| Autor: |
Anne, Lerat, Alain, Braillon, Dominique, Capron, Jean-Pierre, Tiberghien, Gérard, Dubois |
| Jazyk: |
francouzština |
| Rok vydání: |
2009 |
| Předmět: |
|
| Zdroj: |
Presse medicale (Paris, France : 1983). 39(9) |
| ISSN: |
2213-0276 |
| Popis: |
No French publication is available to assess the prevention of the hepatitis B transmission during delivery. The aim of this study was to evaluate the traceability and the compliance with the guidelines for administration of hepatitis B immune globulin (Ig) in public and private maternities of Picardy.We obtained the files of the mothers who were likely to be HBsAg + by a query in the medico-administrative data base (PMSI). Newborns who received hepatitis B Ig were obtained by the pharmacies and the obstetrical wards's registers and a PMSI query.Nineteen of 20 maternities participated to the study. One hundred and forty five files were identified (65 mothers HBsAg +, 75 HBsAg -, 5 unknown) and 81 hepatitis B Ig injections were rated in the file and 5 unrated. Twenty percent of the rated Ig injections (16/81) were not pertinent (new born from HbsAg - mothers). Dose complied with the guidelines (100 UI) in 85 % of cases and the schedule (within the 12 first hours after delivery) in 79 %. The traceability was present in 69 % of the files. As a whole, only 40 % (32/81) of Ig injections follow the guidelines indications (indication, recommended dose and time, traceability). A letter (for general practitioner, pediatrician or hepatologist) for follow up of the baby or/and the mother was found in 40 files out of 145.The prevention of the hepatitis B transmission during the delivery must be improved through a national strategy with a multi-professional mobilisation plus a local implementation. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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