title: [Vaccination counselling: The meeting point is possible].
abstract: BACKGROUND
  There are recommendations for decision-making as regards parents who do not vaccinate their children, but there are few publications analysing this problem. In November 2014, a pioneer medical clinic opened in Spain, for counselling on immunisation practices. The aim of this study is to determine the success of the recommendations of the American and Spanish Paediatrics Associations according to the number of parents who finally accept vaccination.
  
  
  METHODS
  A descriptive, cross-sectional, prospective and single-centre study was conducted from November 2014 to March 2016. Children under the age of 16 not properly vaccinated, according to the immunisation schedule of the region where the study was conducted, were included after signing informed consent.
  
  
  RESULTS
  A total of 20 families were counselled. The median age of the children was 2 years, and 80% of them received no vaccine. Absolute non-acceptance of vaccination was practiced by 45% of parents. The main reasons for not vaccinating were: 100% thimerosal-containing, 90% risk of autism, 85% aluminium-containing, 70% presence of other stabilisers and preservatives, and 65% risk of anaphylaxis. The immunisation advice was said to be helpful by 90% of parents. Vaccination was accepted by 90% of parents (45% completely).
  
  
  CONCLUSIONS
  Anti-vaccination ideologies are strong and hard to change. Paediatricians not denying medical care to parents who endanger the lives of their own children are also hard to find. The meeting point is possible, and society needs it. Active listening, empathy, and good quality information were the keys to our results.
authors.affiliation: Servicio de Pediatría y Neonatología, Hospital General de Villalba, Collado Villalba, Madrid, España. Electronic address: roi.pineiro@hgvillalba.es.
authors.forename: Roi
authors.initials: R
authors.lastname: Piñeiro Pérez
authors.affiliation: Servicio de Pediatría y Neonatología, Hospital General de Villalba, Collado Villalba, Madrid, España.
authors.forename: Diego
authors.initials: D
authors.lastname: Hernández Martín
authors.affiliation: Servicio de Pediatría y Neonatología, Hospital General de Villalba, Collado Villalba, Madrid, España.
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: Carro Rodríguez
authors.affiliation: Servicio de Pediatría y Neonatología, Hospital General de Villalba, Collado Villalba, Madrid, España.
authors.forename: María
authors.initials: M
authors.lastname: de la Parte Cancho
authors.affiliation: Servicio de Pediatría y Neonatología, Hospital General de Villalba, Collado Villalba, Madrid, España.
authors.forename: Esther
authors.initials: E
authors.lastname: Casado Verrier
authors.affiliation: Servicio de Pediatría y Neonatología, Hospital General de Villalba, Collado Villalba, Madrid, España.
authors.forename: Sonsoles
authors.initials: S
authors.lastname: Galán Arévalo
authors.affiliation: Servicio de Pediatría y Neonatología, Hospital General de Villalba, Collado Villalba, Madrid, España.
authors.forename: Iván
authors.initials: I
authors.lastname: Carabaño Aguado
mesh_terms: D000328:Adult; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D037001:Directive Counseling / Q000592:standards*; D017408:Guidelines as Topic; D006801:Humans; D010290:Parents; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011446:Prospective Studies; D014611:Vaccination / Q000706:statistics & numerical data*
keywords: Children; Educación para la salud; Education for health; Immunisation; Inmunización; Niños; Vaccination; Vaccines; Vacunación; Vacunas