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Journal of Public Health Advance Access published online on March 20, 2006
Journal of Public Health, doi:10.1093/pubmed/fdi078
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© The Author 2006, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

Article

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

Deepa Athavale 1, Sarah McCullough 2, and Helen Mactier 1 *

1 Neonatal Unit, Princess Royal Maternity, 8-16 Alexandra Parade, Glasgow G31 2ER, UK
2 Public Health Protection Unit, Dalian House, 350 St Vincent Street, Glasgow G3 8YU, UK

* To whom correspondence should be addressed.
Helen Mactier, E-mail: helen.mactier{at}northglasgow.scot.nhs.uk


  Abstract

Background With the recent changes to the UK BCG vaccination programme, the emphasis on childhood immunisation changes to identification and immunisation of at risk neonates. We report our experience of improving the system for provision of early BCG immunisation to high-risk infants born in the east of Glasgow.

Methods A maternity hospital-based BCG clinic was established, together with a programme designed to increase awareness among midwifery and junior medical staff.

Results Neonatal identification of at risk infants increased by 300% and was associated with high rates of clinic attendance and a 93% uptake of BCG immunisation in early infancy. Almost all infants were immunised within the first three months of life.

Conclusion Targeting parents prior to discharge from the maternity unit is an effective means of implementing BCG immunisation guidelines. The clinic model described is a successful and easily implemented example of co-operation between acute and community services.

Keywords: immunisation, newborn, tuberculosis, BCG.
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