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	Institution: CLOCKSS  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 3 No. 7, July 1994   Archives  • Online Features Brief Reports  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal Multiple Immunizations Ouch! Shoshana T. Melman, MD; Tejpal Chawla; J. Martin Kaplan, MD; Ran D. Anbar, MD Arch Fam Med. 1994;3(7):615-617. Abstract The purpose of this study was to determine the stated willingness of parents/caretakers to allow the administration of multiple, injected immunizations to their children at a single visit. Two hundred eighty-one parents/caretakers accompanying their children to an inner-city pediatric clinic were presented with hypothetical situations in which their children would be due for two, three, or four injections to complete their series of age-appropriate immunizations. Given a scenario of two needed injections, 24 (8.5%) of the 281 parents/caretakers preferred to divide the injections between two visits; for three injections, 119 (42.3%) preferred two visits; and for four injections, 164 (58.4%) preferred two visits. The commonly stated preference of our predominantly minority parent/caretaker population to divide more than two injections between two visits seriously conflicts with the US Public Health Service's National Vaccine Advisory Committee's recommendations and potentially exacerbates immunization delays. Therefore, physicians must be prepared to strongly urge simultaneous administration of all needed vaccine doses at any opportunity. Author Affiliations From the Department of Pediatrics, Hahnemann University Hospital, Philadelphia, Pa (Drs Melman, Kaplan, and Anbar). Mr Chawla is an undergraduate student at Boston (Mass) University. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Financial Barriers to the Adoption of Combination Vaccines by Pediatricians Gidengil et al. Arch Pediatr Adolesc Med 2010;164:1138-1143. ABSTRACT | FULL TEXT   Financial Barriers to Implementing Combination Vaccines: Perspectives From Pediatricians and Policy Makers Gidengil et al. CLIN PEDIATR 2009;48:539-547. ABSTRACT   Use of a New Combined Vaccine in Pediatric Practices Freed et al. Pediatrics 2006;118:e251-e257. ABSTRACT | FULL TEXT   Clinician Satisfaction with Vaccination Visits and the Role of Multiple Injections, Results from the Covise Study (Combination Vaccines Impact on Satisfaction and Epidemiology) Meyerhoff et al. CLIN PEDIATR 2004;43:87-93. ABSTRACT   Safety and efficacy of combination vaccines Elliman and Bedford BMJ 2003;326:995-996. FULL TEXT   Variation in Clinician Recommendations for Multiple Injections During Adoption of Inactivated Polio Vaccine Lieu et al. Pediatrics 2001;107:e49-e49. ABSTRACT | FULL TEXT   Parental Compliance With Multiple Immunization Injections Melman et al. Arch Pediatr Adolesc Med 1999;153:1289-1291. ABSTRACT | FULL TEXT   Combination Vaccines for Childhood Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP) Committee on Infectious Diseases, 1998-1999 Pediatrics 1999;103:1064-1077. FULL TEXT   Impact of the Sequential IPV/OPV Schedule on Vaccination Coverage Levels--United States, 1997 JAMA 1999;281:223-224. FULL TEXT   Calculating a Clinic's Childhood Immunization Rate: Costs and Returns Chapman and Hacker Arch Fam Med 1995;4:625-627. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1994 American Medical Association. All Rights Reserved.