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Learning Objectives for this Presentation:
By the end of the presentation, participants will be able to:
• describe how to evaluate birthing facilities' compliance with perinatal hepatitis B laws and recommendations
• discuss the extent to which Florida's birthing facilities were in compliance with perinatal hepatitis B prevention laws and recommendations
Background:
In 2004/05, the Florida Department of Health's Bureau of Immunization conducted a survey of birthing facilities across the state to assess hepatitis B screening and vaccination practices and documentation of those practices; and, to measure compliance with perinatal hepatitis B prevention laws and recommendations.
Methods:
A random sample of 449 births occurring between January 1 and December 31, 2003 was selected from 209,185 Florida birth certificates. The births occurred in 95 of the 120 birthing hospitals and facilities. Persons from Haitian and Asian/Pacific Islander ethnic groups were intentionally over-sampled. We reviewed maternal and infant medical records to determine screening and vaccination practices, as well as the completeness of documentation.
Results:
The main outcome measures are maternal hepatitis B screening status, infant vaccination status, infant's prophylaxis status, hepatitis B seroprevalence, demographic and clinical predictors for maternal infection, failure to screen and failure to vaccinate. Results are expected by mid-July, 2005.
Letters with the study results will be sent to the participating facilities and all 67 perinatal hepatitis B prevention coordinators. Awareness of the importance of maternal HBsAg screening and complete documentation on medical charts is expected to increase.
Conclusions:
The primary anticipated conclusion is the continued usefulness of surveys of hospital labor and delivery records as a method to enhance compliance with laws regarding hepatitis B maternal screening and newborn vaccination practices.
See more of Poster Session #1
See more of The 2005 National Viral Hepatitis Prevention Conference