126. Vaccination Practices of Obstetrician/Gynecologists
Session: Oral Abstract Session: Newer and Older Vaccines in Older Adults
Thursday, October 27, 2016: 10:30 AM
Room: 388-390
Background: Obstetrician/gynecologists (ob/gyns) have the potential to play a critical role as vaccinators of women. Our objectives were to determine: 1) current practices related to assessment of vaccination status and vaccine delivery for pregnant (PP) and non-pregnant (NPP) patients; and 2) perceived barriers to administering vaccines.

Methods: An e-mail and mail survey among a national sample of ob/gyns conducted 7-10/2015.

Results: The response rate was 73.2% (353/482). For PP, vaccination status was most commonly assessed for influenza (97% reported assessing), tetanus-diphtheria-acellular pertussis (Tdap) (92%), and measles-mumps-rubella (MMR) vaccines (88%). For NPP, vaccines most commonly assessed were human papillomavirus (HPV) (92%), influenza (82%), and Tdap (51%). Among the 90% of respondents reporting administering ≥1 vaccine in their practice, those most commonly administered to PP included influenza (85% reported administering) and Tdap (76%). For NPP, vaccines most commonly administered were HPV (82%), influenza (70%), and Tdap (55%). Few respondents reported administering any other vaccines to either group. Standing orders were more commonly used for influenza (66% PP, 51% NPP) than Tdap (39% PP, 37% NPP). Other evidence-based strategies for increasing vaccine uptake were less frequently used (electronic decision support, 42% PP, 38% NPP; immunization information system (IIS) to record vaccinations (13% for both) or assess vaccination status (11% PP, 12% NPP); reminder/recall, 7% PP, 9% NPP). Items most commonly reported as major barriers to stocking and administering vaccines included inadequate reimbursement for vaccine purchase (30%) and administration (25%), difficulty determining if insurance will reimburse for a vaccine (25%), upfront costs of buying vaccines (25%), and other preventive services taking precedence during time-limited visits (22%).

Conclusion: While most ob/gyns administer vaccines, the focus remains on influenza and Tdap for PP and HPV for NPP. Perceived barriers were primarily financial. Identifying and implementing strategies for ob/gyn practices will help to increase adult vaccination uptake.

Sean O'leary, MD, MPH1, Laura Riley, MD2, Megan C. Lindley, MPH3, Mandy Allison, MD, MSPH4, Alison Albert, MPH5, Alison Fisher, MPH5, Angela Jiles, MPH5, Lori Crane, PhD, MPH6, Laura Hurley, MD, MPH7, Brenda Beaty, MSPH8, Michaela Brtnikova, PhD9 and Allison Kempe, MD, MPH10, (1)Pediatric Infectious Diseases, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO, (2)Obstetrics Gynecology & Repro. Bio., Massachusetts General Hospital, Boston, MA, (3)Centers for Disease Control and Prevention, Atlanta, GA, (4)Pediatrics, University of Colorado, Aurora, CO, (5)CDC, Atlanta, GA, (6)Colorado School of Public Health, Aurora, CO, (7)Denver Health, Denver, CO, (8)University of Colorado Anschutz Medical Campus, Aurora, CO, (9)Children's Hospital Colorado, Aurora, CO, (10)Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO


S. O'leary, None

L. Riley, None

M. C. Lindley, None

M. Allison, None

A. Albert, None

A. Fisher, None

A. Jiles, None

L. Crane, None

L. Hurley, None

B. Beaty, None

M. Brtnikova, None

A. Kempe, None

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