Gordon Morris, Roberts Hannah, Odeka Egware
Department of Paediatrics, Royal Oldham Hospital, Oldham, UK.
BMC Infect Dis. 2007 Jul 24;7:82. doi: 10.1186/1471-2334-7-82.
Universal BCG vaccination in the UK ended in 2005. The new vaccination policy instead offers a number of different forms of selective vaccination to newborns based on risk of acquiring TB. We set out to assess the attitudes and knowledge of both parents and professionals to the new policy for neonatal BCG vaccination.
A short questionnaire was designed, made up of demographic and attitude questions, as well as very basic knowledge questions. The researchers handed out the questionnaire to all parents and professionals in the antenatal and postnatal areas, as well as the paediatric and neonatal units during a 6-week period. The site was the Royal Oldham hospital, a district general hospital with 3250 deliveries per year and multi-ethnic in its population mix.
A total of 253 completed questionnaires were collected. The ethnic origin of responders was 50.6% White British, 18.2% Bangladeshi, 8.7% Indian, 4% White/Asian, the remaining 18.5% of other origins. 71.5% of responders said they had heard of BCG vaccine. When asked if they knew the new policy for its use, 33.2% answered yes. 24.5% gave the most accurate response when asked who now receives BCG.
We have found that amongst parents and professionals alike there is a lack of knowledge of the new policy. This has lead to confusion and as knowledge amongst the professionals who identify neonates for vaccination is low, uptake may be sub-optimal. We suggest that units investigate the issue and ensure that the new policy is understood and implemented correctly.
英国的普遍卡介苗接种于2005年结束。新的疫苗接种政策改为根据新生儿感染结核病的风险，为其提供多种不同形式的选择性接种。我们着手评估家长和专业人员对新生儿卡介苗接种新政策的态度和知识。
设计了一份简短问卷，由人口统计学和态度问题以及非常基础的知识问题组成。研究人员在6周时间内，将问卷分发给产前和产后区域以及儿科和新生儿病房的所有家长和专业人员。地点是皇家奥尔德姆医院，这是一家地区综合医院，每年有3250例分娩，人口构成具有多种族特点。
共收集到253份完整问卷。回答者的种族来源为50.6%英国白人、18.2%孟加拉人、8.7%印度人、4%白人/亚洲人，其余18.5%为其他种族。71.5%的回答者表示听说过卡介苗。当被问及是否知道其使用的新政策时，33.2%回答是。当被问及现在哪些人接种卡介苗时，24.5%给出了最准确的回答。
我们发现，家长和专业人员对新政策都缺乏了解。这导致了困惑，而且由于负责确定新生儿接种对象的专业人员知识水平较低，接种率可能不理想。我们建议各单位调查此事，确保新政策得到正确理解和实施。
