title: Attitudes of pediatricians regarding influenza self-immunization: a survey in a Swiss university children's hospital.
abstract: OBJECTIVE
  To assess the attitude toward influenza immunization of doctors among physicians in our hospital.
  
  
  METHODS
  A self-administered questionnaire survey was performed in a voluntary and anonymous manner in early 2002 after influenza immunization for employees with patient contact had been promoted in the fall of 2001. Physicians were asked whether they had been immunized or not and which of the following reason(s) for doing so applied to them: to protect themselves; to protect their patients; to set a positive example. Solicited reasons for decline: not convinced about necessity; not convinced about efficacy; concerns about side effects; negative attitude toward the immunization initiative; fear of injection.
  
  
  RESULTS
  Questionnaires were sent to 90 pediatricians and returned by 46 (98%) of 47 immunized and 25 (58%) of 43 unimmunized participants. Self-protection and protection of patients had been equally important reasons for acceptance (87% each); 46% wanted to set a positive example for their patients by being immunized themselves. Unimmunized physicians expressed doubts about necessity (56%), efficacy (32%) and concerns about side effects (24%). Of immunized physicians 98% considered reimmunization for the next season as did 60% of those currently unimmunized.
  
  
  CONCLUSIONS
  Prevailing misconceptions indicate that increased educational efforts are necessary to improve acceptance of influenza vaccine in our institution.
authors.affiliation: Division of Pediatric Infectious Diseases, University Children's Hospital Basel, PO Box CH-4005, Basel, Switzerland. Ulrigh.Heininger@unibas.ch
authors.forename: Ulrich
authors.initials: U
authors.lastname: Heininger
authors.forename: Mercedes
authors.initials: M
authors.lastname: Bächler
authors.forename: Urs B
authors.initials: UB
authors.lastname: Schaad
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003140:Communicable Disease Control; D003625:Data Collection; D005260:Female; D006266:Health Education; D006776:Hospitals, Pediatric; D006801:Humans; D007114:Immunization / Q000592:standards* / Q000639:trends; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D008505:Medical Staff, Hospital; D010372:Pediatrics / Q000592:standards / Q000639:trends; D011795:Surveys and Questionnaires; D013557:Switzerland
chemical_list: D007252:Influenza Vaccines