caa a22 4500 397577753 CHVBK 20180308164900.0 cr unu---uuuuu 161202e199609 xx s 000 0 eng 10.1093/oxfordjournals.pubmed.a024511 doi (NATIONALLICENCE)oxford-10.1093/oxfordjournals.pubmed.a024511 Improving the coverage of neonatal BCG vaccination [Elektronische Daten] [David Chappel, Vasco Fernandes] Background It is recommended that neonates at higher risk of contracting tuberculosis (such as in certain ethnic groups) should be vaccinated with BCG as soon as possible after birth. In Milton Keynes, during the late 1980s, there was anecdotal evidence to suggest that many higher-risk cases were not receiving BCG vaccination. The objectives of the study were to audit the neonatal BCG vaccination programme and to develop a system for improving and monitoring coverage. Method Two main sources of data were used: the obstetric computer, which gave the denominator of women considered to be in a higher-risk group, and the community child health computer, which gave the numerator of BCG vaccinations given. A case note audit was used to check the quality of these data. A computer-generated reminder was used to make sure that the antenatal assessment of risk was known about immediately after delivery. Results Estimated vaccine coverage rose from about 20 percent (1988-1990) to 78 percent by 1993. The audit suggested that about 8 per cent of vaccinations were not being recorded and 9 per cent were given unnecessarily. In addition, about 2 percent were picked up postnatally and 1 percent were missed completely Conclusion Improved coverage and adequate monitoring can be achieved using the two computerized systems. This method has applications to other conditions where antenatal assessment can predict risk for a neonate, such as Hepatitis B or sickle cell disease. © Oxford University Press Articles nationallicence Chappel David Department of Public Health Medicine, Buckinghamshire Health Authority, Milton Keynes Hospital Campus, Milton Keynes MK6 5LD aut Fernandes Vasco Department of Public Health Medicine, Buckinghamshire Health Authority, Milton Keynes Hospital Campus, Milton Keynes MK6 5LD aut Journal of Public Health Oxford University Press 18/3(1996-09), 308-312 1741-3842 18:3<308 1996 18 pubmed https://doi.org/10.1093/oxfordjournals.pubmed.a024511 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/oxfordjournals.pubmed.a024511 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chappel David Department of Public Health Medicine, Buckinghamshire Health Authority, Milton Keynes Hospital Campus, Milton Keynes MK6 5LD aut NATIONALLICENCE 700 1- Fernandes Vasco Department of Public Health Medicine, Buckinghamshire Health Authority, Milton Keynes Hospital Campus, Milton Keynes MK6 5LD aut NATIONALLICENCE 773 0- Journal of Public Health Oxford University Press 18/3(1996-09), 308-312 1741-3842 18:3<308 1996 18 pubmed Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford