5939 New York City Department of Health and Mental Hygiene, Bureau of Immunization, Queens, NY, USA.
5939 New York City Department of Health and Mental Hygiene, Bureau of Communicable Disease, Queens, NY, USA.
Public Health Rep. 2020 May/Jun;135(3):322-328. doi: 10.1177/0033354920913063. Epub 2020 Apr 8.
The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) depends on reporting by health care facilities and laboratories for disease surveillance. Our objective was to evaluate the completeness of DOHMH surveillance to identify births to hepatitis B virus (HBV)-positive women to prevent perinatal transmission.
We identified infants born to HBV-positive women by matching mothers of all infants born in NYC during May 1, 2013-May 1, 2014, identified from the Citywide Immunization Registry (CIR) to persons with HBV-positive laboratory reports in the Electronic Laboratory Reporting (ELR) system. We then matched infants born to mothers identified in the CIR/ELR match to infants born to HBV-positive women from the DOHMH perinatal HBV surveillance database. We performed capture-recapture analysis to evaluate completeness of DOHMH case identification. We compared the proportion of infants born to HBV-positive mothers reported to DOHMH with the proportion of infants identified only through the CIR/ELR match for receipt of postexposure prophylaxis (PEP) and completion of the HBV vaccination series and post-vaccination serology testing.
Of 1662 infants identified from the CIR/ELR match and 1554 infants in the DOHMH database, 1493 infants matched. Of 169 infants only in the CIR/ELR data set, 55 were born to HBV-positive women residing in NYC. Sixty-one infants were only in the DOHMH database. An estimated 2 infants were not identified by either method. The CIR/ELR match increased infant identification by 3.5%, from 1554 to 1609 infants. The proportion of infants who received PEP was significantly higher among infants whose mothers were reported to DOHMH (vs not reported to DOHMH).
Use of the CIR/ELR match may further improve DOHMH identification of infants born to HBV-positive women and receipt of infant PEP.
纽约市卫生与心理卫生局（DOHMH）依靠医疗机构和实验室的报告进行疾病监测。我们的目的是评估 DOHMH 监测的完整性，以发现乙型肝炎病毒（HBV）阳性妇女的分娩情况，从而预防围产期传播。
我们通过将纽约市所有在 2013 年 5 月 1 日至 2014 年 5 月 1 日期间出生的婴儿的母亲与城市免疫登记处（CIR）中的人员进行匹配，确定 HBV 阳性母亲所生的婴儿，并将这些婴儿与电子实验室报告（ELR）系统中 HBV 阳性实验室报告的人员进行匹配。然后，我们将 CIR/ELR 匹配中出生的婴儿与 DOHMH 围产期 HBV 监测数据库中 HBV 阳性母亲所生的婴儿进行匹配。我们进行捕获-再捕获分析以评估 DOHMH 病例识别的完整性。我们比较了向 DOHMH 报告的 HBV 阳性母亲所生婴儿的比例与仅通过 CIR/ELR 匹配确定的婴儿的比例，以确定接受暴露后预防（PEP）的比例以及完成 HBV 疫苗接种系列和疫苗接种后血清学检测的比例。
在 CIR/ELR 匹配和 DOHMH 数据库中分别有 1662 名和 1554 名婴儿中，有 1493 名婴儿相匹配。在仅在 CIR/ELR 数据集中的 169 名婴儿中，有 55 名婴儿的母亲居住在纽约市。在 DOHMH 数据库中仅有 61 名婴儿。估计有 2 名婴儿未通过任何一种方法识别。CIR/ELR 匹配使婴儿的识别率提高了 3.5%，从 1554 名增加到 1609 名。与未向 DOHMH 报告的婴儿相比，向 DOHMH 报告的婴儿接受 PEP 的比例明显更高。
使用 CIR/ELR 匹配可以进一步提高 DOHMH 对 HBV 阳性母亲所生婴儿的识别率，并提高婴儿接受 PEP 的比例。
