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  1. Universal hepatitis B immunization.

    Article - En anglais

    Objective

    To determine the practices of US nurseries, neonatal intensive care units (NICUs), and pediatricians regarding universal hepatitis B vaccination.

    Design

    Descriptive cross-sectional survey.

    Participants

    One hundred forty term nurseries, 152 NICUs, and 157 pediatricians.

    Selection procedure

    Nurseries and NICUs were systematically sampled from the 1992 American Hospital Association Guide to provide equal sampling from each region of the country.

    Pediatricians were systematically sampled from a national list of practicing pediatricians supplied by Ross Laboratories to provide equal sampling from each state.

    Results

    The response rates were 95% (n=133) for term nurseries, 95% (n=144) for NICUs, and 83% (n=131) for pediatricians.

    Sixty-two nurseries (47%) provide routine hepatitis B vaccine (HBM) to their infants.

    Eighty-five NICUs (59%) routinely vaccinate their preterm infants ; 62 (73%) initiate the series just before discharge ; and 11 (13%) do so at birth.

    Principal reasons for not vaccinating include cost and a preference to allow the primary-care physician to initiate the series.

    One hundred ten (85%) pediatricians provide universal hepatitis B vaccination.

    Principal reasons for not vaccinating include cost and parents opting against vaccination.

    Conclusions

    More than half of NICUs provide HBM routinely to their preterm infants, predominantly just before hospital discharge.

    Mots-clés Pascal : Hépatite virale B, Virose, Infection, Nouveau né, Homme, Nourrisson, Enfant, Vaccination, Pratique professionnelle, Etats Unis, Amérique du Nord, Amérique, Prévention, Appareil digestif pathologie, Foie pathologie

    Mots-clés Pascal anglais : Viral hepatitis B, Viral disease, Infection, Newborn, Human, Infant, Child, Vaccination, Professional practice, United States, North America, America, Prevention, Digestive diseases, Hepatic disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0333432

    Code Inist : 002B05C02G. Création : 01/03/1996.