|
|
Learning Objectives for this Presentation:
By the end of the presentation participants will be able to evaluate hospitals' compliance with national recommendations for preventing perinatal hepatitis B infections and describe processes to educate hospital staff about implementing prevention strategies.
Background:
In Chicago, approximately 270 infants are born to hepatitis B infected women, annually. Ensuring that these infants receive post-exposure prophylaxis (i.e., HBIG and hepatitis B vaccine) is dependent on hospitals implementing national recommendations (i.e., assessing maternal hepatitis B status upon admission, screening mothers who do not have hepatitis B serology results available, and documenting maternal hepatitis B status in maternal and infant charts).
Methods:
In 2002, the Chicago Department of Public Health (CDPH) reviewed maternal and infant charts in 18 birthing hospitals. CDPH staff used a Lot Quality Assurance (LQA) protocol to evaluate hepatitis B screening practices. Sixty chart pairs were randomly selected from each hospital. Every 3rd chart pair from the 60 pairs was reviewed. If ≥ 4 charts did not include maternal hepatitis B results, the remaining charts were reviewed.
Feedback sessions conducted for participating hospitals included a summary of the chart reviews and suggestions for improving hepatitis B screening, chart documentation, and instituting the universal birth dose of hepatitis B.
Results:
Of the 533 maternal charts reviewed, 364 (68%) included documentation of pre-natal screening results. Of the 169 charts without prenatal screening results, only 134 (79%) included admission screening results. Of 533 infant charts reviewed, 379 (71%) included documentation of birth dose of hepatitis B vaccine.
Conclusions:
Several study participants were not documenting prenatal or admission hepatitis B screening results in maternal and infant charts. Additionally, several hospitals were not administering the birth dose of hepatitis B vaccine. Feedback sessions that included chart review results served as an opportunity to provide suggestions for improving perinatal hepatitis B prevention practices.
See more of Poster Session #1
See more of The 2005 National Viral Hepatitis Prevention Conference