title: Survey of Obstetrics and Gynecology Residents Regarding Pneumococcal Vaccination in Pregnancy: Education, Knowledge, and Barriers to Vaccination.
abstract: OBJECTIVE
  The 23-valent pneumococcal vaccine is recommended for adults over 65 years of age and younger adults with certain medical conditions. The Centers for Disease Control and Prevention (CDC) state insufficient evidence to recommend routine pneumococcal vaccination during pregnancy, but the vaccine is indicated for pregnant women with certain medical conditions. We designed this project to gauge obstetrics and gynecology (OB/GYN) resident knowledge of maternal pneumococcal vaccination.
  
  
  METHODS
  We administered a 22-question survey to OB/GYN residents about maternal pneumococcal vaccination. We performed descriptive analysis for each question.
  
  
  RESULTS
  238 OB/GYN residents responded. Overall, 69.3% of residents reported receiving vaccination education and 86.0% reported having ready access to vaccine guidelines and safety data. Most residents knew that asplenia (78.2%), pulmonary disease (77.3%), and HIV/AIDS (69.4%) are indications for vaccination but less knew that cardiovascular disease (45.0%), diabetes (35.8%), asthma (42.8%), nephrotic syndrome (19.7%), and renal failure (33.6%) are also indications for vaccination.
  
  
  CONCLUSIONS
  OB/GYN residents are taught about vaccines and have ready access to vaccine guidelines and safety data. However, knowledge of indications for pneumococcal vaccination in pregnancy is lacking. Likely, the opportunity to vaccinate at-risk pregnant patients is being missed.
authors.affiliation: Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA 98195, USA.
authors.forename: Emily E
authors.initials: EE
authors.lastname: Fay
authors.affiliation: Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53726, USA.
authors.forename: Kara K
authors.initials: KK
authors.lastname: Hoppe
authors.affiliation: Department of Research, American College of Obstetricians and Gynecologists, Washington, DC 20024, USA.
authors.forename: Jay
authors.initials: J
authors.lastname: Schulkin
authors.affiliation: Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA 98195, USA; Department of Global Health, University of Washington School of Medicine, Seattle, WA 981985, USA.
authors.forename: Linda O
authors.initials: LO
authors.lastname: Eckert
mesh_terms: D005260:Female; D006176:Gynecology / Q000193:education; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006306:Health Surveys; D006801:Humans; D007396:Internship and Residency; D008297:Male; D009774:Obstetrics / Q000193:education; D011008:Pneumococcal Infections / Q000517:prevention & control; D022242:Pneumococcal Vaccines; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control; D014611:Vaccination
chemical_list: D022242:Pneumococcal Vaccines