Hepatitis B immunisation in renal units in the United Kingdom: questionnaire study
BMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7342.877 (Published 13 April 2002) Cite this as: BMJ 2002;324:877Data supplement
- Questionnaire on Hepatitis B immunisation policy in UK renal units
Name of unit: Identifier number:
Please answer the following questions on Hepatitis B immunisation policyin your unit. It is really important to get a good response rate for this survey, so if there are questions for which you do not know the answers, please leave them blank rather thanput the questionnaire aside.
1. Do you treat patients with end stage renal failure [ESRF] in your unit? Yes / No
2. Have you had any incidents of Hepatitis B seroconversion in ESRF patients on your unit in the last 3 years?
Yes / No
3. Specify which of the following groups are offered Hepatitis B immunisation in your unit:
[You may tick more than one category]
Groups None Someγ Most γ All specify categories where possible all pre-dialysis patients under your care haemodialysis peritoneal dialysis transplant patients who will be treated outside Britain
other groups [specify] γ [For ‘some’ use approximately<50%, for ‘ most’ use approximately >50%]
If you have answered ‘none’ for all categories, please be sure to answer Question 8.
4.How are candidates for Hepatitis B immunisation identified?
by doctors in pre-dialysis clinic by clerical staff by GPs in primary care by nurses in pre-dialysis clinic by nurses on the renal unit Other [please specify]:
5. Who is currently responsible for administering Hepatitis B immunisation locally?
[please tick one box on each line]
Hospital GP Both Neither Pre-dialysis ESRF
6. Please estimate the Hepatitis B immunisation coverage you are achieving in dialysis patients?
<25% 25-50% 50-75% 75-100% don’t know
7. What dose and schedule do you use to immunise against Hepatitis B in chronic renal patients?[tick boxes]
Dose: Normal [20 mcg] High [40mcg] Schedule: Normal [0, 1, 6 months] Accelerated [0,1, 2, 12 months]
8. Please identify in each column reasons why patients are not routinely vaccinated in your unit [put reasons considered significant in rank order from 1= most important reason, 2,3 etc]
[key: P = predialysis, E= ESRF] P E a. poor efficacy of the vaccine in patients on dialysis b. lack of awareness of the higher dose vaccine [40mcg] c. effectiveness of universal precautions and screening of blood donors and patients d. low perceived risk: outbreaks are rare e. not cost-effective f. logistics of administration and monitoring g. should be done in primary care h. awaiting revised guidelines from dialysis units committee i. other - specify…………………………………………………………………………………………………
9. Does your unit follow the Renal Association recommendations∗ on immunisation of patients with chronic renal failure against Hepatitis B? Yes/NoIf no, does your unit have a written local policy on immunisation of patients with chronic renal failure against Hepatitis B?Yes / No [If yes please send us a copy]
Are you aware of any other guidance on Hepatitis B immunisation for patients with chronic renal failure? Yes / No Please state which:
10. Do you have any further comments that would be useful for us?
Thank you for taking the time to fill in this questionnaire. Please fill in your name and contact number in case we need to speak to you directly. Send the questionnaire in the pre-paid envelope to Dr S Ray, CDSC [West Midlands], 2nd floor Lincoln House, Heartlands Hospital, Bordesley Green East, Birmingham B9 5SS. Phone 0121 773 7077.
Name of person completing questionnaire: ……………………………………………………………
Position/title of respondent in unit: …………………………………………………………………..
Contact telephone / email number:……………………………………………………………………
Date : …………………………………..
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