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Evaluating Hepatitis B Universal Birth Dose Vaccination at Minnesota Birthing Hospitals by Utilizing Immunization Information Systems, Birth Certificates, and Chart Reviews, 20072008

White, Karen E. MPH; Anderson, Jeanne BSN, RN, CIC; Stanley, Marisa BS; Ehresmann, Kristen MPH, RN

Journal of Public Health Management & Practice:
doi: 10.1097/PHH.0b013e3181aab5e0
Article
Abstract

Objectives: The Minnesota Department of Health (MDH) examined hospital practices as recommended by the Advisory Committee on Immunization Practice in 2005 that hepatitis B vaccine should be administered universally to newborn infants prior to hospital discharge and within 12 hours of birth if their mothers test positive or are admitted with unknown status for hepatitis B surface antigen.

Methods: The MDH conducted a survey of perinatal hepatitis B birth dosing policies in Minnesota birthing hospitals, which prompted (1) and investigation of hospital birth dose rates from the Immunization Information System (IIS) and (2) a chart review of three selected hospitals with low rates.

Results: The (IIS) records of children born in Minnesota during 2007 and the first 5 months of 2008 showed a hepatitis B birth dose rate that was lower than expected (2007: 37%; 2008: 48%). The chart review of three hospitals with low birth does rates showed rates for the first 6 months of 2008 of 94%, 89%, and 91% compared with IIS rates of 1.4%, 40%, and 39% respectively, during the same time period.

Conclusions: These results prompted MDH to increase efforts to provide education to birth registrars on the importance of hepatitis B vaccine data on the birth certificate and to promote regular transmission of hospital vaccination data to the IIS.

In Brief

This study prompted increased efforts to provide education to birth registrars on the importance of hepatitis B vaccine data on the birth certificate and to promote regular transmission of hospital vaccination data to the IIS.

Author Information

Karen E. White, MPH, is Epidemiologist/Business Analyst, Minnesota Immunization Information Connection (MIIC), Minnesota Department of Health.

Jeanne Anderson, BSN, RN, CIC, is Program Manager, Perinatal Hepatitis B Prevention Unit, Minnesota Department of Health.

Marisa Stanley, BS, is Student Worker Paraprofessional, Minnesota Department of Health.

Kristen Ehresmann, MPH, RN, is Section Manager, Immunization, Tuberculosis and International Health, Minnesota Department of Health.

Corresponding Author: Karen E. White, MPH, Minnesota Department of Health, 625 Robert St N, Saint Paul, MN 55164 (karen.white@state.mn.us).

This work was supported by grant number H23/CCH522551 from the Centers for Disease Control and Prevention (CDC). The authors thank Susan Crowley, Elizabeth Esse, and Kristin Sweet of the Minnesota Department of Health for their assistance in collection of the data. They also thank Diana Bartlett, Karen Cullen, and James Singleton, Centers for Disease Control and Prevention, for reviewing the manuscript.

Disclaimer: The contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC.

© 2009 Lippincott Williams & Wilkins, Inc.