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Research Paper
New Combined Tetanus-Diptheria-Acellular Pertussis Vaccines for Adults: Primary Care Physician Attitudes and Preferences
Matthew M. Davis, Katrina Kretsinger, Anne E. Cowan, Shannon Stokley and Sarah J. Clark
volume 3 | issue 4
july/augustPages: 130 - 134
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Availability of combined tetanus-diphtheria-acellular pertussis (Tdap) vaccines for adults offers a new pertussis prevention strategy for the US. Successful uptake of Tdap vaccine will depend partly on the attitudes and practices of primary care physicians, including their experience with Td boosters. We conducted a mail survey in August 2005 of a national random sample of 399 family physicians (FPs) and 399 general internists (IMs) to assess practices related to Td boosters, clinical experience with pertussis, and attitudes toward a potential Tdap vaccine recommendation for adults. The response rate was 49% (52% FPs, 46% IMs). Among 336 eligible respondents, half reported having clinical experience with pertussis. Most (81%) would recommend Tdap vaccine for their adult patients, and 73% support targeting adults likely to come in close contact with infants. Attitudes toward a potential Tdap vaccine recommendation differed by whether providers stock and administer Td boosters. We conclude that adult primary care providers in the US are likely to recommend Tdap vaccine to their adult patients, in concordance with recent national recommendations. Future research should assess the extent to which barriers impede adoption of Tdap vaccine recommendations.
Authors
Matthew M. Davis
University of Michigan, Ann Arbor, Michigan USA
Katrina Kretsinger
Centers for Disease Control and Prevention, Atlanta, Georgia USA
Anne E. Cowan
University of Michigan, Ann Arbor, Michigan USA
Shannon Stokley
Centers for Disease Control and Prevention, Atlanta, Georgia USA
Sarah J. Clark
University of Michigan, Ann Arbor, Michigan USA
We now provide open access to journal articles published online for one year or more. This article may be downloaded at the following link:
Download PDF If the document does not open, please right-click on the link (control-click on a Macintosh) and select the option to save the file to disk.