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© 1992 Faculty of Public Health Medicine of the Royal Colleges of Physicians of the United Kingdom

research-article

Policy and practice - an audit of neonatal BCG immunization in Avon


S. Ahmed, Registrar in Public Health Medicine
N. R. Hicks, Senior Registrar in Public Health Medicine
R. Stanwell-Smith, Consultant Epidemiologist

Frenchay Health Authority Bristol
Bristol and Weston Health Authority Bristol
Communicable Disease Surveillance Centre 61 Colindale Avenue, London NW9 5EQ


Address correspondence to Dr S. Ahmed, at Tayside Health Board, Dundee DD1 9NL

Two surveys were carried out to audit the Avon Neonatal BCG Immunization Policy. The aim of the audit was to determine whether children with indications for neonatal BCG immunization had received the vaccine before attendance at routine six-week postnatal examination. In the first survey, 15 of 359 (4·2 per cent) infants were identified as eligible for BCG, of whom only two (13·3 per cent) had received it. These findings were discussed with the medical and nursing staff involved in the care of the infants in Avon, and action was taken to improve compliance with the policy. The survey was then repeated to complete the loop of the audit cycle and to observe whether the action taken had the desired effect. Forty of 644 (6·2 per cent) infants were identified as being eligible for BCG immunization in the repeat survey, of whom 32 (80 per cent) had received it. There was a statistically significant difference in results between the first and the second survey (p{precedes}00001). It is concluded that completion of the audit cycle can markedly improve clinical practice.


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