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  • Title: Factors associated with incomplete vaccination of babies at risk of perinatal hepatitis B transmission: a London study in 2006.
    Author: Giraudon I, Permalloo N, Nixon G, Charlett A, Cohuet S, Mandal S, Ramsay M, Patel BC, Maguire H.
    Journal: Vaccine; 2009 Mar 23; 27(14):2016-22. PubMed ID: 19135494.
    Abstract:
    We measured the hepatitis B (HB) vaccination uptake in 249 London babies born in 2004 to HBsAg positive mothers. Two thirds (69%) received three vaccinations and half (49%, 95% CI 43-56) received a complete course (four doses). Complete immunization was associated with sector of delivery (p<0.001), recording of the GP details in case notes, having booked for antenatal care, having a good command of English, and receipt of written information on HB. A third of the babies (33%) had a post-vaccination test; when the mother had other children, 39% of the oldest children were vaccinated; information on partner's vaccination was available for 12%. This study highlights that appropriate counseling and information should be provided to the mothers, and the importance in London of arrangements for integrated care across acute and primary care services.
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