Abstract:
OBJECTIVE:Recommendations by most national advisory committees on immunization include evaluating all pregnant women for chronic hepatitis B virus infection and immunity to rubella. It is recommended that all pregnant women be screened for hepatitis B surface antigen during an early prenatal visit and that rubella vaccine be administered in the postpartum period to women not known to be immune. This study determined the extent to which hospitals with labor and delivery services adhere to these recommendations. METHODS:We conducted a mail survey of a stratified random sample of all US medical-surgical hospitals to (1) determine the proportion of hospitals with hepatitis B screening policies and rubella immunization programs and (2) identify significant factors associated with the presence of these policies and programs. Hospitals were stratified by number of beds (<100, 100-499, and > or =500) and affiliation with a medical school. RESULTS:Of 986 institutions surveyed, 858 (87%) responded. Of these, 635 (74%) were labor and delivery hospitals. Approximately half of these (51%) had hospital policies related to screening pregnant women for the hepatitis B surface antigen. Twenty-one percent had rubella immunization programs for postpartum women. Only 14% of labor and delivery hospitals were in full compliance with published recommendations for hepatitis B surface antigen screening and rubella postpartum vaccination. Hospitals were more likely to be compliant if they had more than 100 beds, were private rather than public institutions, were affiliated with a medical school, and were in states with laws regarding hepatitis B surface antigen screening of pregnant women. CONCLUSIONS:Almost half, and more than three quarters, of hospitals were not in compliance with hepatitis B screening and rubella postpartum immunization recommendations, respectively. Hospitals should develop and implement policies for these preventive services.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Bath SK,Singleton JA,Strikas RA,Stevenson JM,McDonald LL,Williams WWdoi
10.1067/mic.2000.109886subject
Has Abstractpub_date
2000-10-01 00:00:00pages
327-32issue
5eissn
0196-6553issn
1527-3296pii
S0196-6553(00)27557-3journal_volume
28pub_type
杂志文章abstract:OBJECTIVE:Recent research has suggested that episodes of gram-negative (GN) bloodstream infection (BSI) are more common in the population during summer months. Our objective was to determine if the same phenomenon could be observed in patients with health care-associated (HCA) BSI, and if so, whether a summer peak was ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.05.019
更新日期:2013-12-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章,多中心研究
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更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Our objectives were to evaluate the utility of electronic hand hygiene counting devices in outpatient settings and the impact of results feedback on physicians' hand hygiene behaviors. METHODS:We installed 130 electronic hand hygiene counting devices in our redesigned outpatient department. We remotely moni...
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journal_title:American journal of infection control
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journal_title:American journal of infection control
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journal_title:American journal of infection control
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journal_title:American journal of infection control
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更新日期:1984-10-01 00:00:00
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journal_title:American journal of infection control
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journal_title:American journal of infection control
pub_type: 临床试验,杂志文章,多中心研究
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更新日期:1992-04-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.01.013
更新日期:2009-03-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.12.024
更新日期:2020-08-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
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更新日期:2014-04-01 00:00:00
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journal_title:American journal of infection control
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更新日期:1984-04-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.02.008
更新日期:2015-05-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.02.006
更新日期:2016-07-01 00:00:00
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journal_title:American journal of infection control
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doi:10.1016/j.ajic.2006.10.012
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pub_type: 临床试验,杂志文章
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.05.012
更新日期:2006-02-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2001.117298
更新日期:2001-12-01 00:00:00
abstract::Between Jan. 11 and March 31, 1983, 60 pediatric patients were diagnosed with rotavirus gastroenteritis. Of these cases 24 were community acquired, 29 were nosocomial, and 7 were of undetermined origin. Despite intensive infection control efforts, nosocomial transmission continued as long as patients with community-ac...
journal_title:American journal of infection control
pub_type: 杂志文章
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更新日期:1990-02-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.07.037
更新日期:2015-11-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.01.015
更新日期:2020-10-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章,随机对照试验
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更新日期:2018-09-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.07.011
更新日期:2014-10-01 00:00:00