BACKGROUND: Primary care physicians in Japan are often unwilling to vaccinate @entity1 with @entity16 . The aim of the present study was to determine the state of vaccination in @entity1 who are severely handicapped and/or have @entity410 , in order to increase the vaccination rate in this @entity1 population. METHODS: Six hundred and eighty pediatricians belonging to Osaka Shonika Ikai were asked to answer a questionnaire, and 359 doctors responded. RESULTS: Two hundred and thirty-four doctors consulted for @entity410 ( @entity410 ), 190 for @entity302 and 145 for conditions affecting severely handicapped @entity1 , responded that they refused to vaccinate. The reasons for reluctance to vaccinate these @entity1 were short interval since the last @entity410 , including febrile (226 doctors) and @entity302 (121 doctors) @entity410 . It was especially likely that a @entity1 with a past history of @entity159 would be refused vaccination. Primary care doctors are very cautious about the indications for vaccination, especially the inoculation of live vaccines, because they often induce post-vaccination fever-associated @entity410 . Intractable daily @entity302 was the most common reason for refusal to vaccinate severely handicapped @entity1 . Examples of inadequate decision-making as regards the indications for vaccination were: "need more than 6 months observation since last @entity410 whether @entity410 or @entity302 ", "need EEG examination for @entity410 ", "contraindication because of low bodyweight and/or chronic wheezing in severely handicapped @entity1 ". CONCLUSIONS: There is a need to provide correct information about the adverse effects of vaccination and for greater cooperation between primary care doctors and pediatric neurologists.

Survey of Japanese pediatricians on vaccination of @entity1 with XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patient', 'child'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure', 'seizures', 'convulsive disorders', 'convulsions', 'Fs', 'febrile seizures'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological disorders'] @entity302 :: ('MESH:D004827', 'Disease') :: ['epileptic seizures', 'epileptic', 'epilepsy'] @entity159 :: ('MESH:D013226', 'Disease') :: ['status epilepticus']
@entity16 :: (MESH:D009422,Disease) :: ['neurological disorders']
