Factors associated with incomplete vaccination of babies at risk of perinatal hepatitis B transmission: A London study in 2006

被引:24
作者
Giraudon, Isabelle [1 ]
Permalloo, Nadia [2 ]
Nixon, Grainne [3 ]
Charlett, Andre [4 ]
Cohuet, Sandra [1 ,5 ]
Mandal, Sema [1 ]
Ramsay, Mary [4 ]
Patel, Bharat C. [1 ,6 ]
Maguire, Helen [1 ,7 ]
机构
[1] Hlth Protect Agcy, London Reg Epidemiol Unit, London, England
[2] Antenatal Screening Coordinat London Reg Westmins, London, England
[3] NE & Cent London, Hlth Protect Unit, London, England
[4] Ctr Infect, Hlth Protect Agcy, London, England
[5] European Programme Intervent Epidemiol Training, London, England
[6] N Middlesex Univ Hosp, London, England
[7] Univ London St Georges Hosp, Sch Med, London SW17 0RE, England
关键词
Hepatitis B; Immunization; Perinatal transmission; RETROSPECTIVE AUDIT; IMMUNIZATION; PREVENTION;
D O I
10.1016/j.vaccine.2008.12.016
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We measured the hepatitis B (HB) vaccination uptake in 249 London babies born in 2004 to HBsAg positive mothers. Two thirds (69%) received three vaccinations and half (49%, 95% CI 43-56) received a complete course (four doses). Complete immunization was associated with sector of delivery (p < 0.001), recording of the GP details in case notes, having booked for antenatal care, having a good command of English, and receipt of written information on HB. A third of the babies (33%) had a post-vaccination test; when the mother had other children, 39% of the oldest children were vaccinated; information on partner's vaccination was available for 12%. This study highlights that appropriate counseling and information should be provided to the mothers, and the importance in London of arrangements for integrated care across acute and primary care services. (C) 2008 Elsevier Ltd. All rights reserved
引用
收藏
页码:2016 / 2022
页数:7
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