title: Vaccination against hepatitis B in an HIV outpatients' department: an audit against national vaccination guidelines.
abstract: Practice related to hepatitis B vaccination of HIV outpatients in a London teaching hospital was audited against the British HIV Association (BHIVA) immunization guidelines 2004 and 2008, both before and after the implementation of a vaccination record sheet in the patients' notes. Adherence to the guidelines in the original audit was poor - only 67% of patients requiring vaccination for hepatitis B received a full course of vaccination. Following the introduction of the vaccination record sheet, this vaccination completion rate increased to 79% (BHIVA target 95%). Overall the percentage of patients managed according to BHIVA guidelines, including those who did not require vaccination, improved from 33% in the original audit to 61% in the re-audit. Introduction of a simple hepatitis B vaccination record sheet improved the quality of care for our HIV outpatients. Further modification of this system is warranted, perhaps by the introduction of a computerized reminder system.
authors: Department of HIV and Genitourinary Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK. Helen.Williams@gstt.nhs.uk
authors: H
authors: H
authors: Williams
authors: M A
authors: MA
authors: Bevan
authors: C Y W
authors: CY
authors: Tong
authors: R
authors: R
authors: Kulasegaram
mesh_terms: D019983:Guideline Adherence / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000150:complications*; D006509:Hepatitis B / Q000517:prevention & control*; D017325:Hepatitis B Vaccines / Q000008:administration & dosage* / Q000276:immunology*; D006784:Hospitals, Teaching; D006801:Humans; D008131:London; D010044:Outpatient Clinics, Hospital; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D017325:Hepatitis B Vaccines