title: [Prevention of hepatitis B transmission during the delivery in Picardy (2006)].
abstract: OBJECTIVE
  No French publication is available to assess the prevention of the hepatitis B transmission during delivery. The aim of this study was to evaluate the traceability and the compliance with the guidelines for administration of hepatitis B immune globulin (Ig) in public and private maternities of Picardy.
  
  
  METHODS
  We obtained the files of the mothers who were likely to be HBsAg + by a query in the medico-administrative data base (PMSI). Newborns who received hepatitis B Ig were obtained by the pharmacies and the obstetrical wards's registers and a PMSI query.
  
  
  RESULTS
  Nineteen of 20 maternities participated to the study. One hundred and forty five files were identified (65 mothers HBsAg +, 75 HBsAg -, 5 unknown) and 81 hepatitis B Ig injections were rated in the file and 5 unrated. Twenty percent of the rated Ig injections (16/81) were not pertinent (new born from HbsAg - mothers). Dose complied with the guidelines (100 UI) in 85 % of cases and the schedule (within the 12 first hours after delivery) in 79 %. The traceability was present in 69 % of the files. As a whole, only 40 % (32/81) of Ig injections follow the guidelines indications (indication, recommended dose and time, traceability). A letter (for general practitioner, pediatrician or hepatologist) for follow up of the baby or/and the mother was found in 40 files out of 145.
  
  
  CONCLUSIONS
  The prevention of the hepatitis B transmission during the delivery must be improved through a national strategy with a multi-professional mobilisation plus a local implementation.
authors.affiliation: CHU d'Amiens, Santé publique, 80054 Amiens cedex 1, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Lerat
authors.forename: Alain
authors.initials: A
authors.lastname: Braillon
authors.forename: Dominique
authors.initials: D
authors.lastname: Capron
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Tiberghien
authors.forename: Gérard
authors.initials: G
authors.lastname: Dubois
mesh_terms: D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric; D005602:France; D019983:Guideline Adherence; D006509:Hepatitis B / Q000517:prevention & control* / Q000635:transmission*; D006801:Humans; D007136:Immunoglobulins / Q000627:therapeutic use; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*
chemical_list: D007136:Immunoglobulins