare provider confidence in the efficacy and safety of these vaccines is critically important. Pediatricians are influential opinion leaders at the national and state levels and also have an important voice in local communities.…”

Section: Introductionmentioning

confidence: 99%

Pediatricians' perceptions of vaccine effectiveness and safety are significant predictors of vaccine administration in India

Gargano

Thacker

Choudhury

et al. 2013

International Health

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Background: New vaccine introduction is important to decrease morbidity and mortality in India. The goal of this study was to identify perceptions that are associated with administration of four selected vaccines for prevention of Japanese encephalitis (JE), typhoid fever, influenza and human papillomavirus (HPV) infection.Methods: A random sample of 785 pediatricians from a national list of Indian Academy of Pediatrics members was selected for a survey to assess perceptions of vaccine effectiveness and safety, and vaccine administration practices. Logistic regression was used to assess factors associated with selective or routine use.Results: Pediatricians reported administering typhoid (91.6%), influenza (60.1%), HPV (46.0%) and JE (41.9%) vaccines selectively or routinely. Pediatricians who perceived the vaccine to be safe were significantly more likely to report administration of JE (OR 2.6, 95% CI 1.3 to 5.3), influenza (OR 4.3, 95% CI 2.0 to 9.6) and HPV vaccine (OR 6.2, 95% CI 3.1 to 12.7). Pediatricians who perceived the vaccine to be effective were significantly more likely to report administration of JE (OR 3.3, 95% CI 1.6 to 6.5), influenza (OR 7.7, 95% CI 2.5 to 23.1) and HPV vaccine (OR 3.2, 95% CI 1.6 to 6.4) Conclusion: Understanding the role perceptions play provides an opportunity to design strategies to build support for vaccine use.

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Family physicians beliefs and attitudes regarding adult pneumococcal and influenza immunization in Lebanon

Abstract: Education and intervention efforts are needed to overcome barriers faced by practitioners and to define the most effective strategies to overcoming these barriers.

Cited by 28 publications

References 17 publications

Knowledge, Belief and Barriers to Adult Influenza and Pneumococcal Vaccination among Primary Care Doctors in Sarawak

Knowledge, Belief and Barriers to Adult Influenza and Pneumococcal Vaccination among Primary Care Doctors in Sarawak

Assessing the referral of clients with respiratory symptoms to general physicians: a survey of community pharmacists in Beirut

Pediatricians' perceptions of vaccine effectiveness and safety are significant predictors of vaccine administration in India

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