Uptake of newly introduced universal BCG vaccination in newborns.

Hdl Handle:
http://hdl.handle.net/10147/206258
Title:
Uptake of newly introduced universal BCG vaccination in newborns.
Authors:
Braima, O; Rigney, A; Ryan, C A; Murphy, C
Affiliation:
Department of Neonatology, Cork University Maternity Hospital, Wilton, Cork.
Citation:
Ir Med J. 2010 Jun;103(6):187-8.
Journal:
Irish medical journal
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/206258
PubMed ID:
20669606
Abstract:
Universal neonatal BCG vaccination was discontinued in Cork in 1972. Following an outbreak of TB in 2 creches in the HSE South, a universal BCG vaccination program was re-introduced in October 2008. The aim of this study was to determine the vaccination process (in-hospital and community) and the in-hospital uptake of the vaccine. Following informed parental consent, babies of birth weight > 2.5 Kg were eligible for in-hospital vaccination if they were not: febrile, jaundiced on phototherapy, on antibiotics and if not born to HIV- positive mothers. Parents of babies not vaccinated in-hospital were asked to book an appointment in either of the 2 Cork community clinics. The immunisation nurse collected data on BCG vaccination, prospectively. This study examined vaccination uptakes in-hospital and community over a 6 month period (October 2008 to March 2009). There were 4018 deliveries during the study period. In-hospital consent was declined in only 16 babies (<1%) while the in-hospital vaccination uptake was 80% of total liv births. Although 635 newborns were admitted to the NICU, only 46 (8%) were vaccinated while in the NICU. At least 48% of planned community vaccination has been achieved to date. In conclusion, in-hospital consent was almost universal and vaccination uptake was satisfactory. NICU exclusion criteria accounted for a significant proportion of non-vaccination in-hospital. These criteria need to be readdressed considering that all premature babies are given other routine newborn vaccines at 2 months of age, regardless of weight.
Language:
eng
MeSH:
BCG Vaccine/*administration & dosage; Female; Humans; Immunization Programs/*organization & administration; Infant, Newborn; Ireland/epidemiology; Male; Prospective Studies; Tuberculosis/epidemiology/*prevention & control
ISSN:
0332-3102 (Print); 0332-3102 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorBraima, Oen_GB
dc.contributor.authorRigney, Aen_GB
dc.contributor.authorRyan, C Aen_GB
dc.contributor.authorMurphy, Cen_GB
dc.date.accessioned2012-01-31T16:43:46Z-
dc.date.available2012-01-31T16:43:46Z-
dc.date.issued2012-01-31T16:43:46Z-
dc.identifier.citationIr Med J. 2010 Jun;103(6):187-8.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid20669606en_GB
dc.identifier.urihttp://hdl.handle.net/10147/206258-
dc.description.abstractUniversal neonatal BCG vaccination was discontinued in Cork in 1972. Following an outbreak of TB in 2 creches in the HSE South, a universal BCG vaccination program was re-introduced in October 2008. The aim of this study was to determine the vaccination process (in-hospital and community) and the in-hospital uptake of the vaccine. Following informed parental consent, babies of birth weight > 2.5 Kg were eligible for in-hospital vaccination if they were not: febrile, jaundiced on phototherapy, on antibiotics and if not born to HIV- positive mothers. Parents of babies not vaccinated in-hospital were asked to book an appointment in either of the 2 Cork community clinics. The immunisation nurse collected data on BCG vaccination, prospectively. This study examined vaccination uptakes in-hospital and community over a 6 month period (October 2008 to March 2009). There were 4018 deliveries during the study period. In-hospital consent was declined in only 16 babies (<1%) while the in-hospital vaccination uptake was 80% of total liv births. Although 635 newborns were admitted to the NICU, only 46 (8%) were vaccinated while in the NICU. At least 48% of planned community vaccination has been achieved to date. In conclusion, in-hospital consent was almost universal and vaccination uptake was satisfactory. NICU exclusion criteria accounted for a significant proportion of non-vaccination in-hospital. These criteria need to be readdressed considering that all premature babies are given other routine newborn vaccines at 2 months of age, regardless of weight.en_GB
dc.language.isoengen_GB
dc.subject.meshBCG Vaccine/*administration & dosageen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshImmunization Programs/*organization & administrationen_GB
dc.subject.meshInfant, Newbornen_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshTuberculosis/epidemiology/*prevention & controlen_GB
dc.titleUptake of newly introduced universal BCG vaccination in newborns.en_GB
dc.contributor.departmentDepartment of Neonatology, Cork University Maternity Hospital, Wilton, Cork.en_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceMunster-

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