 |
|
Hospital-Based Evaluation of Programs to Prevent Perinatal Hepatitis B Virus Transmission
Hussain R. Yusuf, MBBS, MPH;
Francis J. Mahoney, MD;
Craig N. Shapiro, MD;
Eric E. Mast, MD, MPH;
Louis Polish, MD
Arch Pediatr Adolesc Med. 1996;150(6):593-597.
Abstract
| |
Objective
To evaluate the frequency of hepatitis B surface antigen (HBsAg) screening of pregnant women in the United States and factors associated with the lack of screening.
Design
A random sample of 200 hospitals with 100 or more births per year was surveyed with regard to policy and practices. Each hospital was also asked to provide maternal screening and infant follow-up data for the first 25 infants who were born on or after March 1, 1993.
Results
Of 183 participating hospitals, 137 (75%) had maternal HBsAg screening policies, and 102 (56%) had standing orders for HBsAg testing of pregnant women who were admitted without prior screening. Hospitals that were located in states with laws that required maternal HBsAg screening were more likely to have a written screening policy (prevalence ratio [PR], 1.7; 95% confidence interval [CI], 1.2-2.4) and a standing order (PR, 1.7; 95% CI, 1.4-2.2). A lack of screening was related to delivery in hospitals without screening policies (PR, 3.4; 95% CI, 1.3-8.9) or standing orders (PR, 2.8; 95% CI, 1.2-6.2), and to the infant's provider being a family practitioner (PR, 1.7; 95% CI, 1.1-2.7). Among the 3982 infants for whom data were available, 3342 (84%) were born to mothers who had undergone screening for HBsAg.
Conclusions
These findings suggest that hospitals should develop specific policies for HBsAg screening, states should enact laws that require maternal screening, and additional education of health care providers is needed with regard to the screening of all pregnant women for HBsAg.
(Arch Pediatr Adolesc Med. 1996;150:593-597)
Author Affiliations
From the Cardiovascular Health Studies Branch, Division of Chronic Disease Control and Community Intervention, National Center for Chronic Disease Prevention and Health Promotion (Dr Yusuf) and Hepatitis Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases (Drs Mahoney, Shapiro, Mast, and Polish), Centers for Disease Control and Prevention, Atlanta, Ga, and the Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Conn (Dr Yusuf).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Hepatitis B Maternal Screening, Infant Vaccination, and Infant Prophylaxis Practices in North Carolina
Pierce et al.
Arch Pediatr Adolesc Med 1999;153:619-623.
ABSTRACT
| FULL TEXT
|
