{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T10:02:52Z","timestamp":1785578572501,"version":"3.56.0"},"reference-count":18,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,5,1]]},"abstract":"<jats:p>Objectives. To determine physician success at designing catch-up regimens for children delayed in immunizations and physician knowledge regarding contraindications to immunization.<\/jats:p><jats:p>Methods. A self-administered survey was completed by pediatricians, general practitioners, and family practitioners in Cook County, Illinois. Surveys included 6 open-ended vignettes describing hypothetical children delayed in immunization for whom participants were asked to design catch-up regimens. Bivariate and multivariate logistic regression were used to determine predictors of correct response. The surveys also inquired about management of scenarios that might be perceived as contraindications to immunize with the Haemophilus influenzae type b or measles-mumps-rubella vaccines.<\/jats:p><jats:p>Results. The mean score of correct responses was 1.83 of a possible 6.0. Almost one third of respondents answered all 6 vignettes incorrectly. The proportion of incorrect responses was high for all 6 vignettes (39%\u201386%), but higher for questions that addressed the immunization of children older than 12 months. Errors in vaccine administration were most commonly attributed to omitted vaccines, with varicella-zoster vaccine and pneumococcal conjugate vaccine omitted most frequently. Pediatricians were &amp;gt;4 times more likely to answer correctly than were family practitioners. Participants in the Vaccines for Children (VFC) program were more than twice as likely to answer correctly than were non-VFC providers. Knowledge of contraindications was inconsistent, particularly for measles-mumps-rubella vaccine.<\/jats:p><jats:p>Conclusions. Childhood vaccine providers have substantial knowledge deficits of recommended immunization schedules and vaccine contraindications that may contribute to missed opportunities to immunize. Pediatricians and participants in the VFC program were more successful at designing catch-up regimens for children with immunization delay.<\/jats:p>","DOI":"10.1542\/peds.111.5.925","type":"journal-article","created":{"date-parts":[[2004,8,14]],"date-time":"2004-08-14T00:43:47Z","timestamp":1092444227000},"page":"925-932","source":"Crossref","is-referenced-by-count":54,"title":["Physician Knowledge of Catch-up Regimens and Contraindications for Childhood Immunizations"],"prefix":"10.1542","volume":"111","author":[{"given":"Nicole J.","family":"Cohen","sequence":"first","affiliation":[{"name":"Pediatric Immunization Program, the Department of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane S.","family":"Lauderdale","sequence":"additional","affiliation":[{"name":"Department of Health Studies, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya B.","family":"Shete","sequence":"additional","affiliation":[{"name":"Pediatric Immunization Program, the Department of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John B.","family":"Seal","sequence":"additional","affiliation":[{"name":"Pediatric Immunization Program, the Department of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S.","family":"Daum","sequence":"additional","affiliation":[{"name":"Pediatric Immunization Program, the Department of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2003,5,1]]},"reference":[{"key":"2021121003360621800_R1","unstructured":"American Academy of Pediatrics. Active Immunization. In: Pickering LK, ed. 2000 Red Book: Report of the Committee on Infectious Diseases, 25th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2000:6\u201341"},{"key":"2021121003360621800_R2","unstructured":"Atkinson WL, Pickering LK, Schwartz B, Weniger BG, Iskander JK, Watson JC. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP). MMWR CDC Surveill Summ.2002;51(RR-2):1\u201335"},{"key":"2021121003360621800_R3","doi-asserted-by":"crossref","unstructured":"Farizo KM, Stehr-Green PA, Markowitz LE, Patriarca PA. Vaccination levels and missed opportunities for measles vaccination: a record audit in a public pediatric clinic. Pediatrics.1992;89:589\u2013592","DOI":"10.1542\/peds.89.4.589"},{"key":"2021121003360621800_R4","doi-asserted-by":"crossref","unstructured":"Holt E, Guyer B, Hughart N, et al. The contribution of missed opportunities to childhood underimmunization in Baltimore. Pediatrics.1996;97:474\u2013480","DOI":"10.1542\/peds.97.4.474"},{"key":"2021121003360621800_R5","doi-asserted-by":"crossref","unstructured":"Fairbrother G, Friedman S, DuMont KA, Lobach KS. Markers for primary care: missed opportunities to immunize and screen for lead and tuberculosis by private physicians serving large numbers of