Objectives

To assess pediatricians’ mumps knowledge and testing practices, to identify physician and practice characteristics associated with mumps testing practices, and to assess reporting and outbreak response knowledge and practices.

Study design

Between January and April 2020, we surveyed a nationally representative network of pediatricians. Descriptive statistics were generated for all items. The χ² test, t tests, and Poisson regression were used to compare physician and practice characteristics between respondents who would rarely or never versus sometimes or often/always test for mumps in a vaccinated 17-year-old with parotitis in a non-outbreak setting.

Results

The response rate was 67% (297 of 444). For knowledge, more than one-half of the pediatricians responded incorrectly or “don’t know” for 6 of the 9 true/false statements about mumps epidemiology, diagnosis, and prevention, and more than one-half reported needing additional guidance on mumps buccal swab testing. For testing practices, 59% of respondents reported they would sometimes (35%) or often/always (24%) test for mumps in a vaccinated 17-year-old with parotitis in a non-outbreak setting; older physicians, rural physicians, and physicians from the Northeast or Midwest were more likely to test for mumps. Thirty-six percent of the pediatricians reported they would often/always report a patient with suspected mumps to public health authorities.

Conclusions

Pediatricians report mumps knowledge gaps and practices that do not align with public health recommendations. These gaps may lead to underdiagnosis and underreporting of mumps cases, delaying public health response measures and contributing to ongoing disease transmission.

中文翻译：

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儿科医生与腮腺炎诊断和预防相关的知识和实践

 目标

评估儿科医生的腮腺炎知识和检测实践，确定与腮腺炎检测实践相关的医生和实践特征，并评估报告和疫情应对知识和实践。

 研究设计

2020 年 1 月至 4 月期间，我们调查了具有全国代表性的儿科医生网络。为所有项目生成描述性统计数据。使用 χ ²检验、 t检验和泊松回归来比较很少或从不与有时或经常/总是对接种疫苗的 17 岁腮腺炎非疫情患者进行腮腺炎检测的受访者之间的医生和实践特征环境。

 结果

回复率为 67%（444 人中的 297 人）。在知识方面，超过一半的儿科医生对有关腮腺炎流行病学、诊断和预防的 9 个真/假陈述中的 6 个回答错误或“不知道”，超过一半的儿科医生报告需要有关腮腺炎的额外指导口腔拭子检测。对于检测实践，59% 的受访者表示，他们有时 (35%) 或经常/总是 (24%) 在非疫情环境中对接种疫苗的 17 岁腮腺炎患者进行腮腺炎检测；年长的医生、农村医生以及来自东北部或中西部的医生更有可能进行腮腺炎检测。百分之三十六的儿科医生表示，他们经常/总是向公共卫生当局报告疑似腮腺炎患者。

 结论

儿科医生报告说，流行性腮腺炎知识差距和做法与公共卫生建议不符。这些差距可能导致腮腺炎病例的诊断不足和报告不足，延误公共卫生应对措施并导致疾病持续传播。