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Redundancy of roles by physicians in charge of paediatric diabetes is a barrier to flu immunisation
  1. Antonietta Giannattasio1,
  2. Andrea Lo Vecchio1,
  3. Adriana Franzese1,
  4. Francesco Prisco2,
  5. Pasquale Femiano3,
  6. Alfredo Guarino1
  1. 1Department of Paediatrics, University Federico II, Naples, Italy
  2. 2Department of Paediatrics, Second University of Naples, Naples, Italy
  3. 3Department of Paediatrics, “Sant'Anna e San Sebastiano” Hospital, Caserta, Italy
  1. Correspondence to Alfredo Guarino, Department of Paediatrics, University “Federico II”, Via S. Pansini 5, 80131 Naples, Italy; alfguari{at}

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Flu vaccination is recommended for children with chronic diseases, including diabetes.1 However, the vaccination rate in at-risk children remains low.2 3 For an effective immunisation strategy, physicians caring for at-risk children should do three things: provide correct information to parents, administer vaccine and verify correct immunisation during follow-up or routine medical visits. In Italy, at-risk children are seen by primary care physicians and by physicians in reference centres; they may also receive vaccination in vaccination centres.

We analysed the rates and the determinants of flu vaccination in the 2008–2009 season in 205 children (105 boys; mean age 12.6±3.7 years) with type …

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