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Implementing the new BCG vaccination guidelines--a maternity hospital-based clinic approach

Deepa Athavale1, Sarah McCullough, Helen Mactier

  • 1Neonatal Unit, Princess Royal Maternity, 8-16 Alexandra Parade, Glasgow G31 2ER, UK.

Journal of Public Health (Oxford, England)
|March 22, 2006
PubMed

Insights

Early Bacillus Calmette-Guérin (BCG) vaccination for high-risk infants is achievable. A maternity hospital clinic improved identification and uptake, with 93% of infants receiving the vaccine within three months.

Area of Science:

  • Public Health
  • Immunology
  • Pediatrics

Background:

  • UK BCG vaccination program changes emphasize identifying and immunizing at-risk neonates.
  • Need for improved systems for early BCG immunization in high-risk infants.

Purpose of the Study:

  • To report an experience of improving early BCG immunization systems for high-risk infants.
  • To evaluate a new approach to BCG vaccination delivery.

Main Methods:

  • Established a maternity hospital-based BCG clinic.
  • Implemented a program to increase staff awareness of BCG vaccination protocols.

Main Results:

  • Neonatal identification of at-risk infants increased by 300%.
  • Achieved high clinic attendance rates and 93% BCG uptake in early infancy.
  • Most infants were immunized within the first three months of life.

Conclusions:

  • Targeting parents before maternity unit discharge is effective for BCG immunization.
  • The described clinic model demonstrates successful collaboration between acute and community services for early infant immunization.
Abstract

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