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 XXXX with @entity16 .

@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']
@entity1 :: (9606,Species) :: ['children']
