PDF(Pubmed)
Abstract：
In 2020, a record number of tick-borne encephalitis (TBE) cases was reported in major endemic areas in Germany, i.e., the southern federal states of Baden-Wuerttemberg and Bavaria. Most cases were unvaccinated. Other tick-borne diseases (TBDs), including Lyme borreliosis and tularemia, are rising, too. Thus, strategies are needed to increase TBE vaccination uptake in risk areas and promote education on TBD prevention. Primary care physicians are key providers of both vaccinations and TBD education. The TBD-Prevention (TBD-Prev) study aimed to investigate the knowledge, attitudes and behaviors of primary care physicians in Baden-Wuerttemberg and Bavaria with regard to TBE vaccination and prevention of TBDs and to derive strategies for increasing vaccination rates and improving knowledge about TBE and other TBDs in the population and among primary care physicians. We invited all primary care physicians (N = 14,046) in both states to participate by mail. Using standardized, self-administered questionnaires, available both on paper and online, we asked physicians anonymously about their knowledge, attitudes and behaviors with respect to TBE vaccination and TBD prevention and their need for further information/educational materials. A total of 2321 physicians participated between May and September 2022 (response rate 17%), of whom 1222 (53%) worked in Baden-Wuerttemberg and 1067 (46%) in Bavaria. Among the participating physicians, 56% were male, 71% were >50 years and 51% worked in an individual practice. Furthermore, 91% were aware of the German national vaccination guidelines, and 98% perceived their knowledge of the risks and benefits of vaccination as adequate. A total of 97% offer TBE vaccinations, 67% provide vaccination counselling during initial consultations with new patients and 64% actively remind patients about due vaccinations. In addition, 24% expressed a need for further information materials, mainly traditional, analogue media such as flyers (82%) and posters (50%), and named timeliness, quality assurance, easy comprehensibility and independence from the pharmaceutical industry as the most important characteristics of such materials. Almost all participating physicians reported offering TBE vaccinations and feeling well-informed about TBE vaccination and TBDs. However, active offering of vaccinations and education could be further improved, and additional, low-threshold information materials are needed. Based on these results, we will develop and provide various materials on TBE vaccination and TBDs, in particular flyers and posters, for use by physicians during consultations.
摘要：
2020年，德国主要流行地区报告了创纪录的蜱传脑炎（TBE）病例，即，南部联邦州巴登-符腾堡州和巴伐利亚州。大多数病例未接种疫苗。其他蜱传疾病（TBD），包括莱姆病和塔拉热病，正在上升，也是。因此，我们需要制定策略,以提高风险地区的TBE疫苗接种率,并促进TBD预防教育.初级保健医生是疫苗接种和TBD教育的关键提供者。TBD-预防(TBD-Prev)研究旨在调查相关知识，巴登-符腾堡州和巴伐利亚州的初级保健医生对TBE疫苗接种和预防TBD的态度和行为，并得出提高疫苗接种率和提高人群和初级保健医生对TBE和其他TBD的认识的策略。我们邀请了两个州的所有初级保健医生（N=14046）通过邮件参与。使用标准化，自我管理问卷，无论是在纸上还是在网上，我们匿名询问医生关于他们的知识，关于TBE疫苗接种和TBD预防的态度和行为及其对进一步信息/教育材料的需求。2022年5月至9月期间，共有2321名医生参加（应答率17%），其中1222人（53％）在巴登-符腾堡州工作，1067人（46％）在巴伐利亚工作。在参与的医生中，56%为男性，71%的人>50岁，51%的人在个人诊所工作。此外，91%的人知道德国国家疫苗接种指南，98%的人认为他们对疫苗接种的风险和益处的了解是足够的。共有97％的人提供TBE疫苗接种，67％的人在与新患者的初次磋商中提供疫苗接种咨询，64％的人积极提醒患者适当的疫苗接种。此外,24%表示需要进一步的信息材料，主要是传统的,模拟媒体，如传单(82%)和海报(50%)，并命名为及时性，质量保证,容易理解和独立于制药行业是这种材料最重要的特点。几乎所有参与的医生都报告提供TBE疫苗接种，并对TBE疫苗接种和TBD了解得很好。然而,疫苗接种和教育的积极提供可以进一步改善，和额外的,需要低门槛的信息材料。基于这些结果,我们将开发并提供有关TBE疫苗接种和TBD的各种材料，特别是传单和海报，供医生在咨询期间使用。