inner-city Medicaid-eligible children. Pediatrics.1996;97:785\u2013790","DOI":"10.1542\/peds.97.6.785"},{"key":"2021121003360621800_R6","doi-asserted-by":"crossref","unstructured":"Wood D, Schuster M, Donald-Sherbourne C, Duan N, Mazel R, Halfon N. Reducing missed opportunities to vaccinate during child health visits: how effective are parent education and case management?Arch Pediatr Adolesc Med.1998;152:238\u2013243","DOI":"10.1001\/archpedi.152.3.238"},{"key":"2021121003360621800_R7","unstructured":"Lauderdale DS, Daum RS, Blankenburg RL, Davis MM. Delayed receipt of the first DTaP vaccine: why does it predict subsequent immunization status? National Immunization Conference, Atlanta, GA, May 2001;Abstract 40:33"},{"key":"2021121003360621800_R8","doi-asserted-by":"crossref","unstructured":"Zimmerman RK, Nowalk MP, Mieczkowski TA, Mainzer HM, Jewell IK, Raymund M. The vaccines for children program: policies, satisfaction, and vaccine delivery. Am J Prev Med.2001;21:243\u2013249","DOI":"10.1016\/S0749-3797(01)00359-2"},{"key":"2021121003360621800_R9","doi-asserted-by":"crossref","unstructured":"Zimmerman RK, Mieczkowski TA, Mainzer HM, et al. Effect of the Vaccines for Children program on physician referral of children to public vaccine clinics: a pre-post comparison. Pediatrics.2001;108:297\u2013304","DOI":"10.1542\/peds.108.2.297"},{"key":"2021121003360621800_R10","doi-asserted-by":"crossref","unstructured":"Szilagyi PG, Humiston SG, Pollard Shone L, Kolasa MS, Rodewald LE. Decline in physician referrals to health department clinics for immunizations: the role of vaccine financing. Am J Prev Med.2000;18:318\u2013324","DOI":"10.1016\/S0749-3797(00)00120-3"},{"key":"2021121003360621800_R11","doi-asserted-by":"crossref","unstructured":"Zimmerman RK, Van Cleve SN, Medsger AR, Raymund M, Ball JA. Does the Vaccines for Children program influence pediatric nurse practitioner referral of disadvantaged children to public vaccine clinics?Matern Child Health J.2000;4:53\u201358","DOI":"10.1023\/A:1009582919267"},{"key":"2021121003360621800_R12","doi-asserted-by":"crossref","unstructured":"Wood D, Halfon N, Pereyra M, Hamlin JS, Grabowsky M. Knowledge of the childhood immunization schedule and of contraindications to vaccinate by private and public providers in Los Angeles. Pediatr Infect Dis J.1996;15:140\u2013145","DOI":"10.1097\/00006454-199602000-00010"},{"key":"2021121003360621800_R13","doi-asserted-by":"crossref","unstructured":"Goldstein KP, Lauderdale DS, Glushak C, Walter J, Daum RS. Immunization outreach in an inner-city housing development: reminder-recall on foot. Pediatrics.1999;104(6). Available at www.pediatrics.org\/cgi\/content\/full\/104\/6\/e69","DOI":"10.1542\/peds.104.6.e69"},{"key":"2021121003360621800_R14","doi-asserted-by":"crossref","unstructured":"Goldstein KP, Philipson TJ, Joo H, Daum RS. The effect of epidemic measles on immunization rates. JAMA.1996;276:56\u201358","DOI":"10.1001\/jama.276.1.56"},{"key":"2021121003360621800_R15","doi-asserted-by":"crossref","unstructured":"Wood D, Donald-Sherbourne C, Halfon N, et al. Factors related to immunization status among inner-city Latino and African-American preschoolers. Pediatrics.1995;96:295\u2013301","DOI":"10.1542\/peds.96.2.295"},{"key":"2021121003360621800_R16","doi-asserted-by":"crossref","unstructured":"Santoli JM, Rodewald LE, Maes EF, Battaglia MP, Coronado VG. Vaccines for Children program, United States, 1997. Pediatrics.1999;104(2). Available at www.pediatrics.org\/cgi\/content\/full\/104\/2\/e15","DOI":"10.1542\/peds.104.2.e15"},{"key":"2021121003360621800_R17","doi-asserted-by":"crossref","unstructured":"Rothberg M, Bennish ML, Kao JS, Wong JB. Do the benefits of varicella vaccination outweigh the long-term risks? A decision-analytic model for policymakers and pediatricians. Clin Infect Dis.2002;34:885\u2013894","DOI":"10.1086\/338956"},{"key":"2021121003360621800_R18","unstructured":"Cummings SM, Savitz LA, Konrad TR. Reported response rates to mailed physician questionnaires. Health Serv Res.2001;35:1347\u20131355"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/111\/5\/925\/1002232\/pe0503000925.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/111\/5\/925\/1002232\/pe0503000925.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,29]],"date-time":"2023-04-29T05:42:39Z","timestamp":1682746959000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/111\/5\/925\/63309\/Physician-Knowledge-of-Catch-up-Regimens-and"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,5,1]]},"references-count":18,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2003,5,1]]},"published-print":{"date-parts":[[2003,5,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.111.5.925","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,5,1]]}}}