The Immunization Program would like to congratulate the following "Honor Roll"
enrollees for their outstanding efforts to prevent perinatal hepatitis B transmission.
California Hospital Medical Center
East LA Doctors Hospital
Cedars Sinai Medical Center
Good Samaritan Hospital
Kaiser Permanente, Baldwin Park Medical Center
- Kaiser Permanente, Downey Medical Center
- Kaiser Permanente, Los Angeles Medical Center
- Kaiser Permanente, South Bay Medical Center
- Kaiser Permanente, West Los Angeles Medical
|Perinatal Hepatitis B Honor Roll Awards Criteria
Hospitals and birthing hospitals must meet all of the following criteria to
be eligible for this recognition. Facilities that wish to be considered for
this honor may contact the Perinatal Hepatitis B Prevention Unit at (213) 351-7400.
The facility has written policies, procedures, and protocols in place to protect
all newborns from the hepatitis B virus.
All women are tested prenatally for hepatitis B surface antigen (HBsAg).
- The facility only accepts laboratory reports, not transcribed test results,
as documentation of HBsAg status.
- The facility verifies that the test was performed during the current
pregnancy and the test date.
The facility retests women who do not have a current HBsAg lab report
and women who engaged in behaviors that put them at high-risk for
acquiring hepatitis B infection during pregnancy. These behaviors may
include recent intravenous drug use, having an HBsAg-positive sex partner,
having more than one sex partner in the past 6 months, and/or receiving
treatment for a sexually transmitted infection.
For a 12-month period, the facility achieved a coverage rate of 90% or higher
for administering the hepatitis B vaccine to all newborns before discharge.
- Infants born to HBsAg-positive mothers received hepatitis B vaccine and
hepatitis B immune globulin (HBIG) within 12 hours of birth.
- Infants born to mothers whose HBsAg status was unknown received
hepatitis B vaccine within 12 hours of birth.
- Infants born to mothers whose HBsAg status was unknown and weighed less
than 2,000 grams (4.4 lbs.) received hepatitis B vaccine and HBIG within 12
hours of birth.
Routine newborn admission orders include a standing order to administer hepatitis
B vaccine to all infants born to HBsAg-negative mothers prior to discharge
(similar to standing orders to administer Vitamin K and ophthalmic antibiotic).
Vaccine storage and handling practices meet the California Department of Public
Health’s standards. These standards are posted at http://eziz.org/vaccine-storage/.
The facility informs parents about the importance of the hepatitis B vaccine birth
dose for all newborns. This is verified by a documented Hepatitis B Vaccine Information
Statement edition date.
- Documentation demonstrates that HBsAg-positive mothers are routinely educated regarding
the following topics:
- Modes of hepatitis B virus transmission.
- Breastfeeding. Mothers are informed that they may breastfeed without delay
and that receiving HBIG and the recommended hepatitis B vaccine series should
eliminate any theoretical risk of transmission through breastfeeding.
- The importance of vaccination of infants. Mothers should receive information
to help them understand why it is important for their infant to: 1) complete
the full hepatitis B vaccine series on schedule and 2) receive an HBsAg test
and an antibody to HBsAg (anti-HBs) test after completing the vaccine series.
Infants should get these tests at 9-18 months of age to ensure that there is
no perinatal transmission and that the infant has immunity to the hepatitis B virus.
- The importance of vaccination of contacts. Mothers should receive education about the
importance of vaccinating susceptible household, sexual, and needle-sharing contacts
against hepatitis B.
- Recommended Medical Assessments: Mothers should receive education about the
importance of receiving a chronic hepatitis B medical evaluation from a physician
experienced in the management of chronic liver disease, including an assessment
for eligibility for antiviral treatment.
Within 24 hours of birth to women with a positive or unknown HBsAg status, the facility
faxes the Los Angeles County Department of Public Health’s Hospital/Home Birth
Report-Perinatal Hepatitis form to (213) 351-2781.
The facility routinely completes the medication administration record (MAR), infant’s
immunization record (e.g., yellow card), and consent/refusal form.
The facility routinely records the date and time of Hepatitis B vaccine and/or
HBIG administration on the MAR.
The facility routinely reports all HBsAg-positive women who refuse Hepatitis B vaccine
and HBIG to the Hospital Social Worker, the PHBPU at (213) 351-7400, and the Department
of Children and Family Services at (213) 639-4500.
The facility informs parents to follow-up with the PHBPU one week after discharge to
receive support and referrals and documents this referral in the Discharge Summary.