Why How When In addition to What These are the reasons we are This is how you might This is how often we failsafe This is what we recommend you do recommending this do this recommend you undertake the action/check Follow up of babies born to screen To make sure babies born to Neonatal and birth Weekly Tracking process positive women; have mothers with an infection receive plan completed by the by screening team systems to make sure the baby’s care appropriate care multi-disciplinary team for all babies due is managed in line with national (MDT) antenatally. to deliver guidance. We have evidence from HIV paediatric assessment in screening safety incidents of: Follow up by screening Report neonatal – line with BHIVA and CHIVA babies not given team for all neonatal outcomes to IDPS guidelines appropriate neonatal outcomes. outcomes systems Hepatitis B administration of assessment and (ICH). – vaccination (+/- HBIG) within 24 treatment or subsequent hours of birth and transfer of entry into paediatric care Submit data for information to CHIS and GP to delays in or failure to IDPS standard 7 schedule further administer Hepatitis B annually vaccinations/serology in line vaccinations (+/- HBIG) with Green Book guidance non-compliance with the Syphilis paediatric neonatal immunisation – assessment and treatment in schedule line with BASHH guidelines BHIVA British HIV Association, CHIVA- Children’s HIV Association, HBIG- hepatitis B immunoglobulin, CHIS- Child Health Information Service – Association for Sexual Health and HIV, Institute of Child Health BASSH ICH- –British Trust response: this row for you to enter results or summarise whether you have these checks in place or not and if not to identify gaps and develop an action plan
What This is what we recommend you do Why These are the reasons we are recommending this How This is how you might do this When This is how often we recommend you undertake the action/check In addition to failsafe Follow up of babies born to screen positive women; have systems to make sure the baby’s care is managed in line with national guidance. HIV – paediatric assessment in line with BHIVA and CHIVA guidelines Hepatitis B – administration of vaccination (+/- HBIG) within 24 hours of birth and transfer of information to CHIS and GP to schedule further vaccinations/serology in line with Green Book guidance Syphilis – paediatric assessment and treatment in line with BASHH guidelines To make sure babies born to mothers with an infection receive appropriate care We have evidence from screening safety incidents of: babies not given appropriate neonatal assessment and treatment or subsequent entry into paediatric care delays in or failure to administer Hepatitis B vaccinations (+/- HBIG) non-compliance with the neonatal immunisation schedule Neonatal and birth plan completed by the multi-disciplinary team (MDT) antenatally. Follow up by screening team for all neonatal outcomes. Weekly Tracking process by screening team for all babies due to deliver Report neonatal outcomes to IDPS outcomes systems (ICH). Submit data for IDPS standard 7 annually BHIVA – British HIV Association, CHIVA- Children’s HIV Association, HBIG- hepatitis B immunoglobulin, CHIS- Child Health Information Service BASSH –British Association for Sexual Health and HIV, ICH- Institute of Child Health Trust response: this row for you to enter results or summarise whether you have these checks in place or not and if not to identify gaps and develop an action plan
Infectious_diseases_in_pregnancy_screening_checks_and_audits_template.docx