{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T17:54:04Z","timestamp":1773078844626,"version":"3.50.1"},"reference-count":36,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,2,1]]},"abstract":"<jats:p>OBJECTIVE. We assessed physicians\u2019 attitudes about the 1-dose varicella vaccination program and whether physicians think a 2-dose recommendation is needed to reduce the risk of breakthrough disease.<\/jats:p>\n               <jats:p>METHODS. We conducted a national mail survey of a random sample of 550 pediatricians and 550 family physicians from April to June 2005. Physicians who provide outpatient primary care to children \u22646 years of age were eligible for analysis.<\/jats:p>\n               <jats:p>RESULTS. Surveys were returned by 727 respondents, for a response rate of 69%; 610 physicians were eligible. Most respondents (94%) recommend routine 1-dose varicella vaccination, and 79% have seen breakthrough disease in the past 5 years (95% of pediatricians and 58% of family physicians). The majority (68%) agreed or strongly agreed that the current burden of breakthrough disease is acceptable. Only 38% (46% of pediatricians and 28% of family physicians) agreed or strongly agreed that a second dose of varicella vaccine is needed to address the burden of breakthrough disease, whereas 40% were neutral. However, if the Advisory Committee on Immunization Practices were to recommend a second dose of varicella vaccine, then 65% of pediatricians and 39% of family physicians would likely follow the recommendation. Most respondents (78%) would be more willing to recommend a second dose if a combination measles-mumps-rubella-varicella vaccine was available.<\/jats:p>\n               <jats:p>CONCLUSIONS. Pediatricians and family physicians support the 1-dose varicella vaccination program. A new Advisory Committee on Immunization Practices recommendation for a second dose of varicella vaccine for children was issued after the survey (in June 2006). Two of 3 pediatricians and 2 of 5 family physicians stated that they would adopt a 2-dose recommendation in practice; rates of adoption may be bolstered with current availability of measles-mumps-rubella-varicella vaccine and harmonization of the varicella vaccination schedule with that of measles-mumps-rubella vaccine.<\/jats:p>","DOI":"10.1542\/peds.2006-0972","type":"journal-article","created":{"date-parts":[[2007,2,3]],"date-time":"2007-02-03T06:46:57Z","timestamp":1170485217000},"page":"258-264","source":"Crossref","is-referenced-by-count":5,"title":["Physician Attitudes Regarding Breakthrough Varicella Disease and a Potential Second Dose of Varicella Vaccine"],"prefix":"10.1542","volume":"119","author":[{"given":"Matthew M.","family":"Davis","sequence":"first","affiliation":[{"name":"Child Health Evaluation and Research Unit, Division of General Pediatrics"},{"name":"Division of General Internal Medicine"},{"name":"Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Marin","sequence":"additional","affiliation":[{"name":"National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne E.","family":"Cowan","sequence":"additional","affiliation":[{"name":"Child Health Evaluation and Research Unit, Division of General Pediatrics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dalya","family":"Guris","sequence":"additional","affiliation":[{"name":"National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah J.","family":"Clark","sequence":"additional","affiliation":[{"name":"Child Health Evaluation and Research Unit, Division of General Pediatrics"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2007,2,1]]},"reference":[{"key":"2021120823370317400_R1","unstructured":"American Academy of Pediatrics, Committee on Infectious Diseases. 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